hip replacement

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hip replacement

Etymology: AS, hype
substitution of an artificial ball and socket joint for the hip joint. Hip replacement is performed to relieve a chronically painful and stiff hip in advanced osteoarthritis, an improperly healed fracture, degenerative joint disease, or rheumatoid arthritis. Antibiotic therapy is begun before surgery, and the patient is taught to walk with crutches or a walker. During surgery the femoral head, neck, and part of the shaft are removed, and the contours of the socket are smoothed. A prosthesis of a durable, hard metal alloy or stainless steel is attached to the femur. A metal or a plastic acetabulum is implanted. The affected leg is kept abducted and in straight alignment with pillows; external rotation of the leg must be prevented. The nurse observes nerve function and circulation in the leg frequently during the first postoperative day. The most frequent complications are infection requiring removal of the new joint and dislocation. Ambulation begins gradually, with frequent short walks. Sitting for more than 1 hour is to be prevented, and hip flexion beyond 60 degrees may cause dislocation of the prosthesis. The patient continues an exercise program after discharge to maintain functional motion of the hip joint and to strengthen the abductor muscles. Weight-bearing may be modified according to the type of prosthesis implanted.
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Hip replacements

hip re·place·ment

(hip rē-plāsmĕnt)
Orthopedic surgery involving femoral head prosthetic replacement.

hip replacement

An operation in which the upper end of the thigh bone (femur) is sawn off, a short, angled metal shaft with a smooth metal or ceramic ball on its upper end is forced down into the hollow of the bone, and a plastic cup to fit the ball is fitted to the natural hollow on the side of the pelvis (the ACETABULUM). Advances reported late in 2003 include the use of two short incisions rather than one long incision and access via the separation of muscle planes rather than by cutting muscle. These technical improvements have made it possible for patients to return home the day after their operation.

Patient discussion about hip replacement

Q. Two weeks ago I fell and my back is still aching. What do you recommend I do? I'm 85 years old and have a history of 5 back operations. I fell a few times in the past couple of years, but I usually manage to live on my own and well. Recently I fell and hurt my left leg which is the one that I had a hip operation and of course problems and pain. I have resting and using my walking stick to balance myself better and I try to rest as much as possible. I know that time is the best healer, but i would love to see a video or read about my situation in order to improve my situation and learn new facts or tips. thanks you.


More discussions about hip replacement
References in periodicals archive ?
In terms of sales volume or units sold cement less total hip implants is expected to dominate the market in 2017, with a share of 74.
For total hip implant, small heads implant presents a little additional risk of adverse reaction to metal debris and bearings surface wear.
The report covers the present scenario and the growth prospects of the Global Hip Implant market for the period 2015-2019.
While delivering tangible benefits to patients, this innovative knee and hip implant surgical pathway demonstrates genuine partnership between the Welsh NHS and a multinational company.
Hips and hip implants have been the cornerstone of bioengineering for the past 50 or so years, generating cross-disciplinary collaborations that give rise to new disciplines and creating new specialisms within existing disciplines.
Research conducted at the Hospital for Special Surgery (HSS) in New York City found that metal-on-metal (MoM) hip implants used in hip resurfacing may cause synovitis--inflammation of the connective tissue that lines the joints--and that magnetic resonance imaging (MRI) can be used to detect the problem before pain and other symptoms appear.
Caption: A Durom cup hip implant like this is the subject of multiple lawsuits.
Johnson & Johnson concealed hip implant defects, lawyers say
Hazam of the national plaintiffs' law firm Lieff Cabraser Heimann & Bernstein, LLP, announced that Karla Krogman of West Des Moines, Iowa, filed a lawsuit against Stryker Orthopaedics charging that the company manufactured and sold a defective artificial hip implant, known as the Rejuvenate System.
MoM implant patients with systemic symptoms are more likely to visit their primary care practitioner than their orthopedic surgeon, so the FDA stresses the importance that all health care providers be aware of metal ion adverse events that may occur in MoM hip implant patients.
The success of a hip implant depends largely on how the surface of the bearing--the area where the two moving parts (ball and socket) of the implant join together to create a movable joint--holds up over time.