Even though hip joint replacements are available, doctors sometimes fuse the joint instead. This is often the case with young patients who have severe hip damage on one side. Most of the time, the damage is related to some form of arthritis. Sometimes an accident or injury leads to infection and destruction of the hip joint. Tuberculosis that affects the bones is another cause of hip joint problems. Doctors try to fuse the joint in a way that still allows the patient to change or convert to a new joint later on. Most hip fusions last at least 25 years before conversion to a new joint. When the patient has back, hip, or knee pain that gets in the way of everyday life, it may be time to convert the fusion. The conversion from a fused joint to a new hip joint is difficult. An experienced surgeon is needed. Even then, problems after the operation can occur. Complications after conversion include nerve damage, infection, loosening of the implant, and hip dislocation. Rarely, a bone may fract...
Hip joint replacement is surgery to replace all or part of the hip joint with an artificial joint. The artificial joint is called a prosthesis .
Hip arthroplasty; Total hip replacement; Hip hemiarthroplasty
The artificial hip joint has four parts:
A socket that replaces your old hip socket. The socket is usually made of metal.
The liner, which fits inside the socket. It is usually plastic, but some surgeons are now trying other materials, like ceramic and metal. The liner allows the hip to move smoothly.
A metal or ceramic ball that will replace the round head (top) of your thigh bone.
A metal stem that is attached to the shaft of the thigh bone to make the joint more stable.
You may receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. You may have a spinal or epidural anesthesia. In this kind of anesthesia, medicine is put into you...
In the past few months it seems that I have had more and more patients coming to me for a new visit who have a similar story. The story is something like this:
I went to my doctor because my knee was aching. My doctor took an x-ray and told me I had a little arthritis and that I should do some physical therapy. I decided to work with my trainer instead. My trainer had me doing the stair climber and squats. My knee was hurting more and more while I was working out and also afterwards but I figured I needed to work through the pain so I kept on pushing. Each day it got a little worse. Now the pain wakes me up from sleep and I have trouble walking down the block!
The desire to "push through the pain" may be admirable, but with joint pain it does not work. It is absolutely true that joints need movement. An aching joint should not sit idly by. However, if you are exercising and the joint is hurting while you are exercising, you are probably doing the wrong exercises! Stop and ...
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