In the course of total hip replacement (THP), a surgical procedure is performed to remove the damaged hip joint bones and cartilage and then substituted with artificial materials like metal and very hard plastic. The normal hip joint is like a socket and ball where the socket is a cup-shaped element of pelvis termed as the acetabulum. This prosthesis aids to reduce pain and improves hip function. This procedure is usually performed if a person experiences severe hip pain which perseveres in spite of pain medication, gets worse while walking with the help of walker or cane, makes it problematic to rise from a sitting position.
How is Total hip replacement performed?
The THP is performed under general anesthesia or epidural anesthesia. Once the patient has been anaesthetized, the surgeon takes out the hip joint completely. The femur is removed and bore away the surface of the socket. A prosthetic cup is built-in into the hollowness of pelvis. Then the metal ball and stem are fit into the femur either with acrylic cement or pressed into place to fit. The ball is positioned into the socket cup and the new hip is made to move to check proper stability and mobility. Metal-on- metal hip reemerging is also carried out in an alike way. The main disparity is that less of the bone is removed from the thigh bone as only the joint surfaces are replaced with metal inserts.
Do retain the leg facing frontward
Do kneel on the knee on the operated leg
Do retain the affected leg in front as a person stand or sit
Do use ice to decrease swelling and pain, but remember that ice will lessen sensation.
Do not rub on ice directly to the skin; cover it in a damp towel or an ice pack can be used
Do use a barstool in the kitchen to keep your legs raised.
Do reduce on your exercises if muscles begin to ache, but Don’t stop doing them
Do rub on heat before exercising to help with a range of motion. Heating pad can be used
or hot, damp towel for 15 to 20 minutes
Don’t cross legs at the knees for as a minimum 8 weeks
Don’t lean frontward while sitting
Don’t raise your knee up upper than your hip
Don’t stand pigeon-toed
Don’t try to collect something on the floor while sitting
Don’t kneel down on the knee on the non-operated leg
Don’t turn feet disproportionately outward or inward while bending down
Don’t bend on the waist further than 90°
Don’t reach downward to pull up blankets when lying in bed