Scribd
Upload
40 views2 pages

Total Hip Arthr

A total hip replacement surgically replaces the original hip joint with prosthetic components. The procedure involves removing the damaged bone and cartilage and replacing the femoral head with a metal stem and ball and the acetabulum with a metal socket. A plastic, ceramic, or metal spacer is inserted between the new ball and socket to allow for smooth movement.

Uploaded by

Nijin Xmx
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
40 views2 pages

Total Hip Arthr

A total hip replacement surgically replaces the original hip joint with prosthetic components. The procedure involves removing the damaged bone and cartilage and replacing the femoral head with a metal stem and ball and the acetabulum with a metal socket. A plastic, ceramic, or metal spacer is inserted between the new ball and socket to allow for smooth movement.

Uploaded by

Nijin Xmx
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

TOTAL HIP ARTHROPLASTY

A total hip replacement is a surgical procedure to repair the hip-replacing the original hip joint with prosthetic substitutes

Common Causes of Hip Pain / indications for THR

The most common cause of chronic hip pain and disability is arthritis-Osteoarthritis

Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, certain hip
fractures, benign and malignant bone tumors, arthritis associated with Paget's disease, ankylosing spondylitis and juvenile
rheumatoid arthritis

Description

In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with
prosthetic components.

The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur.
The femoral stem may be either cemented or "press fit" into the bone.

A metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was
removed.

The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. Screws or cement
are sometimes used to hold the socket in place.

A plastic, ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface.

The most commonly used prosthesis designs are the Austin Moore prosthesis and the Thompson Prosthesis. More recently
a composite of metal and HDPE which forms two interphases (bipolar prosthesis) has also been used

Techniques

There are several incisions, defined by their relation to the gluteus medius. The approaches are posterior (Moore), lateral
(Hardinge or Liverpool), antero-lateral (Watson-Jones), anterior (Smith-Petersen) and greater trochanter osteotomy.

Hemiarthroplasty

With hemiarthroplasty, or partial hip replacement, only the ball is replaced. Hemiarthroplasty is performed when there is
damage only to the femoral portion of the hip joint. This is mostly performed in patients who are elderly and frail, and for
fractures involving the ball or the neck of the femur

You might also like