Law & Legal & Attorney Health Law

When to Have a Total Hip Replacement?

Total hip replacement is a surgical procedure in which the severely damaged hip is replaced with a synthetic joint. It relieves the pain and functional disability of patient with hip problems, thus improving their lives. It is usually used as management of patients with osteoarthritis, rheumatoid arthritis and femoral neck fractures.  In medicine, it has been considered as one of the most cost effective and successful interventions made.  But, reports show a recall on hip replacement devices like that of the Johnson&Johnson. DePuy hip recall symptoms have been the subject of the increasing reports about hip replacement recall which made J&J recalled their ASR XL Acetabular Hip System and ASR Hip Resurfacing System.

The principal indication for hip replacement is pain. A study published last 2006, Indications for Total Hip Replacement have concluded that surgeons and referring physician uniformly agreed that pain, especially rest pain, and impairment of daily function including walking, climbing stairs and even rising from a sitting position are the most indicative manifestation for their decision to recommend THR. A patient usually consults a physician, not necessarily an orthopedic surgeon, regarding his complains of pain on the hips. He is then prescribed with appropriate medications and advised to have physical therapy sessions as management of the problem.If physical therapy and the prescribed medications fail to alleviate the suffering and the pain even got worse, replacement is now considered.

Improvement of mobility, relieving of pain and enhancing the overall quality of life is the primary goal of the surgery. Patient is to undergo a series of sessions for rehabilitation with a licensed physical therapist and still be on continuous medication after the surgery. There will be a limitation in the patient's mobility such as avoiding bending the hip more than 90 degrees and crossing the legs. These precautions aim to decrease the risk of implant dislocation and reduce hip flexion. Once the surgery and rehabilitation are successful, patient can expect a hip that has a good motion, is stable, free or almost free of pain and permits normal or near-normal ambulation.

Total hip replacement is not directly advised for patients' having complains of pain on their hip.They are first given prescription drugs and are advised to see a physical therapist.  After thorough evaluation and if pain is becoming severe that it interferes with normal daily functions, surgery will then be scheduled. Patient will know the end result and complications of the surgery before he agrees to proceed with the procedure. For more information on total hip replacement, you can contact your primary health care provider.

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