Attached to the femoral component is the neck and head which in most prostheses can be altered in size to create a stable joint.Īcetabular component: main variations in acetabular component on radiograph are related to fixation method and position. They can be described by length, taper, and presence of a collar. Metal-on-polyethylene (metal head with a polyethylene acetabular liner)Ĭeramic-on-ceramic (ceramic head with a ceramic acetabular liner)įemoral component or stem: this refers to the prosthesis which is implanted into the femur. Metal-on-metal (metal head and a metal acetabular component) These will give different appearance on radiograph depending on the configuration.
The femoral head and the acetabular liner can be used in different combinations. Prosthesis designīearing surfaces are the surfaces which articulate in the prosthetic joint. A capsulotomy is then performed and the hip dislocated. This will uncover the short external rotators, which are dissected off the femur and retracted back over the sciatic nerve to protect the nerve throughout the operation. Dissection includes splitting fascia lata and gluteus maximus in line with its fibers. Skin incision is made 10-15 cm centered on the posterior aspect of the greater trochanter. Most common surgical approach for total hip arthroplasty is a posterior approach to the hip. IndicationsĬan be considered in a case by case basis in neck of femur fracture (displaced intracapsular) in active and healthy patients It is a commonly performed procedure usually with very good results and return to function. Total hip replacement. Your doctor will remove both the damaged acetabulum and femoral head, and then position new metal, plastic or ceramic joint surfaces to restore the function of your hip.Total hip arthroplasty (THA), also known as total hip replacement (THR), is an orthopedic procedure that involves the surgical excision of the femoral head and cartilage of the acetabulum and replacement of the joint with articulating femoral and acetabular components. Your doctor may recommend surgery if your pain from arthritis causes disability and is not relieved with nonsurgical treatment. Corticosteroids (also known as cortisone) are powerful anti-inflammatory agents that can be taken by mouth or injected into the painful joint.Other NSAIDs are available by prescription. Over-the-counter NSAIDs include naproxen and ibuprofen. Nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve pain and reduce inflammation.Be sure to discuss potential side effects with your doctor. Like all medications, however, over-the-counter pain relievers can cause side effects and interact with other medications you are taking. Acetaminophen (e.g., Tylenol) is an over-the-counter pain reliever that can be effective in reducing mild arthritis pain.
If your pain affects your daily routine, or is not relieved by other nonsurgical methods, your doctor may add medication to your treatment plan. Using assistive aids like a long-handled reacher to pick up low-lying things will help you avoid movements that may cause pain. Using walking supports like a cane, crutches, or a walker can improve mobility and independence. Your doctor or physical therapist can help develop an individualized exercise program that meets your needs and lifestyle.Īssistive devices. Specific exercises can help increase range of motion and flexibility, as well as strengthen the muscles in your hip and leg. Losing weight can reduce stress on the hip joint, resulting in less pain and increased function.Switching from high-impact activities (like jogging or tennis) to lower impact activities (like swimming or cycling) will put less stress on your hip.Minimizing activities that aggravate the condition, such as climbing stairs.Some changes in your daily life can protect your hip joint and slow the progress of osteoarthritis. Your doctor may recommend a range of nonsurgical treatment options. Nonsurgical TreatmentĪs with other arthritic conditions, early treatment of osteoarthritis of the hip is nonsurgical. Although there is no cure for osteoarthritis, there are a number of treatment options that will help relieve pain and improve mobility.