Total Hip Replacement - Candidate and Causes

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Who is a candidate for total hip replacement?

Total hip replacements are performed most commonly because of progressively worsening of severe arthritis in the hip joint. The most common type of arthritis leading to total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of arthritis is generally seen with aging, congenital abnormality of the hip joint, or prior trauma to the hip joint. Other conditions leading to total hip replacement include bony fractures of the hip joint, rheumatoid arthritis, and death (aseptic necrosis, or avascular necrosis) of the hip bone. Hip bone necrosis can be caused by fracture of the hip, drugs (such as chronic use of prednisone and prednisolone), alcoholism, and systemic diseases (such as systemic lupus erythematosus).

The progressively intense chronic pain, together with impairment of daily function including walking, climbing stairs, and even arising from a sitting position, eventually become reasons to consider a total hip replacement. Because replaced hip joints can fail with time, whether and when to perform total hip replacement are not easy decisions, especially in younger patients. Replacement is generally considered after pain becomes so severe that it impedes normal function despite use of anti-inflammatory and/or pain medications. A total hip joint replacement is usually an elective procedure, which means that it is an option selected among other alternatives and can be scheduled on a routine basis. It is a decision that is made with an understanding of the potential risks and benefits. A thorough understanding of both the procedure and anticipated outcome is an important part of the decision-making process with the orthopedic surgeon.

Picture of a total hip replacement
Picture of a total hip replacement
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Comment from: MJ, 65-74 Female (Patient) Published: September 21

At age 65 I was diagnosed with avascular necrosis. I did not even know what this was. My pain was in the groin and hip bone area. I was fortunate to be able to have the surgery for total hip replacement within 2 1/2 weeks after diagnosis. I did great after surgery for about 3 weeks, then got an infection in the skin that caused me to need more rest and less exercise. That was a setback for me. Since then, I have not been pain free. I have a big goal to go with my granddaughter on a make-a-wish trip to Disney World in one week, 11 weeks after surgery. I am still having some pain but having therapy 3 times/week and improving very slowly. I am disappointed in still having pain. I am thinking positive and being careful, plus many wishes from friends and family will help I'm sure.

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Comment from: Wantmylifeback, (Patient) Published: October 07

I'm 35 years old I have avascular necrosis in both hips. I need a bilateral hip replacement. I'm ready for my life back.

Was this comment helpful?Yes


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