Adults of any age can be considered for a hip replacement. Mostly hip replacements are carried out on people between the ages of 60 and 80, however it can be done in patients as young as 20 years.
Hip replacement is usually necessary when the hip joint is worn or damaged to the extent that the patient mobility is reduced and patient experience pain even while resting.
The most common reason for hip replacement surgery is Avascular Necrosis.
Other conditions :
– Degenerative osteoarthritis
– Rheumatoid arthritis
– Hip fractures- femoral head, acetabulum & Inter-Trochanteric
– Septic arthritis
- Ankylosing spondylitis
– Bone dysplasias-DDH
- Perthes or SCFE sequele
Hip replacement is a major surgery, so is normally only recommended if other treatments, such as Medications or physiotherapy haven't helped reduce pain or improve mobility.
I offer hip replacement surgery if:
– Pt. has severe pain, his/her mobility is reduced and it interferes with Pt.’s quality of life and sleep
– Everyday tasks become difficult
– Pt. feels depressed as he/she can't work or have a normal social life
– Pt. need to be well enough to cope with both a major operation and the rehabilitation afterwards.
Risks of hip replacement surgery
• Hip dislocation / Instability
• Superficial / Deep Infection
• Injuries to the blood vessels or nerves
• Intra-op or Post-op fractures
• Leg length discrepancy
• Aseptic / Septic loosening
• Heterotropic Ossification