Hip joint and knee joint replacements are helping people of all ages live pain- free, active lives.
Joints are formed by the ends of two or more bones connected by tissue called cartilage. Healthy cartilage serves as a protective cushion, allowing smooth, low-friction movement of the joint. If the cartilage becomes damaged by disease or injury, the tissues around the joint become inflamed, causing pain. With time, the cartilage wears away, allowing the rough edges of bone to rub against each other, causing more pain.
When only some of the joints are damaged, a surgeon may be able to repair or replace just the damaged parts. When the entire joint is damaged, a total joint replacement is done. To replace a total knee joint, a surgeon removes the diseased or damaged parts and inserts artificial parts, called prostheses or implants.
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Minimally Invasive Joint Replacement
Direct Superior Hip Replacement
Minimally Invasive Joint Replacement
Total Hip Replacement THR and Total Knee Replacement TKR are very successful surgical treatments for arthritis of the hip and knee respectively.
Over the last several years hip and knee replacement surgery have evolved to a Minimally Invasive technique.
Advantages of Minimally Invasive Joint Replacement are
- Less tissue trauma – muscles and tendons are avoided or separated, not cut
- Faster and less painful rehabilitation
- Smaller incisions and less scarring – two incisions of 1½ to 2 inches each, rather than one 10- to 12-inch incision
- Shorter hospital stay – 1-2 days (vs. 3-5 days); some patients go home in less than 24 hours
- Reduced blood loss and less need for pre-surgery blood donation
- Faster return to work and daily activities
Direct Superior Hip Replacement
What is Direct Superior Hip Replacement?
Direct superior hip replacement is a minimally invasive surgery that provides your surgeon access to the hip joint with minimum displacement or damage to the surrounding muscles, tendons, and ligaments.
Indications for Hip Replacement
Hip replacement may be indicated to treat conditions such as arthritis, avascular necrosis, and childhood hip disease. Surgery is suggested when:
- Related hip pain limits daily activities
- Pain persists even at rest
- Hip stiffness limits your ability to move or lift your leg
- Nonsurgical treatments such as anti-inflammatory drugs, walking supports or physical therapy fail to relieve pain
Potential Benefits of Direct Superior Hip Replacement
The potential benefits of the direct superior hip replacement are:
Muscle Sparing: Direct superior hip replacement surgery avoids cutting key muscles such as the iliotibial band and some of the external rotator muscles. These muscles play an important role in performing everyday activities such as walking and bending.
Smaller Surgical Incision: Direct superior hip replacement can be performed through a 3- to-6-inch surgical incision, which is much smaller than the 10-to-12-inch surgical incision required to perform a traditional hip replacement surgery.
Less Infection Risk: As the incision size is much smaller, there is less risk of hip infection following surgery.
Excellent Stability: Due to minimal damage to surrounding musculature, there is better support and stability for the newly replaced hip joint.
Faster Recovery: As key muscle groups are not disrupted during the surgery, there is an increased likelihood of a faster recovery with less pain and a quicker return to activities of daily living.
Preoperative Preparation for Direct Superior Hip Replacement
Your doctor may design certain exercises to perform before the surgery to help strengthen the muscles that support your hip joint. A complete physical examination and lab tests will be conducted. You must inform your doctor about regular medications that you are on, as they may have to be stopped a few days prior to the surgery.
Procedure for Direct Superior Hip Replacement
The surgery is performed with you lying on their side. A small incision is made on the posterior side of your hip. Access is gained to the hip joint through the muscles in your buttocks without disrupting the iliotibial band and other important muscles. The damaged tissue is removed, the surgical site is prepared for the implant and the implant is then placed.
Postoperative Precautions after Direct Superior Hip Replacement
Immediately after the surgery you will be prescribed pain medication to keep you comfortable. You will be encouraged to start weight-bearing, walking with support, and participating in physical therapy as soon as possible to prevent joint stiffness and optimize joint function. The direct superior hip replacement does not require too many postoperative precautions as the risk of hip dislocation with normal activities after this surgery is very low.
Risks Associated with Direct Superior Hip Replacement
The direct superior hip replacement surgery is a very safe procedure; however, as with any surgery, there is a minimal risk of complications such as
- Infection
- Bleeding
- Delayed healing
- Implant loosening
DR. KIRTHI PALADUGU ORTHO SURGEON
MAKE AN APPOINTMENT WITH US AT SRIKARA HOSPITAL
If you are having pains or symptoms of Joint Replacement Surgery, we encourage you to contact-free and to make an appointment with Dr. Kirthi Paladugu, give us a call at +91 9177 679 797.
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