Hip replacement surgery, also known as hip arthroplasty, is a surgical procedure in which a damaged hip joint is replaced with an artificial joint.
Clinical SIgns
There are several signs that you may need a hip replacement, including persistent hip pain that interferes with your daily activities, difficulty walking or standing, and hip pain that does not respond to other treatments such as medication, physical therapy, or cortisone injections. Your doctor will be able to determine if you are a candidate for hip replacement surgery based on your medical history, a physical examination, and imaging tests such as X-rays.
There are two types of hip replacement surgery:
partial hip replacement and total hip replacement.
In a partial hip replacement, also known as a hemiarthroplasty, only the femoral head (the ball-shaped end of the femur) of the hip joint is replaced.
In a total hip replacement, both the femoral head and the acetabulum (the socket in the pelvis) are replaced with artificial components.
The surgery typically takes 1 to 3 hours to complete, depending on the complexity of the case and is usually done under general anesthesia.
Surgical approach:
There are several approaches to hip replacement surgery, including the posterior, lateral, and anterior approaches. Anterior hip replacement surgery involves making an incision in the front of the hip, rather than the side or back. This approach is thought to result in a faster recovery and less pain for the patient, but it is not suitable for everyone. There are several potential risks associated with hip replacement surgery, including infection, bleeding, and nerve or blood vessel damage. There is also a risk of implant failure, in which the artificial components become loose, wear out, or break.The choice of approach and implants will depend on the patient's specific needs and the surgeon's preference.
After surgery:
After a hip replacement, it is important to follow a specific exercise program to help you regain strength and mobility in your hip.
This may include exercises to improve range of motion, flexibility, and muscle strength. Your doctor and your physical therapist will be able to recommend specific exercises that are appropriate for your needs.
After hip replacement surgery, it is important to follow a specific protocol for home care to ensure a successful recovery.
This may include taking medications as prescribed, following your doctor's instructions for wound care and physical therapy, and avoiding activities that put too much strain on your hip. It isalso important to avoid sitting for long periods of time and to get up and move around regularly to prevent blood clots.
The ICD 10 code for hip replacement surgery is Z96.64.
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