| Total
Hip Replacement |
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| Hip
Replacement Surgical Procedure |
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You will most likely be admitted to the
hospital on the day before your surgery. After admission,
you will be evaluated by a member of the anesthesia team.
The most common types of anesthesia for hip replacement surgery
are general anesthesia (which puts you to sleep throughout
the procedure) or spinal anesthesia (which allows you to
be awake but anesthetizes your body from the waist down).
The anesthesia team will discuss these choices with you and
help you decide which type of anesthesia is best for you.
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Surgical
Procedure : The surgery itself takes
about 90 minutes. However preparation and anaesthesia
before surgery and recovery after surgery will keep you
in theatre for a total of about three hours. Your orthopaedic
surgeon will remove the damaged cartilage and bone, then
position new metal and plastic joint surfaces to restore
the alignment and function of your hip.
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Many different
types of designs and materials are currently used in artificial
hip joints. All of them consist of two basic components:
the ball component (made of a highly polished strong metal)
and the socket component (a durable plastic cup which may
have an outer metal shell).
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Acrylic
surgical bone cement may be used to fill the gap between
the prosthesis and remaining natural bone to secure the artificial
joint.
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A noncemented
prosthesis has also been developed which is used most often
in younger, more active patients. The prosthesis may be coated
with textured metal or a special bone-like substance which
allows bone to grow into the prosthesis.
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A combination
of a cemented ball and a noncemented socket may be used.
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Your orthopaedic
surgeon will choose the type of prothesis that best meets
your needs.
After surgery, you will be moved to the recovery room where you will remain
for one to two hours while the recovery from anesthesia is monitored. After
you awaken fully, you will be taken to your hospital room.
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