Total or Bilateral Hip Replacement is also called a Hip Arthroplasty. It is a surgical procedure that re-forms the hip-joint.
Osteoarthritis of the hip which affects the cartilage surfaces of the ball-and-socket joint of the hip which wears out is caused by wear and tear is the most common diagnosis that leads to hip replacement. This disease results are pain and stiffness. Patients have difficulty walking, climbing stairs and performing routine daily activities.
The conditions causing destruction of the hip joint are:
-- There is a Loss of blood supply to the head of the thighbone of the Patient .
-- Another cause may be Rheumatoid arthritis (an inflammatory autoimmune disease)
-- It is also possible that the patient has Previous injury or trauma
-- There might be Infection in the Hip
-- Also developmental abnormalities in the hip
Recently Singapore has become one of the most important healthcare hubs in Southeast Asia. Its healthcare industry has expanded rapidly. It is evident that the healthcare sector of Singapore has also gained a very significant position in the in the international medical tourism map. Its growth further accelerated after the developed nations realized that they could get high quality health services and facilities at half the prices than in the west.
Hip replacement surgery in Singapore is one of the very popular surgeries that are performed by experts. Hip replacement in Singapore is a common orthopedic surgery. The Recent developments in the surgery have made the surgeries much safer and reliable than they were in the past. These surgeries are basically performed to treat severe and acute arthritis pain. It is generally performed on patients when osteoarthritis leads to the wearing down of the hip joints. Hip replacement in Singapore is renowned to have high rates of success.
This Surgery is getting popular and The number of foreign citizens are coming to Singapore to undergo hip replacement surgeries is Increasing as the healthcare sector in Singapore ensures high quality health services and facilities are available which are half of that in other countries. So it ends up being cost effective .
Things to be kept in mind while going for Total Hip Replacement :
-- Its always better to talk to know procedure and the recovery period by talking to your someone who has undergone similar Surgery .
-- Your doctor evaluates the patient overall health to ensure that he is well enough to safely withstand the surgery. Any unstable medical condition or infections must be carefully contained before surgery.
-- The patient should take rest during the first few weeks and gradually return to his normal activities .
-- Just as a precautionary measure you might be needing blood transfusions during the operation or recovery period, so you can donate some of your own blood before the procedure to be given back to you.
-- It is advised not to eat or drink anything after midnight on the day of your surgery. Follow any other instructions your doctor gives you.
Procedure of Hip replacement Surgery :
-- The patient will arrive at the hospital usually on the day of surgery.
-- Then an anesthesiologist will sit with you to discuss various feasible options for anesthesia.
-- He may have a general anesthesia, in which you will be completely unconscious.
-- He may have regional anesthesia that will numb you from the waist down and keep you moderately sedated.
-- The doctor will expose your hip joint and dislocate the ball from the socket.
-- The surgeon removes the head from the femur (thigh bone) and reams away the surface of the socket.
-- The surgeon secures in place a prosthetic cup (socket) made of polyethylene.
-- The doctor then secures a metal head (ball) and stem into the femur either by a press fit or with bone cement.
-- The doctor places the ball into the cup and takes your new hip through a range of motion to ensure proper stability and mobility.
-- The doctor closes your incision, and you are brought to the recovery room.
Problems with conventional Total Hip Replacement:
-- There can be Bone loss
-- There is Increased risk of dislocation
-- You might not able to squat or sit on the floor without the risk of dislocating the hip
-- Range of movement is less
-- The Patient cannot safely indulge in sporting activities
-- It is seen that revision surgery difficult
-- It Feels less like a normal natural hip
-- There is also possibility of change in leg length after surgery
After the procedure:
-- The patient will stay in the hospital for 4-7 days.
-- The first night after surgery you will be confined to bed with a wedge-shaped pillow between your legs to keep the new hip joint in place.
-- A tube which is placed in the new hip joint during surgery to drain any fluid or blood likely will be removed the next day.
-- If the patient is having trouble urinating, another tube will likely be placed in your bladder.
-- Usually the patient will begin physical therapy the day after surgery, and within days you can walk with a walker, cane, or crutches
Symptoms in which you should contact the doctor immediately after the surgery :
-- The patient becomes short of breath or have difficulty breathing.
-- The patient has pain or a crushing sensation in your chest.
-- The patient might feel heart is racing or beating irregularly.
-- He develops a fever.
-- There is increasing redness and warmth along the incision site , there is an infection or drainage of fluid from the place where the incision is done .
-- His calf, thigh, or hip becomes unusually swollen, warm, red, or painful.
-- If he develop problems or symptoms and cannot reach your doctor, go to the nearest emergency department for immediate consultation.
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