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Hip Replacement Surgeon in Hyderabad |Best Hip Replacement Hospital

by Dr Srinivas Kasha

Hip replacement surgery
Hip arthritis is a common problem that causes hip pain. When arthritis occurs, the joint becomes inflamed and painful. There are five types of hip arthritis that causes pain in the hip joint – osteoarthritis, rheumatoid arthritis, Ankylosing spondylitis, Systemic lupus erythematosus, Psoriatic arthritis. There is no treatment to cure arthritis but there are therapies and medication to manage the pain and symptoms.

Rheumatoid arthritis is an autoimmune disorder that mainly affects the joints. It is caused by the body’s own immune system attacking the healthy body tissues by mistake. It affects the lining of the joints causing pain and swelling and eventually results in bone erosion and joint deformity.

Avascular necrosis of femoral head (AVN)
Avascular necrosis of femoral head (AVN) is a condition that affects the upper part of the leg, mainly the femoral leg. This happens when the femoral head or the ball of the hip joint do not receive blood supply. Since bone is a living tissue when blood supply is stopped the bone dies. When the bone dies, the femoral head collapses. It is caused due to dislocation or fracture of the thigh bone, chronic corticosteroid use, high intake of alcohol, blood clots.

Minimally invasive joint replacement
Minimally invasive joint replacement has grown over the past decade, with proper equipment, surgeons can now safely replace the hip or knee joints through small incisions about 3-4 inches. This new procedure helps the patients in their recovery time, reduce the pain, less hospital stay, and decrease blood loss.

Minimally invasive hip replacement
Minimally invasive hip replacement is the most successful surgical procedure. Replacing the hip joint with an implant relieves pain and improves mobility and ensures you to continue your normal activities. In minimally invasive procedures, the surgeon will make one or two shorter incisions; this will help in speedy recovery. This method is not suitable for everyone your surgeon will discuss the various options with you.

Failed hip fracture surgery
Failed hip fracture surgery typically leads to disability and pain. Surgical fixation is mainly used to treat the uncomplicated fractures of the hip, but sometimes complications occur after the fixation of such fractures, such as nonunion, hardware failure, osteonecrosis, post-traumatic osteoarthritis, and infection need salvage treatment with total hip arthroplasty.

Best Hip Replacement Surgeon

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Joint replacement infections
Joint replacement infections occur in the wound or around the artificial implants. Infection can happen anytime after the surgery. Joint replacement are made of metal and plastic, if bacteria gains access to the implants they may multiply and cause infection and it will be difficult for the immune system to attack back. Despite antibiotics and preventive treatments, some patients may require surgery to cure the infection.

Implant failure at hip-
Implant failure at hip- Hip replacements can fail due to several reasons, the most common is loosening, where the components detach from the bone. Friction from normal wear produces debris that may cause inflammation in the tissues around the joint. After some time, bone erodes and the implant loosens, that leads to pain and reduces mobility. At times the metal implants dislocate within a few weeks after the replacement. Failed hips need to be removed and replaced in complex revision surgery. This operation is less successful compared to the original hip replacement because bone loss makes the new implant harder to anchor.

Fracture neck of femur
Fracture neck of femur (broken hip) is a serious injury and is most common in older people who have poor bone density. It happens when the top part of the femur (leg bone) is broken, just below the ball and socket joint. There are two types of hip fracture, intracapsular and extracapsular.

Failed hip reconstruction
Failed hip reconstruction is a procedure to repair or replace a failed first hip replacement. The most common reason to perform this revision is instability or dislocation, mechanical loosening, and infection. The symptom of a failed hip implant is a pain, stiffness of the joint or persistent limp.

Osteoporotic fractures
Osteoporotic fractures occur due to osteoporosis, it is a condition in which the bones become fragile due to bone deterioration or low bone mass. Bone loss may happen without any signs or symptoms. These fractures occur mostly in the spine. It can happen with minimal trauma, fall, during routine activities.

Revision hip replacement
Revision hip replacement is performed to repair an artificial hip joint that has been worn out due to wear and tear of the prosthetic hip or due to an infection. This surgery is done to correct any problem in the hip so that it can function normally again.

Single stage hip revision
Single stage hip revision is done for patients who develop a deep infection in their artificial implant called as periprosthetic joint infection (PJI). This will cause severe pain, disability and in some cases death. This revision involves removing of joint, thoroughly cleaning the infected area and implanting a new joint.

In 2 stage hip revision, the joint is removed, and the patient is treated for about 8 weeks with antibiotics and then re-implanting the new joint. This t is the current gold standard treatment for PJI.

Acetabular defects
Acetabular defects may occur at the original arthritic process; this is commonly seen in dysplastic hips, but also found in failed cases of trauma or infections. Severe defects may happen in the setting of revision surgery, prosthetic failure, and migration, or osteolysis from cement or polyethylene wear particles. Also, the own bone removal of a well fixed cup can produce serious defects, especially when the technique is performed without specific tools without enough skills.

Hemiarthroplasty is a surgery that is most commonly used to treat fractured hip. The procedure is similar to total hip replacement, but only half of the hip is involved. It replaces only the ball portion of the hip joint and not the socket portion.

In Total joint arthroplasty both the sides of a joint are removed and replaced by artificial implants. The most common joints treated are hip, knee, elbow and shoulder. It is also called as total joint replacement.

In total hip arthroplasty/replacement the damaged bone and cartilage is removed and replaced with prosthetic components.


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