Hip Replacement (Total Hip Replacement)
Here, you can learn more about our Hip Replacement services!
Bone & Joint Center of Bangkok Hospital Phuket, we offer a comprehensive scope of joint replacement surgery services with the latest techniques including the new mini-incision hip replacement surgery. We also features computer-assisted technology to perform total knee replacement surgery. This advanced technique enhances results and recovery of a total knee replacement by providing more accurate placement and alignment of implants.
Total Hip Replacement Procedure
Hip and knee replacements are procedures in example, in an arthritic knee the damaged ends of the bones and cartilage are replaced with metal and plastic surfaces shaped to restore knee movements and functions. In an arthritic hip, the damaged ball (the upper end of the femur) is replaced by a metal ball attached to metal stem fitted into the femur, and a plastic socket is implanted into the pelvis, replacing the damaged socket.
Nowaday, minimally invasive surgery technique is making surgery, recovery, and rehabilitation faster and easier on patient's particular to hip replacement surgery. It uses the same high quality and clinically proven hip implants as traditional hip replacement surgery.
This less-invasive approach benefits to the patient, including: less tissue trauma, a faster, less-painful rehabilitation, smaller scars; a shorter hospital stay, and less blood loss during surgery. These benefits result in a faster return to work and daily activities.
The average duration of surgery and recovery
- Surgery Time : 2 -3 hrs
- Anaesthesia: General Anaesthesia (GA) or Spinal Block (Will be discussed with you by the anaesthesiologist and Surgeon). GA is more preferable.
- Length of Stay in Hospital : 3 – 5 days
Scope of Treatment
- Back pain from work injuries and Herniated Lumbar Disc
- Fractures and all types of dislocated joints from accidents
- Knee or hip joint osteoarthritis from old age or other diseases
- Chronic joint pain
- Sports injuries
- Osteoporosis in seniors
- Hand injuries
Pre Operative Assessment
- You will be asked to provide your complete medical history.
- You will be asked to provide pictures of your recent imaging taken of your hip.
- You will be asked your level of daily activity and your expectation from the surgery.
- A pre-consultation will be arranged with the Surgeon to discuss the best option for you.
- You may be asked to stop smoking, stop taking some medicines (such as Aspirin) and to undertake some exercises to prepare you for surgery.
- You may have to undergo a health check up which might include blood tests, EKG and other tests to be cleared as fit for surgery.
Procedure and Technique
The hip joint is a ‘ball and socket' joint in which the head of the femur (that is the long thigh bone) is the ‘ball' and the acetabulum or the cup of the pelvic bone is the ‘socket'. In THR the head of the femur is replace by a prosthetic ‘stem' and the acetabulum is fitted with a prosthetic 'cup' to replace the damaged joint. The purpose of doing Hip Replacement is to replace a damaged painful joint with a mobile, stable and painless joint. There are two techniques to do this:
- Traditional technique - in which one long incision is made to access both the cup and the stem.
- Minimally Invasive Technique (MIS) – in which two small incisions are made, one for the cup and one for the stem.
- Not very case of hip replacement can be approached by Minimally Invasive Technique. The options will be discussed with you.
- Implant - Implants are supplied by well known medical suppliers such as Zimmer, Johnson & Johnson, Corin, and Exeter System. The choice of supplier and the model will be decided by the surgeon depending on what is best suited for your hip.
Post Operative Protocol
Post Op Day 1
- Beside physiotherapy will be started to improve blood circulation and to prevent deep vain thrombosis.
- You will be able to sit up on your bed and may be stand on the bedside.
- You will be asked to under take exercises to strengthen you leg muscles.
Post Op Day 2
- You will be able to start walking exercises with walking aid for body balance.
- Continue with physiotherapy and muscle strengthening exercises.
Post Op Day 3
- Continue walking exercises and depending on your confidence in walking your discharge from the hospital will be planned.
Upon your discharge from hospital you will be provided with walking aid (cane, crutches or walker) if needed and asked to continue muscle strengthening exercises. You will be given an appointment for a follow up visit in 7 to 10 days from the day of surgery.
Results of Total Hip Replacement
Total Hip Replacement is one of the most successful modern Orthopedic operations. With modern technology and surgical technique a THR 15 years' survival rate is over 90%.