Areas of Expertise

Total Hip Replacement

Total Hip Replacement (THR), also known as Total Hip Arthroplasty (THA), is a surgical procedure designed to alleviate severe hip pain and restore mobility by replacing the damaged parts of the hip joint with artificial components.

This surgery is typically recommended for individuals suffering from advanced degenerative conditions such as osteoarthritis, rheumatoid arthritis, or traumatic injuries that have not responded to conservative treatments like medication or physical therapy.

Symptoms that may indicate the need for hip replacement

Persistent Hip Pain

This type of pain is characterized by a constant presence that lingers despite the use of medications or the benefits of physical therapy. It can become a formidable barrier to daily life.

Stiffness

Stiffness in the hip joint manifests as a feeling of tightness and inflexibility, making it challenging to move freely, especially after long periods of sitting or resting.

Limited Mobility

Significant difficulties in performing routine activities, such as walking, climbing stairs, or transitioning from a seated position, leading to frustration and a feeling of dependency.

Pain That Disrupts Sleep

This is a relentless hip pain that not only keeps you awake at night but also disrupts your sleep cycle, leaving you feeling exhausted and irritable during the day.

Pain That Worsens with Activity

Discomfort that intensifies with weight-bearing activities or movement, making simple actions feel burdensome and discouraging physical activity.

Pain Not Alleviated by Conservative Treatments

When pain remains persistent, even after exploring various non-surgical options such as medications, physical therapy, or injections, it signals a deeper underlying issue that requires further investigation.

Key Components of the Procedure

Femoral Head Replacement

The damaged femoral head—located at the top of the thigh bone (femur)—is meticulously excised and substituted with a specially designed prosthetic head.

Acetabulum Replacement

The worn-out cartilage and any damaged bone from the acetabulum (the spherical socket in the pelvis) are removed and replaced with a prosthetic socket designed to replicate natural anatomy.

Spacer or Liner

A finely crafted spacer or liner—made from durable materials such as high-density plastic, ceramic, or metal—is interposed between the prosthetic ball and socket to reduce friction and enhance movement.

Surgical Process

Incision and Exposure

The surgeon makes a precise incision over the hip, carefully navigating through layers of skin and tissue to access the joint capsule.

Dislocation and Component Removal

The femoral head is gently dislocated from the acetabulum, and any damaged cartilage and bone are skillfully removed to prepare the site for prosthetic insertion.

Prosthetic Installation

The acetabular component is positioned in the pelvis socket, while the femoral component is secured to the thigh bone, ensuring stability and optimal function.

Closure

After prosthetic installation, the joint capsule and surrounding muscles are carefully repaired, and the incision is closed with stitches or staples.

Benefits and Outcomes

Pain Relief

Total Hip Replacement (THR) dramatically alleviates debilitating hip pain, leading to a remarkable enhancement in patients' overall quality of life.

Functional Restoration

Many patients experience a significant increase in mobility and an enhanced ability to engage in daily activities, improving their overall well-being.

Longevity of Implants

Research shows that nearly 58% of total hip replacements endure for 25 years or more, highlighting the durability of this surgical intervention.

Considerations for Surgery

Indications

Total Hip Replacement (THR) is recommended for individuals whose hip pain significantly interferes with daily activities, particularly when conservative treatments have proven ineffective.

Age and Weight

While there are no strict age or weight limits for undergoing THR, each patient's overall health is evaluated to ensure the best surgical outcomes.

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