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FACTS ABOUT TOTAL HIP REPLACEMENT (TOTAL HIP REPLACEMENT SURGERY) (THR) |
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For more systematic information visit the chapters below.
The individual chapters are ordered in a "logical" succession.
These chapters start with the description of the operation, and continue with your preparation for it, describe how to choose the surgeon, the hospital, and the total joint, present the results of the operation, and tell you about possible complications.
You may just follow the chapters in the given order or you may start to read at whatever chapter you like. Just click on the name of the chapter.
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| CHAPTER | CONTENT |
| Removal of the diseased hip joint / Anatomy of the healthy hip joint / Arthritic hip joint / total hip replacement operation / Fixation of the total hip prosthesis / cemented total hip / cementless total hip / surgical incision, length / rehabilitation - cemented and cementless TH / approaches to the hip joint / anterior approach /lateral approach / posterior approach | |
| Range of movement / Muscle tension & leg length / Modular system of total hip prostheses | |
| Benefits and disadvantages / cementless cup / porous coating / press-fit fixation / cementless shaft / the hybrid THR / robotic surgery / custom-made total hip prosthesis / prostheses for revision operations |
| friction / wear / polyethylene on metal / metal-on-metal - ceramic surfaces | |
| surface replacement prosthesis / hemi-arthroplasty prosthesis | |
| arthritis / osteoarthritis / rheumatoid arthritis / lupus / femoral head necrosis (avascular) / hip dysplasia / hip dislocation congenital / slipped epiphysis / previous hip infection / fused hip / ankylosing spondylitis | |
| X-ray picture / computer tomography / magnetic resonance (MRI) / bone scans / laboratory tests / SED - erythrocyte sedimentation / CRP - C reactive protein / WBC- white blood cells count | |
| hip pain-main factor for surgery / waiting with surgery / fused hip joint converting to TH / who cannot have total hip surgery |
| staged bilateral THR / simultaneous bilateral THR / candidates for bilateral THR / weight bearing after bilateral THR | |
| young age - reluctance to perform surgery / young age - hip diseases / young age - definition / young age - operation results of THR / young age - cementless THR | |
| preoperative pain -importance of / outcome of operation / pain relief expectations / return of good mood expectations / return to daily activities expectations / return to work expectations / return to sports expectations / total hip and pregnancy / bad outcome of operation and dissatisfaction / heart and lung condition and dissatisfaction | |
| Concerns before THR | preoperative anxiety / pain during and after surgery- concern for / urine & bowel problems- concern for length of recovery - concern for AIDS - fear for postoperative infection - fear for blood clots - fear for heart failure& death - fear for nerve damage - fear for second operation - fear for faulty prosthesis - fear for unequal leg length - fear for dislocation of the new hip |
| Preparing for surgery | understanding of surgery/ asking your surgeon/ sources of more knowledge / Internet information/ reducing weight/ stop smoking / increase fitness/making lists / stabilizing medical condition/- pre-admission testing/ drugs to stop |
| Donating blood | autologous (own ) blood / allogenic (alien) blood / infection risks - AIDS / transfusion- avoiding |
| Preparing your home | |
| What total hip model? | the best total hip / the best surgeon / questions to ask your surgeon |
| Conventional total hip model | advantages of conventional total hips / disadvantages of conventional total hips / results of conventional total hips |
| Ceramic total hip | ceramic total hips - candidate for/ advantages of ceramic total hips / complications of ceramic total hips / alumina ceramic / zirconia ceramic / results of ceramic total hips |
| Metal on metal total hip | metal-on-metal total hips -candidate for / advantages of metal-on-metal TH / levels of metal ions in serum / risks of metal-on-metal TH / results of metal-on-metal TH |
| Surface hip replacement | surface hip replacement -the principle of operation / surface hip replacement - the concerns / surface hip replacement - the candidate for / |
| NICE report | NICE report / manufacturers / results |
| Alternative hip operations | arthroscopy / osteotomy / surface replacement / fusion (arthrodesis) / core decompression / vascularized graft / hemiarthroplasty / Girdlestone (resection) arthroplasty |
| Operation and recovery | anesthesia / spinal block / epidural block / postoperative pain / pain control / length of stay / operation room -leaving with / abduction pillow / continuous passive motion |
| General complications after surgery | heart infarct / pulmonary emboli / bowel obstruction / retention of urine / confusion |
| Deep vein
thrombosis (Blood Clot) |
deep vein thrombosis (DVT)- what is it / deep vein thrombosis -signs of / deep vein thrombosis - diagnosis of / prevention of deep vein thrombosis / treatment of deep vein thrombosis |
| Life with a total hip | early rehabilitation / pain relief after THR / precautions / weight bearing |
| Women and total hip | sex after THR / pregnancy and THR / osteoporosis / diphosphonates / gender difference - results |
| Sports after total hip | skiing / golf / tennis / other sports |
| Total hip and cancer | |
| If your total hip fails | pain - sign of failure |
| Pain in the total hip | pain- where? / pain - how long? / causes of pain / examination of pain causes after THR |
| Loosening
of the total hip
|
pain - sign of loosening / loosening - X-ray picture / treatment of loosening / revision operation for loose TH / results of revision operation |
| Details on loosening of total hips | osteolysis / causes of loosening / treatment of loosening |
|
|
infection -early / infection- late / infection - hematogenous (blood-borne) / signs of infection / occurrence rates of infection / disturbances of wound healing / diagnostic methods - infection / prophylaxis of infection / operation rooms - clean / operation suits - astronaut-like / antibiotic -prophylaxis / infection rate - individual hospitals / |
| Bacteria | spreading bacteria /Staphylococcus / Gram - positive / Gram-negative / antibiotic resistance |
| Antibiotics | choice of antibiotic / duration of antibiotic treatment / antibiotic suppression treatment |
| Treatment of total hip infection | exchange operation for infection / staged exchange operation / antibiotic treatment / results of treatment of hip infection / cement - antibiotic loaded / failed treatment of infection / hip fusion for failed treatment / Girdlestone resection for failed treatment |
| Operated leg is too long | real leg length discrepancy / apparent leg length discrepancy / causes of leg length discrepancy |
| Other complications of total hip surgery | dislocation of TH prosthesis / dislocation of PE liner / fracture around TH / ossifications / nerve lesion / breakage of TH prosthesis / artery lesion / impingement of muscles / unclear pain |
| Materials for total hip prostheses | biocompatibility |
| Metal alloys | characteristics, mechanical / biocompatibilty / Cobalt-Chrome alloys / Titanium alloys / stainless steel alloys / stress shielding / corrosion resistance/ allergy |
| Polyethylene for total joints | wear / PE - gas sterilized / PE - cross linked |
| Ceramic for total hips | medical grade ceramic / 3rd generation ceramic / alumina ceramic / zirconia ceramic / hydroxyapatite / osteoinductive substances |
| Bone cement | composition of / bone cement -antibiotics loaded / drawbacks |
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Revised: October 2002.