Total Hip Replacement in Nagpur | Dr. Unmesh Mahajan

Introduction

Hip replacement has become necessary for your arthritic hip: this is one of the most effective operations known and should give you many years of freedom from pain. Once you have arthritis which has not responded to conservative treatment, you may well be a candidate for total hip replacement surgery.

Arthritis

Arthritis is a general term covering numerous conditions where the joint surface (cartilage) wears out. The joint surface is covered by a smooth articular surface that allows pain free movement in the joint. This surface can wear out for a number of reasons, often the definite cause is not known. When the articular cartilage wears out, the bone ends rub on one another and cause pain. There are numerous conditions that can cause arthritis and often the exact cause is never known. In general, but not always, it affects people as they get older (Osteoarthritis).

Other causes include:

Childhood disorders e.g., dislocated hip, Perthe's disease, slipped epiphysis etc.
Growth abnormalities of the hip (such as a shallow socket) may lead to premature arthritis
Trauma (fracture)
Increased stress e.g., overuse, overweight, etc.
Avascular necrosis (loss of blood supply)
Infection
Connective tissue disorders
Inactive lifestyle- e.g., Obesity, as additional weight puts extra force through your joints which can lead to arthritis over a period of time
Inflammation e.g., Rheumatoid arthritis

In an arthritic hip

The cartilage lining is thinner than normal or completely absent
The degree of cartilage damage and inflammation varies with the type and stage of arthritis
The capsule of the arthritic hip is swollen
The joint space is narrowed and irregular in outline; this can be seen in an X-ray image
Bone spurs or excessive bone can also build up around the edges of the joint
The combinations of these factors make the arthritic hip stiff and limit activities due to pain or fatigue.

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