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Doctor insights on: Best Hip Replacement Treatment

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Dr. M. Hytham Beck
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 mortality rate of a 90+ year old woman undergoing a hip replacement?

THA mortality: Depends. Without surgery, likely death rate within 6 months is greater than 50%. With surgery, about 11% at 6 months. This obviously has to be qualified by general health, pre-existing conditions, diabetes, cardiac health, pulmonary health, obesity or malnutrition status, infection, clots, mental status, and motivation of the patient. ...Read more

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What is degenerative tissue in my hip? Had hip replacement in 2008. Had chemo for ovarian cancer in 2011. What is the best treatment for degenerative?

What is degenerative tissue in my hip? Had hip replacement in 2008. Had chemo for ovarian cancer in 2011. What is the best treatment for degenerative?

Degenerative joint: Djd is a common condition of aging, and may be contributed to by prior trauma, obesity, and other underlying conditions. See an orthopedist and make sure you do not have extension of your ovarian cancer. There are remedial treatments for DJD but you may ultimately require a hip replacement. ...Read more

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What are the treatments without hip replacement of early stages of avn in femur head for a 32 year old.

What are the treatments without hip replacement of early stages of avn in femur head for a 32 year old.

Revascularization: Basically observation to start with, for very early AVN, as well as elimination of potential causes such as alcohol or steroids. There are revascularization surgeries that can be done which may preclude the need for hip replacement. ...Read more

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For someone who's been refused a hip replacement on medical grounds and what treatment woukd they get?

For someone who's been refused a hip replacement on medical grounds and what treatment woukd they get?

Non-surgical: There are several effective options when surgery isn't possible. Nonsteroidal anti-inflammatories, like ibuprofen, can help when taken regularly. Avoiding specific, aggravating activities can also help decrease pain. Xray guided injections are sometimes beneficial for months at a time when other treatments fail. Finally, physical therapy can sometimes help keep you more mobile. ...Read more

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What is the physical therapy protocol in treatment of a total hip replacement?

What is the physical therapy protocol in treatment of a total hip replacement?

Walking and more: Physical therapy is central to recovery. Standing and walking, with assistance, is usually started within 24 hrs. Beyond that, specific therapy protocols are tailored to the individual patient. In general, exercises are chosen to strengthen and stretch muscles like stair climbing and bending. Cycling and swimming, not running, are often introduced within months. Talk with your doctor for specifics. ...Read more

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Which is the physical therapy protocol for treatment of total hip replacement?

Which is the physical therapy protocol for treatment of total hip replacement?

Post THA PT protocol: It depend on the type of approach you had for your total hip. You should consult with your surgeon and physical therapist to determine the correct protocol. ...Read more

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What is the typical physical therapy protocol for treatment of total hip replacement?

What is the typical physical therapy protocol for treatment of total hip replacement?

Lots of exercise: You will need to strengthen the muscles around your hip. You will lift it in multiple directions, and walk on it ("weight bear") to get used to the new conditions. You may get on a stationary bike to aid in motion. You may have some motion precautions in the early stages, depending on the surgeon's approach to the hip. ...Read more

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Are there any post treatments recommended after a hip replacement surgery to lower the risks of dislocation?

Are there any post treatments recommended after a hip replacement surgery to lower the risks of dislocation?

They depend on the-: -approach used, either posterior or anterior. But 4 post, no internal rotation of the hip or crossing legs. These R basic. Ant. avoid external rotation of the hip. Each of these mimic the way the hip is dislocated @ surgery. Be sure to ask your surgeon about this, he/ she is the person to ask. ...Read more