What is the reason for the decision on whether to have a hip replacement or not?

Hip replacement surgery is a surgical method that replaces the original hip joint of the human body through artificial prosthesis, so as to obtain the function of joint mobility, but it is not possible to use hip replacement surgery for any joint problems. So what is the reason for whether to have a hip replacement or not?

Hip replacement surgery, that is, the end stage of the hip joint, such as advanced bone necrosis or osteoarthritis, only need hip replacement surgery. If it is early arthritis, or even some early femoral head necrosis, there is no need for hip replacement surgery, and the femoral head and bone and joint are completely different in different stages and different degrees, only when the femoral head necrosis or osteoarthritis is particularly serious, and the femoral head necrosis is required to do bone and joint replacement at the end of the week.

1. Caused by hormonal drugs. If the patient uses adrenal corticosteroids for a long time and in large quantities, it will cause osteoporosis and arterial blockage, which will cause gradual necrosis of bone cells and bone marrow cells, and patients with dyssyringia of the femoral head will also have necrosis of the femoral head.

2. Caused by trauma. If the body has suffered some traumatic injuries, it will also lead to necrosis of the femoral head, such as sprains, falls, dislocations, acetabular hypoplasia, etc., which will lead to necrosis of the femoral head, such as the incidence is usually between 75% and 95%, and there will be no bone necrosis after fracture surgery. Necrosis of the femoral head usually directly affects the local blood supply**, especially the lack of blood supply can also lead to necrosis of the femoral head.

3. Osteoporosis. Due to some changes in the internal structure of bone tissue in the human body, the blood circulation of the diseased bone in the trabecular bone will also be blocked, which is easy to cause necrosis of the femoral head at this time.

Once the hip joint is diseased, the articular surface cartilage will be severely worn and damaged, and even the loss and deformation will cause pain, which will cause restrictions on activities of daily living. Common causes are osteoarthritis, degenerative arthritis, rheumatoid arthritis, avascular necrosis of the femoral head, femoral neck fracture, etc. The damaged joint, the femoral head and the acetabular resurface were reconstructed and replaced with an artificial hip joint.

After surgery, the following improvements can be obtained: 1. No more pain in the joint; 2. Restore normal hip function; 3. There is no need to take painkillers for a long time; Fourth, psychological pain and depression can also be released.

This is determined by the condition of the femoral head, and if the soft tissues on the surface of the femoral head collapse completely, there is a mobility impairment that requires hip replacement surgery.

It is the condition of the body, as well as the plan of **, to understand the situation of arthritis, as well as the situation of necrosis of the femoral head.

Bilateral hip replacement is a more invasive surgical method, generally according to the patient's condition to determine the operation time, conventional bilateral hip replacement, in general, unilateral replacement within 40 minutes, bilateral is about hours. In addition, depending on the patient's condition, such as joint anklosis, joint osteophytes cleaning, joint release, and acetabular reconstruction may take a long time.

This surgery is not particularly risky, it usually takes 1 hour, and you should also pay attention to your diet before the surgery.

It is definitely dangerous, and the situation of the operation is different depending on the physical condition, and it usually takes about two hours.

Introduction: Patients with hip joint lesions need to pay attention to many problems in the process, and hip replacement surgery will also face certain risks. The topic I want to share today is, what are the risks of hip replacement?

Such patients can also come to learn about it.

1. What are the risks of hip replacement?

Hip replacement may cause massive bleeding during the operation, which can damage the sciatic nerve, causing weakness in one limb, numbness in the limbs, and drooping feet. During the implantation of the prosthesis, fractures, postoperative prosthesis loosening, hip dislocation, and venous thrombosis of the lower extremities can occur. In addition, because of the poor physical fitness, the wound is not easy to heal, and in severe cases, it will induce infection, resulting in the wound not healing for a long time.

No surgery can be 100% successful, there are certain risks, and doctors can only do their best to reduce the occurrence of complications.

2. What should I pay attention to after hip replacement?

It is necessary to pay attention to the care of the wound, ** cleaning must be done in place, once the wound is not properly cared for, it will produce bacterial infections and cause adverse symptoms. Most hip replacements, because the patient does not have a good cold and warm after surgery, causes venous thrombosis, resulting in blood blockage, which is very harmful. After hip replacement, you should always pay attention to the care of your body to prevent dislocation of the hip joint.

In the 2-3 weeks after surgery, proper exercises can be performed to allow the hip joint to perform proper activities. However, you can't exercise vigorously or blindly, you need to move your muscles and bones properly under the correct guidance of a doctor to prevent local dislocation and displacement, and your sitting posture must be correct. You should also pay attention to your diet, as good nutrition can make wounds heal faster.

The diet must be light and nutritious, so that the patient can get enough nutrients and can also promote the wound to recover as soon as possible.

First of all, it needs to be noted that there are still great risks in hip replacement surgery, which are mainly reflected in the following aspects:

First, blood vessels and nerves may be damaged during the operation, which may cause heavy bleeding and limb movement disorders.

Second, drug allergies may occur during anesthesia, resulting in respiratory and cardiac arrest.

Third, if there is no active dressing change and disinfection and anti-inflammatory after surgery, it may cause the patient to have intra-articular infection, and once the infection is caused, the operation will fail.

Fourth, after hip replacement surgery, it is easy to cause blood clots in patients, such as cerebral infarction and pulmonary embolism, which will endanger the patient's life.

With hip replacement, there may be risks of infection, stress reaction, rejection, necrosis of the femoral head, bone lesions, etc.

There will be a risk of inflammation, there will be a risk of infection, there will be a risk of bone bruising, there will be a risk of joint necrosis, there will be a risk of not being able to stand up.

I changed both sides of the first one is very good, the two have changed for more than a year, walking is not as flexible as my brother, I can't walk for about 15 minutes, I feel uncomfortable, the hospital even the gasket has to pay 2000 yuan for 2000 yuan, 2000 yuan for 4000 yuan, what is the reason why people don't have this kind of cost, the operation is good, is it reasonable?

Necrosis of the femoral head is a disease that seriously affects the mobility of the hip joint, and in severe cases, patients are unable to walk and can only rest in bed. Some patients often choose hip replacement surgery on the advice of their doctor because of the collapse of their femoral head, thinking that this will be the end of the equation once and for all. Is that really the case?

Experts from Sina TCM Femoral Head Necrosis Channel pointed out that with the continuous development of medicine, the shortcomings of hip replacement surgery are constantly being exposed: first, hip surgery uses artificial joints to replace necrotic femoral heads, although it can alleviate symptoms to a certain extent, but hip arthroplasty is not the best method for femoral head necrosis, and due to the poor shock absorption function of artificial joints, avoid walking on uneven and uneven roads after surgery, and cannot walk too far every day, let alone walk with weights. Perform physical work and dancing to prevent the implant from sinking prematurely and developing hip pain. Second, the symptoms of limited mobility after surgery can not be completely relieved, patients can do some simple activities, but can do too many activities, too many activities such as stair climbing, running, mountaineering and other sports will reduce the service life of the prosthesis, the loosening of the prosthesis, because the artificial joint does not have the function of self-repair.

If the prosthesis becomes loose soon after the replacement surgery, the replacement surgery will fail and a second or even third surgery will have to be performed. Third, hip replacement surgery may also cause other complications, leaving sequelae, etc., some patients will have infection, need to prolong the first time, ** is very difficult, and even have to remove the artificial joint, and then carry out joint replacement, and the infection rate of replacement, and the infection rate of replacement, is much higher than the first operation. However, during the surgery, it may cause bone damage in other parts, resulting in a long hospital stay after surgery.

Through the above detailed introduction, you should have a clear understanding of the disadvantages of hip replacement surgery. Patients are reminded that hip replacement surgery should not be considered unless the femoral head collapse is very severe and other methods of femoral head necrosis** are not effective.

The disadvantages of osteonecrosis hip replacement surgery are limited mobility, after undergoing hip replacement surgery, patients with femoral head necrosis cannot do too much activity, too many activities such as stair climbing, running, mountaineering and other sports will reduce the service life of the prosthesis, loosening of the prosthesis, because the artificial joint does not have the function of self-repair If the prosthesis is loosened soon after the replacement surgery, resulting in the failure of the replacement surgery, you have to have a second operation, or even the third surgery, it is recommended that you use a combination of traditional Chinese and Western medicine**, The combination of traditional Chinese and Western medicine can solve the limitations of traditional surgery, such as high risk, many sequelae, Western medicine treatment of symptoms but not root causes, large treatment, long process of pure Chinese medicine, and slow effect.