Not everyone with hip pain needs a total hip replacement but when your quality of life is diminishing due to hip pain that does not subside with pain medication and affects your ability to walk or rise from a seat, or hip pain is caused by hip arthritis, then you should seek a surgical solution.
Dr. Boonyarak Visutipol, Orthopedic and Arthroplastry Surgeon, Bangkok Hospital, described the cause of hip pain and how the latest surgical technique – the direct anterior approach – has recently gained popularity worldwide.
“Hip pain is caused by osteoarthritis which occurs when the protective cartilage on the ends of your bones wears down over time. People aged over 40 years are at risk of hip arthritis. Other factors include continuous use of steroids for more than two months, excessive alcohol intake, congenital hip disease or other diseases and hip fracture or dislocation.”
Symptoms of hip arthritis include groin pains, hip joint pain while walking or running, knee and hip pain, pain in the groin and the front or side of the thigh, limited motion of the hip joint, limping and leg shortening.
Non-surgical treatment is initially considered to treat hip pain because in some conditions the pain can be resolved with pain killer medications together with rest, modifying behaviour and physical therapy. Injections are may be administered to help relieve a patient’s pain.
If that conservative treatment program fails to provide pain relief, doctor will recommend a minimally invasive surgical treatment for total hip replacement.
There are several surgical approaches for total hip replacement surgery, including lateral approach (making an incision on the side of the hip), posterior approach (making an incision on the back of the hip), and the latest “direct anterior” approach which involves a smaller incision on the front of the joint.
The direct anterior approach is a tissue-sparing procedure that avoids cutting major muscles as compared to traditional surgery (lateral and posterior approach) which involve detaching the muscle tissues around the hip.
“The new technique involves a 3-4 inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside along their natural tissue planes, without detaching any tendons. This approach often results in quicker recovery, less pain, less scaring, improved mobility and prevention of hip dislocation.”
“And, with the use of digital template surgical planning, surgeons are able to plan and choose the correct size of artificial joint and position it correctly with C-Arm X-ray which also helps in controlling the length of the legs.”
Orthopedic surgeon will determine what type of implant materials and specific size to be used to suit individual requirements.
“If you are an active individual or young patient, ceramic material for femoral head is recommended for longevity and reliability. Another option can be cobalt chromium alloy for femoral head and titanium for stem and cup. These materials can last for about 15 years.”
“After having a hip replacement, patients may expect the same lifestyle as before surgery but without the pain. Although patients can return to normal daily activities, they may have to change the way they do activities, such as bending and sitting postures, in order to prolong the life of their new hip.”
Source: Bangkok Post
For more information
Please contact Bangkok Hip & Knee Center
Bangkok Hospital. Tel. 1719