Joint arthritis
influences the hip joint pretty much as it influences the knee. Hip
joint pain is less regular in Indians and Asians. One sickness that
we normally see is avascular necrosis (AVN). In AVN the blood supply
to the leader of the femur (thigh bone) is sliced off because of some
pathology. The most widely recognized explanations behind AVN are
liquor admission and steroid medicine. The dead femoral head loses
its round shape and turns out to be level and twisted. This prompts
demolition of the hip joint and joint inflammation. Patients have
serious agony in the hip. Developments get to be limited and
exceptionally agonizing. Ahead of time stages patients experience
issues in strolling. They walk gradually with a limp more often than
not with backing of a stick or walker.

There are numerous
non surgical and surgical medications of AVN in the early stages.
However in the late stages the main arrangement is all out hip
substitution (THR). So also end stage joint pain of the hip because
of any reason can be effectively treated by hip replacement alone.
Hip replacement has been around for over 60 years. In this time hip
replacement has seen a gigantic development. Hip replacement can be
total or partial. In partial hip replacement, just the ball (head of
femur) is supplanted. The first measure of the patient is held. This
surgery is normally accomplished for more seasoned patients who break
the neck of femur (hip crack).
Total Hip Replacement
In total hip
replacement, both the ball and attachment is supplanted. This surgery
is ruined hip joint arthritis where both ball and attachment are
harmed. Initially total hip replacement both segments (stem and
container) were settled to bone with bone bond (established hip). The
established stem (which holds the ball) works extremely well and has
a long life. However the established container endures just 10 to 12
years. The need to enhance life of the prosthesis prompted the
advancement of uncemented hips. In uncemented outline, the glass and
the stem are fitted into the bone without utilizing bond. The surface
of the stem and container is made unpleasant or permeable. This
permits the issue that remains to be worked out into the surface.
Types of Hip Implants
Initially altogether
hip replacement, the ball was made of metal and the cup was made of
high thickness plastic (metal on plastic). The issue with plastic is
that it wears out after some time. There has been a major change in
these materials throughout the years. The first plastic has
experienced a progression of changes (exceptionally cross connected)
which has enhanced the solidness of the plastic. The greatest change
has been the presentation of ceramic. Early earthenware was weak and
had issues of breakage. With later eras of fired, the breakage issue
was understood. By utilizing earthenware heads rather than metal
ones, the wear of the plastic cups is decreased (ceramic on plastic).
At that point came the ceramic containers. By utilizing a ceramic cup
and fired ball (artistic on earthenware), there is next to no wear of
the container and the life of the prosthesis is enhanced radically.
Ceramic on ceramic THR is perfect for the more youthful patient as it
is exceptionally solid and keeps going quite a while. On the other
hand it is an in fact delicate surgery and must be done flawlessly.
It is likewise exceptionally costly.
Total hip
replacement is an existence changing surgery. After the introductory
couple of months which are required to recoup from the surgery, the
patient begins encountering emotional help of torment. Torment
actually and mystically vanishes. In most joint states of the hip,
the leg turns out to be short and this shortening is adjusted
promptly after surgery. Developments turn out to be free and easy.
Patient can walk ordinarily without a limp or torment. A few patients
even figure out how to pursue surgery. In short patients get to be
ordinary after hip replacement surgery and are cured of their joint
arthritis. With advanced surgical procedures and more up to date
prosthetic materials and outlines, these patients can make the most
of their hip replacement for a long, long time.
If you want to learn more, please contact us:
Contact : Dr. S.V. Santpure Shivkumar, M.S.(Ortho),
Fellowship, Baltimore (USA),
Consultant orthopaedic surgeon
Center for Joint Replacement and Advanced Orthopaedics Surgery