New hip. About hip surgery, hip prosthesis and replacement of hip joint
Osteoarthritis is a leading cause of the fact that there is a need to insert an artificial hip joint. Osteoarthritis of the hip joint is a common condition that can not with certainty know why. Other reasons include the following fracture of the hip, the decay of the femoral head, rheumatoid arthritis and following disorders of the hip as a child. Annually performed thousands of hip surgery. An operation that provides pain relief and functional improvement in most patients. About 9 out of 10 primary prostheses remain in place with satisfactory function for patients 10 years later. Hip replacement surgery is an intervention which aims to replace Rod and acetabulum with an artificial joint. It means disabling hip disorders that sooner figured belonged to the age now past.
Warning Serious problems with DePuy ASR hip prosthesis
It turns out that a number of doctors and authorities since 2007 have heard dire warnings about problems with the ASR hip replacements from the company DePuy. The problem is such that the artificial hip metal becomes loose and secrete small metallic particles, which may damage tissue and bone. British doctors and scientists have warned about the problems with the prosthesis since 2007. Yet many thousands since 2005 had a hip replacement of labeled ASR from the American manufacturer DePuy. The media has largely drawn attention to the problems, prompting the company to even pulling the prosthesis back in August 2010. An unknown number of patients with DePuy-hips have already been awarded damages for pain and suffering. Have you received an ASR hip prosthesis from DePuy, or have problems with other metal prostheses (metal to metal hip), you should immediately contact the place where you have the prosthesis inserted for inspection and possible a new operation.
When is it necessary for a hip operation?
The hip cup and the femoral head has a smooth cartilage surface, and when the wear down the cartilage, the surface is uneven and the underlying bone is wear surfaces. It gives pain. When either painkillers or training help, the disease progressed so far that it most likely that a hip replacement will be the sole right to obtain a pain-free joints. Nowadays the most frequently used as a cementless prosthetic type which is designed to plug into the bone in direct contact with and ingrowth of bone tissue. The prosthesis is made so as to promote bone ingrowth, and after a short time will grow into the prosthesis.
The hip surgery
The surgery is performed most often with anesthesia in the back (spinal anesthesia). During the spinal anesthesia you are awake and can possibly listen to music. You will not feel pain. One can to some extent follow what is happening such that the leg moves, and you can hear the instruments used. Before the operation starts is given medication to prevent infection and bleeding. The operation itself takes ½ -1 hour. The procedure will be performed through a 10-15 cm wide opening on the side of the hip. After the prosthetic components are installed, put local anesthetic in the area, and provides a pain catheter through which palliative care can be supplemented. The catheter is removed days after surgery.
After the operation
For the first time after surgery you will have pain, and therefore offered painkillers. The first day after surgery with pain-relieving medication directly into the hip joint through the pain catheter. As soon as circumstances permit, the patient started mobilizing. As a rule you come up to sit on the bed a few hours after the anesthetic has worn off. After a few more hours to get up to stand and walk. The day after the operation start of the actual rehabilitation. In order to promote the training of the musculature and the movement of the part, it is essential to start from the earliest stages. It also reduces the risk of complications such as blood clots and pneumonia. A physiotherapist will inform, instruct and help to get started. The workout is you as a patient himself, and the goal is to increase activity by the day. Usually printed Mon 2-3 days after surgery. In most cases, the operated leg fully loaded immediately after surgery. In practice it is pain, which determines how much you can handle the load. By early loading trained muscles and stability in the hip faster and better.
Risks and complications of prosthetic surgery
Prosthesis Operations is now quite safe, but as with all operations there may be complications. Phlebitis can be formed in the calf. It is caused by the surgery itself, and reduced activity in connection with the operation. It is to reduce the risk of this complication is that you can be encouraged to escape from the bed, as soon as possible after surgery. In addition, also given a blood thinning injection daily after surgery. Swelling and tenderness in the add muscle, often in combination with fever, suspicion of this complication. If a superficial vein thrombosis in the veins, it is treated with blood thinning tablets for three months. The risk of this complication is greatest in the first 6 weeks after surgery. If you make a sharp bend or twist in the newly operated hip, it may become dislocated. When coming out of the hip joints, it may be repositioned under anesthesia, but without opening to the hip joint. About 2 percent of the patients receiving a hip prosthesis feel that hip prosthesis goes out of joint.
Precautions after discharge
If the surgical wound is raised, red or begin to liquid after you come home, you should contact your doctor. You may shower after surgery. Wound clips should be removed 2 weeks after surgery. There are some basic rules for how the hip is moved and how it relieved. These rules must ensure that the opereredes hip do not go out of joint. The first weeks after surgery you should use 2 crutches. Crutches makes you have good balance and proper load on the hip. After a few weeks you can start walking without crutches. At the same time it must be the first 3 months after surgery is typically not: bend your hip more than 90 degrees, crossing your legs or put his legs crossed, rotating the leg inward, lean your upper body forward when sitting just as you are not allowed to drive the first 2-3 months but like to be a passenger in the front seat as long as you take appropriate attention.
Please be aware that you are allowed to ride again when you feel you're ready, you'd be jogging cycling, that you may swim, if you otherwise comply with the rules of motion in the hip and the wound has healed completely that You can resume your life together when you feel you're ready, you must lie on the operated hip, anytime. However, you should use a pillow between your knees / legs for the first 3 months when the operated leg is on top and that the artificial hip can trigger metal detectors in airports for example. Otherwise, the most common sense will prevail. As a general rule, you should count on sick leave for 3 months, as it is important to get good recovery from surgery and have time for recreation and inlaid rest. It's a good chance that the hip prosthesis must function for many years. With judicious use and impact of hip prosthesis can last for 15-20 years. Experience shows that in younger people, particularly in younger men, the risk is greatest for the prosthesis to loosen and the prosthesis must be replaced. The results of re-operations are not as good as the first-time operations, and therefore it is important that younger patients undergoing a hip prosthesis, moderate their activities.
Rehabilitation after hip operation
The first months after surgery, it is necessary that you practice several times daily to achieve the best possible outcome of the operation. The day after the operation, a physiotherapist instructs the patient to perform the first exercises in the exercise program and you start to train with a walker. Each day increase the workout, so you prior to discharge can fend for themselves by using two crutches. Exercise program will be reviewed, so you can conduct training both during hospitalization and after discharge. For that you can cope with the personal hygiene and dressing and undressing, the occupational therapists instruct in the techniques and what equipment to use. The occupational therapist also teaches the patient how to move properly in and out of a car. After discharge can be borrowed from the necessary equipment of the hospital. After discharge, you should even continue with Exercise program at home. Normally, there is no need for further training by the physiotherapist.