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Doctor insights on: Total Hip Replacement Pathophysiology

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What about a total hip replacement?

What about a total hip replacement?

Wonderful: The hip replacement is one of the best procedures we can perform. It takes patients with daily pain and inability to live a quality life, and within weeks allows the patient to start a new life. It does have risks, and those need to be weighed against the benefits. Knee replacements and shoulder replacements are similar.

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Dr. James Dukelow
5 Doctors shared insights

Hip Replacement (Definition)

Total hip replacement: surgery in which the diseased ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" ...Read more


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What is the snapping in my hip after total hip replacement?

What is the snapping in my hip after total hip replacement?

Snapping hip: Snapping can be due to tendons in front of the hip or along the side. Pt can help by teaching you how to stretch these to reduce the snapping. Painful snapping should be evaluated by your surgeon, especially if your replacement has been in for a while.

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How can you rehab after a total hip replacement?

How can you rehab after a total hip replacement?

At home or center: Hip replacement rehabilitation begins in the hospital shortly after hip surgery. Continued rehab may then continue at home with the proper home nursing rehab team or in a rehabilation center. See which your surgeon prefers and your insurance covers. Don't cut corners on this type of procedure only to develop problems years later.

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Why would a teenager need a total hip replacement?

Why would a teenager need a total hip replacement?

Young THA: Dysplasia, trauma, avascular change, developmental issues, among others, may make tha a good choice in a teenager. Other considerations to pelvic, acetabular, and femoral osteotomies should be entertained as well.

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How common is end of stem pain post total hip replacement?

How common is end of stem pain post total hip replacement?

Depends: Cemented or non-cemented stem? Loosing of the prosthesis will cause pain at the bottom.

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How can I control pain after total hip replacement surgery?

How can I control pain after total hip replacement surgery?

Medication: Pain after total hip replacement is expected and will be most severe the first day or two after surgery. It can be easily managed with perioperative narcotic pain medicines. After discharge from the hospital, most patients will take pain medication for 2-4 weeks and then not require more than a tylenol (acetaminophen) or advil occasionally. The pain after tha should be resolved with in 6 weeks in most patients.

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What restrictions will I have after a total hip replacement?

What restrictions will I have after a total hip replacement?

Not many: After hip replacement, I allow my patients to return to any activity that they are comfortable doing. Every patient finds certain things they can and certain things they cannot do comfortably. For example, I have a champion powerlifter, but he is not comfortable jogging. I have a bilateral hip replacement patient who is training for a marathon. All I ask is that they get an x-ray every 1-2 yrs.

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Should a woman wear high heels after a total hip replacement?

Should a woman wear high heels after a total hip replacement?

Yes: Evidence suggests that high heels do not adversely affect the hip after the surgery has had time to heal.

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Can a woman wear high heels after having a total hip replacement?

Can a woman wear high heels after having a total hip replacement?

Yes: Prolonged and daily use of high heel foot wear may cause problems in the feet especially the front part. But for short periods yes one can, but it is important to train gait with flat foot wear, feel steady and in control and then progress to heels to avoid risk of fall.

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Is a hip hemi arthroplasty the same thing as a total hip replacement?

No: A hip hemiarthroplasty does not include lining the socket with metal and a new bearing. It only replaces the femoral head. A total hip does both.

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What is the natural inflammation for when you get a total hip replacement?

Blood and toxins: During a hip replacement, muscles and tissues aree cut and torn. Toxins are released from the tissues. Blood gets in the area and blood outside vessels, is an irrittant. There are many mediators of the inflammatory response after this extensive tissue injuring surgery that cause pain, swelling and issues. This is with proper surgery. Not being critical of these great surgeons. It is jsut it.

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What are the causes of loos femoral component after total hip replacement?

What are the causes of loos femoral component after total hip replacement?

Wear debris: The most common cause of loosening is from the reaction of the bone to the wear particles from the metal and plastic implant. All mechanical devices produce wear particles and your hip is no exception. These particles case a resorption of bone called "lysis". Loosening can also be caused by infection. Sometimes a fall can cause a fracture around an implant and this may loosen the component.

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What is the pain is involved when having a total hip replacement operation.?

Mild to moderate: The pain with hip replacment surgery is a function of the damage to the tissues as one tries to accurately place the new joint. Surgeons using techniques to minimize the damage will have less pain post op. The direct anterior approach to hip replacement offers the least damage to the muscles when performed by a surgeon experienced in this technique.

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What are potential consequences from stalling total hip replacement surgery?

What are potential consequences from stalling total hip replacement surgery?

Pain and bone loss: In most cases, waiting is just a quality of life issue. Occasionally, I have had patients who waited so long that they ground down the roof of the hip socket, making the reconstruction more difficult. Check in with your surgeon yearly.

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Why is total hip replacement not recommended for teens? Explanations please?

Why is total hip replacement not recommended for teens? Explanations please?

A lot of reasons: Usually, we try to avoid because of the activity demands of teens, continued growth, and expected longevity of the person. Each of these can place the person at risk for needing more surgery down the road. Each time the likelihood of success goes down while the likelihood of complications goes up. However, there are conditions for which teens get joint replacements. Care should be individualized.

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What is the main difference between hip resurfacing and total hip replacement?

Femur and bearing: A hip resurfacing and total hip both involve relining the inside of the socket. A resurfacing does not remove the entire head, but rather caps the head with a cemented metal piece. A total hip does replace the entire head, and the head is attached to a piece of metal that goes down inside the femur 5 - 6". A critical difference is that a resurfacing requires a metal on-metal bearing (bad idea).

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Please tell me how long it takes for to recover from total hip replacement surgery?

Please tell me how long it takes for to recover from total hip replacement surgery?

3 months: The arthritis pain is gone immediately, but it takes about 6 weeks to feel better than you did before surgery. Three months to return to all normal activities. I tell patients that it will be a year before you reach maximal improvement.

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Has anyone had problems after having a total hip replacement, just from the device?

Yes: The biggest issue with hip replacement devices currently is the ones that use a metal against metal bearing. This articulation produces small amounts of cobalt and chrome debris that in some patients has caused hypersensitivity reactions, necessitating further surgery. Occasionally, poorly designed devices break, but this is unusual.

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Is it usually safe to go snowboarding five months after getting a total hip replacement?

Depends: Each surgeon will allow their patients to go back to different exercises and activities. Many physicians will allow their patients to ski, in a very casual, controlled manner after a joint replacement. This is a discussion you need to have with your particular surgeon. Prior to returning to any sports... Make sure your legs are very strong and up to task! :-).

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Dr. John Michalski
276 Doctors shared insights

Total Hip Replacement (Definition)

Replacement of hip ball and socket...Or ...Read more