Total Hip Replacement (THR): Restoring Mobility & Quality of Life

Introduction & Overview

Total Hip Replacement (THR), also known as Total Hip Arthroplasty, is a surgical procedure that replaces the damaged ball-and-socket joint of the hip with a prosthetic implant. This surgery is commonly performed to relieve pain and restore function in patients with hip joint damage due to arthritis, fractures, or other conditions.

The procedure involves replacing the femoral head (the ball) with a **metal or ceramic prosthesis** and lining the hip socket (acetabulum) with a durable **plastic, metal, or ceramic cup**.

THR is one of the most successful orthopedic surgeries, providing long-term pain relief and significantly improving mobility.

Conditions Treated with THR

Osteoarthritis: The most common reason for hip replacement due to cartilage wear.

Rheumatoid Arthritis: Autoimmune inflammation leading to joint damage.

Avascular Necrosis: Bone tissue death due to reduced blood supply.

Hip Fractures: Severe fractures that impair mobility.

Developmental Dysplasia of the Hip (DDH): Congenital hip misalignment requiring surgical correction.

Ankylosing Spondylitis: A condition that causes stiffness and fusion of the hip joints.

Biological & Medical Insights

The hip joint is essential for **weight-bearing and mobility**; damage to its cartilage results in **pain and reduced range of motion**.

Over time, **bone-on-bone contact** leads to **inflammation, stiffness, and disability**.

Modern **hip implants** are designed to mimic **natural motion** and withstand daily stresses.

Procedure: Step-by-Step

Pre-Operative Assessment:

• X-rays, MRI, and CT scans: Used for detailed surgical planning.
• Blood tests & Physical Therapy Evaluations: To ensure fitness for surgery.

Surgical Process:

• Performed under **general or spinal anesthesia**.
• The **damaged femoral head** is removed and replaced with a **metal or ceramic prosthesis**.
• The **acetabulum is cleaned, reshaped**, and fitted with a **prosthetic cup**.
• The new components are **secured**, and surrounding **muscles and tissues are reattached**.

Post-Operative Care:

• **Early mobilization** to prevent stiffness and blood clots.
• Physical therapy for strength and mobility restoration.
• **Pain management** and **blood clot prevention** measures.

Before & After Treatment

Before: Hip pain, stiffness, reduced range of motion, and difficulty walking or standing.

After: Improved hip function, significant pain relief, and enhanced mobility.

Advantages of THR

✔ Long-lasting pain relief.

✔ Restored hip function and improved mobility.

✔ High success rate with implants lasting 20+ years.

Precautions & Risks

Potential Risks: Risk of **dislocation, infection, or blood clots**. Implant wear over time may require **revision surgery**. Leg length discrepancy (rare but possible).

Insights

✔ **Minimally invasive & robotic-assisted THR** techniques reduce recovery time.

✔ **Ceramic and metal implants** offer enhanced durability.

✔ **Post-op physical therapy** is crucial for optimal outcomes.

Why Choose MediHelp for THR?

✔ Expert Orthopedic Surgeons: Trained in minimally invasive and robotic-assisted THR.

✔ Customized Implants: Tailored to individual patient anatomy.

✔ Dedicated Physical Therapy Programs: Designed for faster recovery and mobility improvement.

✔ High Success Rates: Low complication rates with excellent patient outcomes.