{"id":7308,"date":"2024-12-19T09:02:24","date_gmt":"2024-12-19T09:02:24","guid":{"rendered":"https:\/\/www.vannistrigelli.com\/en\/?p=7308"},"modified":"2024-12-19T09:02:24","modified_gmt":"2024-12-19T09:02:24","slug":"hip-replacement-surgery","status":"publish","type":"post","link":"https:\/\/www.vannistrigelli.com\/en\/blog\/2024\/12\/19\/hip-replacement-surgery\/","title":{"rendered":"The hip replacement surgery procedure"},"content":{"rendered":"\n<p>The <strong>hip replacement surgery<\/strong> procedure to relieve pain until complete recovery.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.vannistrigelli.com\/blog\/2021\/09\/02\/\"><\/a>If the hip is damaged by osteoarthritis, a fracture or other conditions, daily activities such as walking, driving, and climbing stairs become painful and complicated.<\/p>\n\n\n\n<p>Due to stiffness even dressing, putting on shoes, and having sex can become difficult.<\/p>\n\n\n\n<p>You might also experience discomfort and pain during rest and at night.<\/p>\n\n\n\n<p>If medications, changes in daily activities and the use of aids such as canes or crutches do not adequately relieve these symptoms, it may be time to discuss the possibility of a hip replacement surgery with your orthopedic specialist.<\/p>\n\n\n\n<p>It is very important, during this process, to identify all risk factors and potential benefits of the surgery, which, considering the severity of the condition, the patient&#8217;s age, and psycho-physical characteristics, are the basis for making the decision.<\/p>\n\n\n\n<p>The operation allows you to relieve pain until it disappears completely, improve movement, and return to normal daily activities.<\/p>\n\n\n\n<p>It is a safe and effective procedure, a great success in surgery, that enables you to regain your quality of life.<\/p>\n\n\n\n<p>Thanks to the latest generation of smaller <strong>prostheses <\/strong>made from advanced biocompatible materials, minimally invasive surgery is possible, which speeds up recovery times.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a><\/a><strong>What is a hip prosthesis composed of?<\/strong><\/h2>\n\n\n\n<p>The prosthesis is not the same for everyone but is customized: the choice depends primarily on the patient&#8217;s characteristics, needs, and gender.<\/p>\n\n\n\n<p>For example, a 75-year-old woman weighing 50 kgs will have different requirements than a 40-year-old man weighing 95 kgs.<\/p>\n\n\n\n<p>Bone quality influences the choice of the implant; in a young man with hard bone small press-fit prostheses can be used, while in cases of severe osteoporosis it is more appropriate to use cement to fix the implant.<\/p>\n\n\n\n<p>We all have different joint geometries that need to be studied and understood in order to choose the prosthesis model that best suits and reconstructs them.<\/p>\n\n\n\n<p>The <strong>hip prosthesis<\/strong> is composed of three elements:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ceramic head<\/strong> on a metal stem, that replaces the damaged femoral head. The stems are typically made of titanium alloy or cobalt-chromium, materials currently considered among the strongest and most biocompatible on the market;<\/li>\n\n\n\n<li><strong>acetabular cup <\/strong>(or metal socket), which replaces the worn cartilage in the pelvis and is generally made from a titanium alloy;<\/li>\n\n\n\n<li><strong>acetabular insert<\/strong> made of polyethylene (or sometimes ceramic).<\/li>\n<\/ul>\n\n\n\n<p>This type of prosthesis is made using advanced, durable and biocompatible materials: titanium, ceramic, polyethylene with vitamin E and tantalum.<\/p>\n\n\n\n<p>Its longevity depends on the materials used, the precision of its design and customization and the skill with which the surgeon positions it during the procedure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a><\/a><strong>The hip replacement procedure<\/strong><\/h2>\n\n\n\n<p>The <strong>hip replacement procedure<\/strong> is meticulously planned through a strategy that involves taking an X-ray, allowing the surgeon to determine the most suitable prosthesis for the patient.<\/p>\n\n\n\n<p>This preoperative planning is typically performed on a computer using specialized planning software.<\/p>\n\n\n\n<p>A pre-admission evaluation is conducted before hospitalization to assess the patient&#8217;s overall health.<\/p>\n\n\n\n<p>The anesthesiologist determines the best anesthesia for each case; usually spinal anesthesia is used, which numbs the legs for a few hours.<\/p>\n\n\n\n<p>Hospitalization in the prosthetic surgery department typically occurs on the day of the surgery, sometimes the day before.<\/p>\n\n\n\n<p>In addition to the small skin incision minimally invasive techniques are characterized by respecting the subcutaneous tissues, such as tendons and muscles, which are spared (not cut) during the procedure.<\/p>\n\n\n\n<p>Traditional <strong>hip surgery<\/strong> requires an incision of 20-30 centimeters and a healing period of 3 to 4 months.<\/p>\n\n\n\n<p>However new minimally invasive techniques allow successful hip prosthesis implantation through a smaller incision of about 10 cm closed with glue, preserving bone, especially on the femur.<\/p>\n\n\n\n<p>Thus, minimally invasive hip replacement means a rapid recovery for the patient, less bleeding, no urinary catheter, less pain and a very low risk of transfusion.<\/p>\n\n\n\n<p>In hip replacement surgery, the irreparably damaged bone and cartilage are removed and replaced with prosthetic components firmly attached to the bone.<\/p>\n\n\n\n<p>The goal is to create a new, stable joint.<\/p>\n\n\n\n<p>The duration of the surgical procedure usually ranges from 45 to 60 minutes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a><\/a><strong>How can the procedure be outlined?<\/strong><\/h3>\n\n\n\n<p>The procedure can be outlined as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anesthesia<\/li>\n\n\n\n<li>Positioning the patient on their side on the operating table<\/li>\n\n\n\n<li>Disinfection of the limb<\/li>\n\n\n\n<li>Skin incision<\/li>\n\n\n\n<li>Removal of the worn bone and cartilage<\/li>\n\n\n\n<li>Placement of the prosthetic components<\/li>\n\n\n\n<li>Closing the skin with glue.<\/li>\n<\/ul>\n\n\n\n<p>The femoral head, in particular, is removed and replaced with a femoral prosthesis that has a stem entering the femur.<\/p>\n\n\n\n<p>A ceramic head is placed on the neck of the stem to replace the damaged femoral head that was previously removed.<\/p>\n\n\n\n<p>A metal cup, also positioned with a \u201cpress-fit technique\u201d, replaces the damaged cartilage surface.<\/p>\n\n\n\n<p>A plastic (polyethylene) or ceramic insert is then placed between the new head and the cup to create a proper sliding surface.<\/p>\n\n\n\n<p>A post-operative X-ray is finally performed to confirm the success of the procedure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><a><\/a><strong>And after the surgery?<\/strong><\/h2>\n\n\n\n<p>With the <strong>Rapid Recovery method<\/strong> you can get up as early as 5\/6 hours after the surgery, without a urinary catheter or stitches on the wound and with less bleeding and pain. All for a quicker recovery.<\/p>\n\n\n\n<p>Typically you return home between the third and fifth day after the operation, where you will continue to follow the physiotherapist&#8217;s instructions.<\/p>\n\n\n\n<p>Post-operative pain management, which is tolerable, is optimal because it is managed by the anesthesiologist, surgeon and later by the physiatrist.<\/p>\n\n\n\n<p>The goal of Rapid Recovery is to return the patient to everyday life by reducing pain as quickly as possible.<\/p>\n\n\n\n<p>This way you can immediately resume walking and climbing stairs, recover joint movement more quickly and easily and significantly reduce pain.<\/p>\n\n\n\n<p>If you are planning a hip replacement surgery, discover how to achieve these results with <a href=\"https:\/\/www.vannistrigelli.com\/servizi\/protesi-danca\/\">Dr. Vanni Strigelli<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The article provides an in-depth look at the hip replacement surgery procedure, emphasizing the benefits of minimally invasive techniques and the importance of a customized hip prosthesis. It outlines the steps involved in the surgery, from preoperative planning to postoperative recovery, highlighting how this procedure can effectively relieve pain and restore the patient&#8217;s ability to perform daily activities.<\/p>\n","protected":false},"author":12,"featured_media":7309,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[77],"class_list":["post-7308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hip","tag-hip"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The hip replacement surgery procedure - Vanni Strigelli<\/title>\n<meta name=\"description\" content=\"Learn about the hip replacement surgery procedure and the benefits of minimally invasive techniques. 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