In India, the West where the primary hip osteoarthritis hip arthritis mainly affects the elderly against the young and middle-aged individuals influences. This group of relatively young patients, and transplant surgery, new techniques are required. This article is available for treatment of disease and will shed light on current practices.
Types of Hip arthritis
Hip arthritis is classified as primary and secondary osteoarthritis. Primary osteoarthritis is age-related wear and tear arthritis. It is rare in India. Secondary osteoarthritis is more common at a younger age. Rheumatoid arthritis, avascular necrosis, traumatic arthritis and SLE, Psoriasis etc. all lead to secondary osteoarthritis and other connective tissue disorders.
Rheumatoid arthritis is an auto immune disorder, affects all joints particularly the small joints, but it does not have any additional hip and knee.
Avascular necrosis of bone is a condition that reduces blood supply to the end. The high alcohol intake, consuming steroids, SLE-like patients with the disorder that affects connective tissue. Systemic lupus erythematosus (SLE) on the cheek connective tissue disorders primarily affect young women A photo sensitive rash, renal involvement and arthritis are some notable features. Avascular necrosis affects a proportion of patients with SLE.
A genetic storage disorder Gaucher disease. Post traumatic arthritis occurs after a serious injury to the hip. (Of femur) ball or socket (acetabulum) of the fractures can lead to arthritis after inadequate treatment.
Hip arthritis is very inefficient as it is a small ball and the knee joint is a big contrast to the joint socket. In advanced disease, bone disease in total hip replacement was recommended by the surgeon until recently. Advances in orthopedic surgery, no longer meet the specific needs of these young patients.
Surgical Solutions
The mainstay of treatment as conservative measures fail to relieve pain. Total hip replacement (THR) is a time trial operation at the age of 10 years survival of 93% success rate.
Hip joint with an artificial joint should be replaced when it is irreversibly damaged and can not be saved in elective surgery. Patient and movement restrictions have complained of pain. Pain can often be sent to the knee and no hip or knee symptoms began. Sometimes the pain in the hip may be more than is put in front of the waist.
Who needs a hip replacement?
In India, Ankylosing spondylitis, avascular necrosis, post septic arthritis, post injury, with many young patients suffering from hip arthritis and hip replacement for disabling pain is advised. Thus many hip replacement operations are performed in younger patients. Surgery, an artificial joint by younger and more active patients should meet the increased demand. Naturally designed for Western elderly patients is not suitable for operation in younger patients.
What is total hip replacement?
The operation of the thigh bone (femur) and socket (acetabulum) are replaced by the ball-shaped upper edge. Ball a long metal stem that is fixed to the thigh bone with the upper end have changed. Its upper spherical end up with a cup shaped polyethylene socket that is cemented into the pelvis articulates.
Traditional hip replacement head, neck and upper part of the thigh bone as a sacrifice a great deal of normal bone for implantation of the prosthesis is removed. Also etheylene poly liner wear debris lead osteolysis and bone loss. When this first hip is changed or revised after its lifespan more bone loss occurs. Conventional hips a little ball to reduce friction and wear, but this is an increased risk of ill effects of clutter. An average dislocation rate of 3 to 4% have been reported. These implants do not last much longer than 20 years and 20 years old 50% rate of revision has been reported. Survival rates are less satisfactory for the relatively younger active patients. The total hip replacement at least fifty years old and younger patients who need a new hip implant is an ideal.
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