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Shri Ramchandra Joint Relacement Centre a.k.a Happy-Hosputals is the best joint replacement center in Guntur,<br>also providing their services in major hoapitals in Vijayawada, Prakasam,in Andhrapradesh India with strong focus on knee joint replacement, <br>hip joint replacement, shoulder joint replacement, elbow joint replacement imbibing quality, compassion and tender-loving-care.
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HipResurfacing Patientswithadvancedarthritisofthehipmaybecandidatesforeithertraditionaltotal hipreplacement(Arthroplasty)orhipresurfacing(HipResurfacingArthroplasty).Eachof theseproceduresisatypeofhipreplacement,butthereareimportantdifferences.Your orthopaedicsurgeonwilltalkwithyouaboutthedifferentproceduresandwhich operationwouldbebestforyou. Description Thehipisaball-and-socketjoint.Inahealthyhip,thebonesarecoveredwithsmooth cartilagethatenablesthefemoralheadandacetabulumtoglidepainlesslyagainsteach other. Inatraditionaltotalhipreplacement,theheadofthethighbone(femoralhead)andthe damagedsocket(acetabulum)arebothremovedandreplacedwithmetal,plastic,or ceramiccomponents. Inhipresurfacing,thefemoralheadisnotremoved,butisinsteadtrimmedandcapped withasmoothmetalcovering.Thedamagedboneandcartilagewithinthesocketis removedandreplacedwithametalshell,justasinatraditionaltotalhipreplacement. CandidatesforSurgery Yourdoctormayrecommendsurgeryifyouhavemoreadvancedosteoarthritisand haveexhaustedthenonsurgicaltreatmentoptions.Surgeryshouldonlybeconsideredif yourhipissignificantlyaffectingthequalityofyourlifeandinterferingwithyournormal activities. Unlikehipreplacement,hipresurfacingisnotsuitableforallpatients.Generally speaking,thebestcandidatesforhipresurfacingareyounger(lessthan60),larger- framedpatients(often,butnotalwaysmale)withstrong,healthybone.Patientsthat
areolder,female,smaller-framed,withweakerordamagedboneareathigherriskofareolder,female,smaller-framed,withweakerordamagedboneareathigherriskof complications,suchasfemoralneckfracture. Acomprehensiveevaluationbyyourorthopaedicsurgeonwillhelpyoudetermineifyou areagoodcandidateforhipresurfacing. YourSurgery BeforeSurgery Youwilllikelybeadmittedtothehospitalonthedaybeforesurgery. Beforeyourprocedure,adoctorfromtheanesthesiadepartmentwillevaluateyou.He orshewillreviewyourmedicalhistoryanddiscussanesthesiachoiceswithyou.You shouldalsohavediscussedanesthesiachoiceswithyoursurgeonduringyour preoperativeclinicvisits.Anesthesiacanbeeithergeneral(youareputtosleep)or spinal(youareawakebutyourbodyisnumbfromthewaistdown). Yoursurgeonwillalsoseeyoubeforesurgeryandsignyourhiptoverifythesurgical site. SurgicalProcedure Ahipresurfacingoperationtypicallylastsbetween11/2and3hours. Yoursurgeonwillmakeanincisioninyourthighinordertoreachthehipjoint.The femoralheadisthendislocatedoutofthesocket.Next,theheadistrimmedwith speciallydesignedpowerinstruments.Ametalcapiscementedovertheprepared femoralhead.Thecartilagethatlinesthesocketisremovedwithapowertoolcalleda reamer.Ametalcupisthenpushedintothesocketandheldinplacebyfriction betweentheboneandthemetal.Oncethecupisinplace,thefemoralheadisrelocated backintothesocketandtheincisionisclosed. Afterthesurgeryyouwillbetakentotherecoveryroom,wherenurseswillclosely monitoryouasyourecoverfromtheanesthesia.Youwillthenbetakentoyourhospital room. Complications Aswithanysurgicalprocedure,therearerisksinvolvedwithhipresurfacing.Your surgeonwilldiscusseachoftheriskswithyouandwilltakespecificmeasurestohelp avoidpotentialcomplications. Althoughrare,themostcommoncomplicationsofhipresurfacingare:
•Bloodclots.Bloodclotsinthelegveinsarethemostcommoncomplicationofhip•Bloodclots.Bloodclotsinthelegveinsarethemostcommoncomplicationofhip resurfacingsurgery.Bloodclotscanforminthedeepveinsofthelegsorpelvisafter surgery.Bloodthinnerssuchaswarfarin(Coumadin),low-molecular-weightheparin, aspirin,orotherdrugscanhelppreventthisproblem. •Infection.Youwillbegivenantibioticsbeforethestartofyoursurgeryandthesewill becontinuedforabout24hoursafterwardtopreventinfection. •Injurytonervesorvessels.Althoughitrarelyhappens,nervesorbloodvesselsmay beinjuredorstretchedduringtheprocedure. •Femoralneckfracture •Dislocation •Risksofanesthesia Recovery Inmostcases,patientsgohome1to4daysaftersurgery. Youmaybeginputtingweightonyourlegimmediatelyaftersurgery,dependingonyour doctor'spreferencesandthestrengthofyourbone.Youmayneedawalker,cane,or crutchesforthefirstfewdaysorweeksuntilyoubecomecomfortableenoughtowalk withoutassistance. Aphysicaltherapistwillgiveyouexercisestohelpmaintainyourrangeofmotionand restoreyourstrength.Youwillcontinuetoseeyourorthopaedicsurgeonforfollow-up visitsinhisorherclinicatregularintervals. Youwillmostlikelyresumeyourregularactivitiesofdailylivingby6weeksafter surgery.