HipReplacementCuttingEdgeTreatmentfortheReliefof.pptVIP

Anterior Approach Total Hip Replacement: Cutting Edge Treatment for the Relief of Hip Pain Vahan Cepkinian, M.D. Orthopaedic Surgery Introduction Hip arthritis affects hundreds of thousands of people each year Many people suffering from arthritis alter their lives to deal with pain. Introduction Non-surgical treatment Medications Physical Therapy Assistive Devices If these do not work then hip replacement may be the solution Total Hip Replacement The goal is to reduce hip pain and improve the motion in your hip. More than 345,000 people in the United States annually undergo hip replacement surgery. Anatomy of the Hip Ball and socket joint Femoral head or ball is at the end of thighbone or femur. Socket or acetabulum holds the ball. Anatomy of the Hip The arthritic hip has worn down cartilage and rough bone which cause pain Total Hip Replacement Involves surgically removing the arthritic parts of the joint (cartilage and bone), and replacing the ball and socket part of the joint with artificial components Total Hip Replacement Acetabular component - consists of two components Cup - usually made of titanium Liner - can be medical grade plastic, metal?or ceramic Total Hip Replacement The femoral component (stem and neck portion), is made of metal. Femoral head is made either of metal or ceramic. Stem is shaped to fit into the bone and support the new joint. Total Hip Replacement One of the most successful adult reconstructive procedures performed in orthopaedics With newer materials, hip replacements can last up to (and sometimes beyond) 20 years! Total Hip Replacement The Traditional approach The hip is approached from the back Disrupts the tissue and muscles important for the stability of the hip Involves detachment of muscles from bone Large incision (12-18 inches) Total Hip Replacement Traditional Approach Disrupts the tissue and muscles important for the stability of the hip Total Hip Replacement Traditional Approach There is the risk of hip dislocation