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 Hip - Total Replacement

There are two types of hip replacement surgeries: Total Hip Replacement & Hip Resurfacing. An orthopaedic surgeon should advise as to which treatment is right for the patient based on specific case history.

Total hip replacements are usually performed for arthritic conditions, especially osteoarthritis, but may sometimes be recommended in the case of hip fracture or avascular necrosis (also known as osteonecrosis), a condition in which the bone of the ball portion of the hip dies. While most patients with artificial hips are over 55 years of age, the operation is occasionally performed on younger people.

The joints of our bodies are cushioned with a material called cartilage, and as we age, normal wear and tear (or degeneration) of the cartilage takes place in most joints. In osteoarthritis, the cartilage cushioning the bone surfaces wears away, causing the bones to rub against each other in a painful way.
Another form of arthritis, known as rheumatoid arthritis, occurs when the body´s own immune system attacks the synovial lining of the joints, just as it would a foreign bacteria. Synovial is a clear, smooth oil-like lubricating liquid that makes it easier for the joints to move.

Traumatic arthritis results when the joint or the ligaments surrounding it are damaged by fracture, dislocation, or accident-related injury. All arthritic conditions result in stiffness, swelling, and the loss of motion. It becomes difficult to put pressure on the hip, and the joint becomes increasingly tender and swollen. As time passes, arthritis of the hip can significantly affect your ability to walk.

In addition to arthritis, hip replacement surgery may be recommended for someone whose hip has been injured as the result of trauma. This could be a hip fracture or dislocation caused by a fall or other injury to the hip. If total hip replacement surgery looks like an option, your physician will refer you to an orthopaedic surgeon experienced with this procedure.

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