What are the Surgical Options for Hip Arthritis
When non-surgical treatments for hip arthritis fail, you and your doctor may consider surgery. Learn about which surgical options are optimal for treating osteoarthritis in your hip.
Arthroscopy
Hip arthroscopy is usually an outpatient procedure to repair torn cartilage and to remove extra bone that occurs in the very earliest stages of osteoarthritis. The surgeon uses small stab incisions around the hip to allow for insertion of a tiny camera called an arthroscope. For patients over 40 years of age, there are rare circumstances that they would require an arthroscopy.
Osteotomy
Femoral and acetabular osteotomy surgery involves cutting the bone to reorient your hip joint when your hip has structural abnormalities. It is usually performed in paediatric patients and younger adults typically under twenty years due to abnormal development of the bones around the hip. It is extensive surgery that requires the insertion of plates and screws to fix the bone while it heals. It requires inpatient hospitalization for several days, and recovery usually takes six to twelve weeks.
Hip Resurfacing
Hip resurfacing is a type of hip replacement that is usually reserved for young, active males. It is a metal-on-metal device where the hip ball is capped. It usually requires inpatient hospitalization for several days, and recovery usually takes six to twelve weeks. This procedure has more recently fallen out of favour due to metal-related concerns, however there are few circumstances where it may be beneficial.
Total Hip Replacement
Total hip replacement is the gold standard for treating your disabling hip pain. Circumstances that indicate the necessity of total hip replacement surgery occur in individuals of all ages, sexes, and activity levels. It is best to have the surgery after you turn the age of 60 because of the risk of having to undergo surgery again due to mechanical failure after 15 to 20 years.
Total Hip Replacement surgery can be performed through various approaches (front, back, side) with various implant designs. Currently the most common designs are made out of titanium with metal heads against the newest plastics. It is extensive surgery that requires inpatient hospitalization for three to five days, and recovery usually takes six to twelve weeks.
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Revision Hip Replacement
Revision hip replacement is a complex surgical procedure in which all or part of a previously implanted hip-joint is replaced with a new artificial hip-joint.
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Other
What hip implants are used?
Hip implants are artificial devices that form the essential parts of the hip joint during a hip replacement surgery. The hip implants vary by size, shape, and material. Implants are made of biocompatible materials that are accepted by the body without producing any rejection response.
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What to Know About Total Hip and Knee Replacement Surgery?
How effective are total hip replacements at treating arthritis?
Treatment of arthritis starts without surgery. Over-the-counter pain relievers and anti-inflammatory medication may help. Using a cane or avoiding doing things that hurt may give relief as well. But you may develop pain that can only be treated by surgery.
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