Hip Replacement Surgery Procedure- Dr Abhinav Kesarkar

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Hip Replacement Surgery Procedure
Dr. Abhinav Kesarkar Specialist in Joint
Replacement Surgery
drabhinavk88_at_gmail.com https//drabhinavkesarkar.
com
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1. Preparation

• Preoperative Assessment Before surgery, the
  patient undergoes a complete evaluation, which
  includes physical exams, medical history review,
  blood tests, and imaging (X-rays or MRI) to
  assess the extent of the hip joint damage.
• Anesthesia General anesthesia or regional
  anesthesia (spinal or epidural) is administered
  to keep the patient pain-free and relaxed
  throughout the procedure.

Preoperative Assessment
Anesthesia
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2. Incision
Incision

• The surgeon makes an incision on the side or
  front of the hip, depending on the type of
  approach chosen (anterior, posterior, or
  lateral).
• The size and location of the incision depend on
  the surgical approach used.

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3. Accessing the Hip Joint

• The surgeon carefully moves aside muscles and
  soft tissues to expose the hip joint.
• The ball of the hip (femoral head) and the socket
  (acetabulum) are then accessed.

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Removal of Damaged Parts

• Femoral Head The surgeon removes the damaged
  femoral head (the ball of the hip joint) by
  cutting through the femur (thigh bone) and
  removing the head.
• Acetabulum The damaged surface of the hip socket
  (acetabulum) is also removed, preparing it for
  the new implant.

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Implantation

• The surgeon then inserts the new artificial
  components
• Socket (Acetabular Component) A metal cup is
  implanted into the acetabulum (hip socket).
• Ball (Femoral Component) A metal or ceramic ball
  is attached to a stem that is inserted into the
  femur.
• The ball and socket components fit together to
  create a functional joint.

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Testing for Stability and Function

• The surgeon tests the joint by moving the hip to
  ensure that the new components are properly
  aligned and stable.
• Adjustments may be made to the implant placement
  to ensure optimal function.

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Closure

• Once the implant is in place and the joint is
  tested, the surgeon will close the incision with
  sutures or staples.
• The area is typically dressed with a sterile
  bandage.

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Recovery

• The patient is moved to a recovery room where
  they are monitored as the anesthesia wears off.
• Pain management is important, and patients may be
  prescribed medications to manage post-operative
  pain.
• Physiotherapy typically begins the same day or
  the following day to help the patient regain
  movement and strength in the hip.

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Postoperative Care and Rehabilitation

• After surgery, the patient is encouraged to
  gradually start walking with the assistance of
  crutches or a walker.
• Physical therapy is an essential part of
  recovery, focusing on exercises to strengthen
  muscles around the hip and improve flexibility.
• Full recovery may take several weeks to months,
  depending on the individuals health and response
  to the procedure.

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Key Considerations

• Types of Implants Implants can be made from
  metal, plastic, ceramic, or a combination of
  materials.
• Surgical Approaches There are different
  approaches to the surgery, such as
• Anterior approach From the front of the hip.
• Posterior approach From the back.
• Lateral approach From the side.
• The choice of approach depends on the surgeon's
  experience, the patients anatomy, and the
  condition of the hip joint.

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Risks and Complications

• Infection Infection can occur at the site of the
  incision.
• Blood Clots Deep vein thrombosis (DVT) can
  develop.
• Dislocation The new hip may become dislocated if
  not properly positioned.
• Implant Wear Over time, the artificial joint may
  wear out or loosen, requiring a revision surgery.
• Nerve Injury There is a risk of injury to nearby
  nerves.
• Hip replacement surgery has a high success rate
  and significantly improves the quality of life
  for patients suffering from severe hip pain and
  dysfunction.

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Thank You
Dr. Abhinav Kesarkar
Specialist in Joint Replacement Surgery
91 9960560722 / 7448229860
drabhinavk88_at_gmail.com