{"id":11075,"date":"2012-09-09T14:48:05","date_gmt":"2012-09-09T18:48:05","guid":{"rendered":"https:\/\/www.saratoga.com\/how-should-i-know\/2012\/09\/so-you-need-a-new-hip.html"},"modified":"2017-11-08T13:32:07","modified_gmt":"2017-11-08T18:32:07","slug":"so-you-need-a-new-hip","status":"publish","type":"post","link":"https:\/\/www.saratoga.com\/how-should-i-know\/2012\/09\/so-you-need-a-new-hip\/","title":{"rendered":"So You Need a New Hip…"},"content":{"rendered":"<p>\t<!--\n\t\t@page { margin: 0.79in }\n\t\tP { margin-bottom: 0.08in }\n\t--><\/p>\n<p style=\"margin-bottom: 0in\">\tI’m not a fan of this topic but I’ll<br \/>\ngo for it anyway: hip replacement surgery. I am unashamed to admit<br \/>\nI’m squeamish and can’t stand things like needles or blood. In fact<br \/>\nI’m pretty sure the sight of these things makes my blood pressure<br \/>\ndrop. If you’d like to watch an actual hip replacement you can look<br \/>\nit up on youtube but I am choosing not to watch the video in fear I<br \/>\nmight experience my lunch again. So, if you want all the gory<br \/>\ndetails, have at it. Me, I’m sticking to the books.<\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">\tFirst of all, the hip is the joint<br \/>\nbetween the femur and the pelvis. We need it to support our weight<br \/>\nwhen we walk, stand and do yoga postures (among other things).<br \/>\nWithout a hip, you’d have a hard time maintaining any balance.<\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">\tThe hip is a ball-and-socket joint.<br \/>\nThe socket is the acetabulum (part of the pelvis) and the ball is the<br \/>\nfemoral head (the upper part of the thigh). The two are held together<br \/>\nby ligaments and there is layer of cartilage between the bones that<br \/>\nacts as a cushion. When the cartilage is worn down, the two bones rub<br \/>\nagainst each other which causes pain and stiffness. The most common<br \/>\ncause of the loss of cartilage is arthritis (an inflammation of the<br \/>\njoint). <\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">\tHip replacement surgery is usually a<br \/>\nlast resort since there are some alternatives that pose less of a risk to the patient.<br \/>\nThese alternatives include: anti-inflammatory drugs, cortisone<br \/>\ninjections, physical therapy, losing weight if applicable and using a<br \/>\ncane. A less invasive surgery is hip resurfacing. Only a small amount<br \/>\nof the bone must be removed and a metal cap is placed on the ball and<br \/>\na metal piece is used for the socket. Hip fusion surgery isn’t used<br \/>\nas much any more but is still an option. The bones are held together<br \/>\nwith a metal plate and some screws. While effective, it eliminates<br \/>\nthe ability to move the joint so the patient will be plagued by a<br \/>\nlimp for the rest of their life. Another option, Resection<br \/>\nArthroplasty, removes the bone around the hip joint and let’s scar<br \/>\ntissue take it’s place. <\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">\tIf a person is at high risk of<br \/>\ndeveloping arthritis due to being born with a misalignment of the hip<br \/>\nbone preventative measures may be taken. For example, a hip osteology<br \/>\ncan be performed to realign the bones in hopes of avoiding foreseen<br \/>\nproblems. <\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">\tAlright, enough about that. On to the<br \/>\nsurgery! The first step is selecting the proper prosthetic hip. So,<br \/>\nbefore surgery X-Rays of the patient are taken to aid in the<br \/>\ndetermination. Once this is done, the patient sets up the surgery<br \/>\ndate. On the day of the surgery, an anaesthesiologist will use general anaesthesia for the procedure. While the patient is unconscious, a surgeon and<br \/>\nhis\/her team goes to work. He\/she will remove the damaged cartilage<br \/>\nand bone. This typical means removing the femoral head (the ball) and<br \/>\nusing a ramer to sand down the damaged area of the socket. Then the<br \/>\nacetabular component is inserted (looks a lot like a cup) into the<br \/>\nsocket area. Over time, the bone actually will grow into the surface<br \/>\nof the new socket. Next, a femoral stem which is basically a pole, is inserted<br \/>\ninto the hollow center of the femur bone. Depending on the type of<br \/>\nsurgery, the stem may be held in with cement. If cement is not used<br \/>\nthe stem must be an exact fit for the bone so that new bone will grow<br \/>\naround it and it won’t move. Cement allows some space in between the bone and stem<br \/>\nsince it will harden to hold the stem in place. The ball is then<br \/>\nattached to the tip of the stem and the then it is attached to the<br \/>\nsocket. This is called reducing the hip.<\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">The surgeon will ensure that the<br \/>\nimplant is stable, otherwise there can be problems with dislocation<br \/>\nand other serious complications. Finally, he will sew up the patient and send him\/her off to recovery! After a few days in the hospital the patient is sent home with a prescription for physical therapy and the appropriate medications which varies depending<br \/>\non the patient.<\/p>\n<p style=\"margin-bottom: 0in\"><\/p>\n<p style=\"margin-bottom: 0in\">\tSo, there you have it. How hip<br \/>\nreplacement surgery is performed. Hopefully this isn’t something<br \/>\nyou’ll ever have to experience but if you do, this quick overview may be helpful. Now I’m going to go and try and erase all the<br \/>\nimages I had to look at to get this information from my mind…<\/p>\n","protected":false},"excerpt":{"rendered":"<p> I’m not a fan of this topic but I’ll go for it anyway: hip replacement surgery. I am unashamed to admit I’m squeamish and can’t stand things like needles or blood. In fact I’m pretty sure the sight of…<\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[76,112,141],"class_list":["post-11075","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-hip","tag-replacement","tag-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>So You Need a New Hip... - How Should I Know? 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