Neuromuscular Center
Hip Replacement and Revision
The hip replacement and revision process covers orthopedic surgical approaches in hip joint deformations that do not respond positively to physical therapy and drug therapy.
Structural deterioration of labrum cartilage, dynamic femoral head or the acetabulum (socket) that form the hip joint due to rheumatic diseases or osteoporosis or calcification causes pain, limitation of movement, and difficulties in walking.
Thanks to the replacement of the whole hip joint or the problematic joint part, the patient returns to his/her normal pain-free days, the hip opening is restored, the limitation of movement and walking difficulties are recovered.
What is Hip Replacement?
Hip replacement is an orthopedic surgical procedure in which the hip joint, whose mobility is limited due to calcification or other reasons, is completely or partially replaced with artificial joint parts.
In order to relieve pain and gain hip mobilization, it is possible to talk about three types of hip prosthesis: full hip prosthesis, partial hip prosthesis and cartilage surface coatings.
Types of total hip prosthesis according to the type of material produced:
- Metal head with polyethylene socket
- Porcelain head with porcelain socket
- Metal socket with metal head
Types of hip replacement surgery according to the method of application:
- Cemented hip replacement
- Cementless hip replacement
How is Hip Replacement Surgery Performed?
How hip replacement surgeries are performed depends on the degree of deformation in the joint and the patient’s complaint.
With total hip replacement, the joint can be completely regenerated. In some cases, only replacement of the femoral head with a prosthesis is sufficient. Cleaning and covering the cartilage surfaces surrounding the socket and femoral head with bone cement is another frequently performed hip replacement surgery.
The hip replacement, in which the femoral head is replaced with total hip prosthesis, is performed with a mixed method, either cementless or cemented in the socket prosthesis, uncemented in the thigh bone, under general anesthesia with open surgery method.
The patient is walked around under the supervision of a doctor the day after the operation. The reaction of the body to the prosthesis is followed for 24 hours. If pain and infection do not occur, it is possible to leave the hospital on the second day.
What is Hip Replacement Revision Surgery, How Is It Done?
Hip prostheses are materials designed to be used for many years and have high tissue compatibility and patient satisfaction, but they may loosen over time and conditions such as joint infection may develop for any reason.
In individuals who have had hip replacement surgery before, the second or third operation performed to treat the problem in the prosthetic hip joint is referred to as revision hip replacement surgery.
In hip replacement revision surgery, all parts of the joint are removed and repositioned after the tissues are treated. In some cases, the prosthesis may need to be replaced.
After Hip Replacement Surgery
The hip joint is the largest joint that allows the entire leg and body to move. The density of the peripheral muscles makes physical therapy exercises mandatory after hip replacement surgery.
Physical therapy and rehabilitation procedure after hip prosthesis is important both in terms of getting through the recovery period in a short time and using the joint prosthesis in the best way.