Is Total Hip Replacement For All?

Total hip replacement is the placement of a severely damaged hip with an artificial joint

. It alleviates the soreness and inability to function of patients with hip problems, therefore improving their lives. It is usually used as management of patients with osteoarthritis, rheumatoid arthritis and femoral neck fractures. It has been said to be one of the most successful and cost effective management in medicine. However, the recalls of hip replacement devices like the one manufactured by Johnson&Johnson are on the news lately. J&J have made many recalls on their ASR XL Acetabular Hip System and ASR Hip Resurfacing System because the reports on DePuy hip recall symptoms

is escalating.

The principal indication for hip replacement is pain. A study published last 2006, Indications for Total Hip Replacement have concluded that surgeons and referring physician uniformly agreed that pain, especially rest pain, and impairment of daily function including walking, climbing stairs and even rising from a sitting position are the most indicative manifestation for their decision to recommend THR. A patient complains of pain on the hips and normally consults a physician, who may not be an orthopedic surgeon. He is then prescribed with appropriate medications and advised to have physical therapy sessions as management of the problem. If physical therapy and the prescribed medications fail to alleviate the suffering and the pain even got worse, replacement is now considered.

The aim of the surgery is to relieve pain, to improve mobility and to enhance the overall quality of life. Patient is to undergo a series of sessions for rehabilitation with a licensed physical therapist and still be on continuous medication after the surgery. Avoiding bending the hip for more than 90 degrees and crossing the legs are only some of the limitation in mobility advised for the patient after surgery. These precautions minimize hip flexion and the risks for prosthetic dislocation. After successful surgery and rehabilitation, the patient can expect a hip that is free or almost free of pain, has good motion, is stable and permits normal or near-normal ambulation.

Patients experiencing pain on the hip are not always candidates for total hip replacement. Medication and physical therapy is first recommended for them. Surgery will be recommended after a careful assessment and if pain score is increasing to the point that the patient can no longer perform his normal daily functions. Patient will be informed on the outcome and possible complications of the surgery before he decides to accept the procedure. If you want to know more about total hip replacement, dont hesitate to talk to your health care provider about it.

by: William Davis

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