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The failure of the cartilages in the hip joint to wear out over time is called hip calcification. This causes pain and limitation of movement. Calcification, especially due to advanced age and excessive weight, can also be seen due to genetic factors. In the first place, the patient experiences pain during long walks, long standing and walking up and down stairs. In advanced levels, it can show itself even during short walks and rest. The aim of the treatment of hip arthritis is to notice the condition at mild levels and prevent the progress of calcification. For this, non-surgical methods such as weight loss, rest, physical therapy and medication are used. However, if the arthritis has reached advanced levels, the person's complaints are advanced and if non-surgical methods have not benefited, hip replacement surgery may be required.
In addition to calcification, hip prosthesis is also used in hip fractures and avascular necrosis. Some of the hip and neck circumference fractures do not have a union feature. Therefore, the broken part is removed and a prosthesis that performs hip functions is replaced. In avascular necrosis, when the vascular structure that feeds the head part of the hip joint loses its function, it causes the living part of the head to die and collapse here. In advanced stages, it may be necessary to treat with prosthesis.
How to Perform the Surgery
Hip replacement surgery takes an average of 2 hours. It is an open surgery. It requires attention and expertise. With the developing technology, it gives very successful results in expert hands. It is mostly performed under general anesthesia. The prosthetic materials to be used are determined according to the patient's condition, age, hip structure and disease level. An incision of approximately 10 cm is made and surgery is started. First of all, the ball part that we call the femoral head is removed. The acetabulum slot is carved. An acetabular piece is placed in the carved area. After the inside of the femur is rasped, the femoral part is placed.
There is no age limit for hip replacement surgery. It is preferably applied to people over the age of 50 and under 100 kg. However, age and weight do not matter if necessary. Losing weight is beneficial to reduce the load on joints and extend the life of the prosthesis. In today's conditions, prosthesis life has increased up to 25 years on average. This period varies according to the weight, age, gender and activities of the patient.
After Hip Replacement Surgery
The patient becomes awake within 2 hours after being taken to the room.
After 3-4 hours, food is given.
Pain can be controlled with pain relievers.
Drains, elastic bandages or special socks are used to drain the blood accumulated inside.
An average of 3-4 days stay in the hospital.
The next day, he gets up with the help of a walker.
The next day, the drain is removed and dressing is done.
Again, the next day, light exercises are started.
After returning home, you can sit down with your feet on the ground and take care of your home needs with the help of a walker.
Wound care is performed under the doctor's control 15 days later, and stitches are removed if necessary. As of this time, the physical therapy process is also successful. It usually takes 3 months. This period is very important for fast recovery.
After 3 weeks, you can leave the walker and switch to a walking stick.
After 8 weeks, a more active period can be started.
You should pay attention to two points in this process. First, don't lift your knees above your hips. Second, do not cross your legs.