The main indications for hip surgery include severe osteoarthritis, femoral neck fractures, hip dysplasia, femoroacetabular conflicts, and avascular hip necrosis. These conditions generally cause significant pain, joint stiffness, and decreased mobility that do not respond to conservative treatments.
There are several types of hip prostheses, including total hip replacements, partial prostheses, and resurfacing prostheses. The choice of prosthesis depends on the age of the patient, his level of activity, and the specific pathology to be treated. Your surgeon will help you determine the best option for your situation.
Preparing for hip surgery includes several steps: a comprehensive medical evaluation, discussing the medical history, stopping smoking, losing weight if needed, and muscle-strengthening exercises. It is also important to prepare your home to facilitate post-operative recovery.
Like any surgical procedure, hip surgery involves risks. These include infections, dislocations, wear and tear of prosthetic components, periprosthetic fractures, and anaesthesia-related complications. However, these risks are generally rare and managed carefully by the medical team.
The lifespan of a hip prosthesis varies according to the type of prosthesis, the surgical technique used, and the patient's lifestyle. In general, modern prostheses can last between 15 and 20 years, or even longer, with proper care and moderate activity.
Nonsurgical alternatives for hip disorders include pain medications, corticosteroid injections, physical therapy, muscle-strengthening exercises, weight loss, and lifestyle changes. These treatments can help manage symptoms and improve joint function without surgery.
Recovery after hip surgery varies between individuals, but it generally includes a hospital stay of a few days, followed by several weeks of rehabilitation. Physical therapy plays a crucial role in recovery, helping to strengthen muscles and restore mobility. Respecting the surgeon's recommendations is essential for optimal recovery.
A hip replacement revision may be necessary if you experience persistent pain, instability, crunches, or abnormal noises in the joint, or if you have signs of infection. Your surgeon may recommend imaging tests to assess the condition of the prosthesis and determine if a revision is needed.
A total hip replacement replaces the entire hip joint, including the femoral head and acetabulum. In contrast, the resurfacing prosthesis maintains some of the natural bone by covering the femoral head with a metal cap. The resurfacing prosthesis is often chosen for younger, active patients because it preserves more bone structure.
Exercises that can help prepare your hip before surgery include exercises to strengthen the quadriceps, hamstrings, and gluteal muscles. Gentle stretching to improve flexibility and pelvic rocking exercises to strengthen core muscles are also recommended. A physical therapist can provide you with a personalized exercise program.
After hip surgery, it is often possible to resume most daily activities and some low-impact sports activities, such as walking, swimming, and biking. However, it is generally advisable to avoid high-impact sports or activities that place an intense strain on the hip joint to extend the life of the prosthesis and avoid complications.
Rehabilitation after hip surgery is crucial to ensure a complete and optimal recovery. It helps to strengthen muscles, improve mobility, and prevent complications. A well-followed rehabilitation program can speed up recovery and allow the patient to return to an active life more quickly.