Hip replacement surgery is the second most common procedure followed in the field of joint replacement following surgery undertaken for knee replacement. With many people having hip arthritis, it is difficult to know the right time for having hip replacement surgery.
Today, there are many surgical interventions that helps in relieving hip pain that is caused by arthritis due to:
· Trauma
· Avascular necrosis
· Infection
· Congenital
For handling these conditions, a trained surgeon may consider following intervention procedures:
Core decompression - It is an intervention that is used where there is lack of blood flow to head of femur, thus resulting in avascular necrosis that shows up as a general deterioration of hip joint (also called arthritis).
Process -
In core decompression, surgeon drills channel through femoral neck (at top end of femur) into necrotic area in head which is followed by insertion into the bone graft taken from patient’s shin (with small sections of blood vessels). The bone graft is placed into drill channel and blood vessels are sutured to vessels present in thigh so as to allow bone graft to re-establish blood supply to head of femur.
Optimal Condition for Conducting This Surgery -
Core decompression is optimal for those in earliest stages of avascular necrosis. The objective of the surgery is slow progression of bone degeneration and reduction in pain.
Osteotomy - When there is a problem due to dysplasia, (misshapen/shallow acetabulum/femoral head) pelvic bone is divided and angle adjusted in different ways for improving joint stability. Further, if there is presence of arthritic related changes, this surgery helps in providing cartilage's less damaged area to weight bearing portion, thus assisting in reducing pain and disability. Here, the surgeon may perform different hip osteotomy procedures as per the nature of the bone correction required.
Arthroscopic Debridement - In arthroscopy, surgeon inserts fiber optic camera along with surgical instrument into small incision that is done at the joint. This surgery is generally performed for cleaning out bone spurs/cartilage tear at acetabulum which is a horseshoe-shaped cartilage attached to outer edge of acetabulum (hip socket).
Today, there are many surgical interventions that helps in relieving hip pain that is caused by arthritis due to:
· Trauma
· Avascular necrosis
· Infection
· Congenital
For handling these conditions, a trained surgeon may consider following intervention procedures:
Core decompression - It is an intervention that is used where there is lack of blood flow to head of femur, thus resulting in avascular necrosis that shows up as a general deterioration of hip joint (also called arthritis).
Process -
In core decompression, surgeon drills channel through femoral neck (at top end of femur) into necrotic area in head which is followed by insertion into the bone graft taken from patient’s shin (with small sections of blood vessels). The bone graft is placed into drill channel and blood vessels are sutured to vessels present in thigh so as to allow bone graft to re-establish blood supply to head of femur.
Optimal Condition for Conducting This Surgery -
Core decompression is optimal for those in earliest stages of avascular necrosis. The objective of the surgery is slow progression of bone degeneration and reduction in pain.
Osteotomy - When there is a problem due to dysplasia, (misshapen/shallow acetabulum/femoral head) pelvic bone is divided and angle adjusted in different ways for improving joint stability. Further, if there is presence of arthritic related changes, this surgery helps in providing cartilage's less damaged area to weight bearing portion, thus assisting in reducing pain and disability. Here, the surgeon may perform different hip osteotomy procedures as per the nature of the bone correction required.
Arthroscopic Debridement - In arthroscopy, surgeon inserts fiber optic camera along with surgical instrument into small incision that is done at the joint. This surgery is generally performed for cleaning out bone spurs/cartilage tear at acetabulum which is a horseshoe-shaped cartilage attached to outer edge of acetabulum (hip socket).