The hip is one of the largest joints that carries the entire weight of our body. The hip joint, which connects the thigh bone and the pelvis bone, also called the pelvis, is a load-bearing joint. The junction points of the joints are covered with cartilage tissue and receive their strength from the surrounding muscles. The synovial membrane, which covers the entire surface of the hip joint, lubricates the joint and thus protects it from friction.
Tendons help the muscles attach to the bones. Muscles provide the hip and leg with the necessary strength to move.
The hip bone can wear out over time for many reasons. Joint damage is sometimes caused by trauma, sometimes by factors such as diseases or old age. In such cases, the hip joint, which is one of the main supporting joints, needs to be replaced with a hip prosthesis. The prosthesis is produced from special metal alloys such as titanium, cobalt and chromium. The materials used as auxiliary apparatus consist of polyethylene, ceramics and metal.
The patient's age and bone health are important for hip prosthesis selection. The application method also varies depending on the patient's health condition.
Why is total hip replacement surgery performed?
Hip damage prevents the patient from walking, bending or climbing stairs. If it prevents the patient from performing his/her actions, hip replacement surgery is needed to solve the patient's problems. The aim is to improve the patient's quality of life and return them to their normal life after the surgery.
Who can have hip replacement surgery?
The most common cause of hip pain is arthritis. Diseases such as osteoarthritis, rheumatoid arthritis and traumatic arthritis form the basis of most problems occurring in the hip.
What is osteoarthritis?
The cartilage tissue surrounding the hip joint wears and tear over time. As a result, it starts to crack. Osteoarthritis, which is generally seen in people over the age of 50 and is also known as arthritis, causes bones to fail to fulfill their function and rub against each other, causing pain and stiffness in the hip.
What is arthritis?
Chronic diseases such as rheumatoid arthritis and gout cause increased intra-articular fluid, causing swelling and inflammation in the joints. ion) causes the formation of As the disease progresses, wear on the cartilage tissue continues. This causes the severity of pain to increase.
What is traumatic arthritis?
Traumatic arthritis may occur after a serious hip injury such as an accident, fall, or hip fracture. . If the broken bone does not heal properly, the hip joint begins to gradually wear out.
Hip fracture can lead to malnutrition of the hip joint, called 'avascular necrosis', which prevents blood access to the bones. As a result of the severity of damage to the hip joint and long-term use of alcohol or cortisone, blood flow to the bones is restricted. Hip pain and stiffness occur as a result of the destruction of the joint cartilage.
Leg length inequality occurs as a result of hip dislocation. As a result of hip inequality, deformations and hip joint destruction occur.
Who is not suitable for total hip replacement surgery?
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Patients who have had a stroke. ,
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Hip prosthesis surgery cannot be performed in patients who have had an infection,
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In patients with intense bone resorption and inadequate bone quality.
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Hip prosthesis surgery cannot be performed. p>
How is hip replacement surgery performed?
Hip replacement surgery is a serious surgery performed under general anesthesia. The type of surgery is determined according to the patient's bone quality.
The bone density of patients aged 60 and over generally decreases. The most appropriate treatment method for these people is the placement of prosthetic polymethyl methacrylate filler, known as bone cement, on the bone surface.
Since the bone structure is stronger in younger patients, a different prosthetic treatment can be applied by attaching porous prostheses to the bone. . Your doctor will determine the most appropriate treatment for you.
Hip surgery takes an average of 2 hours. The hospital stay after surgery is between 3 and 7 days. If no complications develop, the patient is discharged within the expected time.
What is the preparation process before hip replacement surgery?
The patient is stopped eating and drinking until approximately 8 hours before the surgery. You should definitely not smoke before the surgery. If you are using any medications, consult your doctor. You should tell your name and follow all your doctor's instructions.
What should be done after hip replacement surgery?
After being discharged from the hospital, the treatment process begins at home and, if necessary, physical therapy. you will see. If no problems occur after the hip prosthesis surgery, you can start basic leg movements and walking accompanied by an accompaniment after the 2nd day.
During this process, you should not use a squat toilet, cross your legs, or climb stairs, as this will strain your hip prosthesis and may cause undesirable situations. , you should not bend over or stand still for a long time.
What is the recovery process like after hip replacement surgery?
Hip prosthesis It is normal to have pain after surgery and appropriate pain relief treatment for this pain will be planned by your doctor. Your pain will decrease over time and either disappear completely or decrease significantly compared to before. At the same time, after hip replacement surgery
your mobility will increase significantly,
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You will be able to take long walks,
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If you have problems such as limping or limping, these will decrease and even most of them will disappear completely,
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The length differences between your two legs will be eliminated.
Frequently asked questions about hip replacement surgery
Is hip replacement surgery a painful surgery?
The purpose of hip replacement surgery is to relieve hip pain. to ensure that it is eliminated or minimized. Groin pain after hip replacement surgery or general pain in the surgery area are pains that can be controlled with medication. Pain after hip replacement surgery will go away on its own over time.
Can I have an MRI after hip replacement surgery?
If an MRI is to be performed, you should inform your doctor about this situation. If the MRI will not be taken from the hip area, there will be no problem for the shooting. At the same time, you should tell the radiologist at the center where the procedure was performed that you had hip replacement surgery.
Is hip replacement surgery covered by SGK?
SGK hip replacement surgery is a Surgery and all other prosthetic surgeries are covered only if the patient is over 55 years of age.
Does private health insurance cover hip replacement surgery?
Private health insurance covers hip replacement surgery. and covers the surgery.
What is the lifespan of a hip prosthesis?
The average lifespan of a hip prosthesis is 15-20 years. However, it is impossible to specify the same period for everyone. The reason for this is the changes in bone shape that occur as a result of the patient's bone quality decreasing over time. Loosening of the prosthesis may occur as a result of shape changes in the bones. Bone reinforcement or stem cell therapy is applied as additional treatment to patients whose hip prosthesis loosens. Only doctors can decide which patient these applications are suitable for and which patient they are not.
It is very important for patients who have had hip replacement surgery to protect themselves from infection. Since hip prosthesis and all other prostheses do not have blood circulation, a possible infection may not respond to antibiotic treatment and may have serious consequences.
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