Anatomy of hip joint
It is, however, no doubt the most significant joint of the human body. It benefits us to walk, run and jump. There are two bones in hip joints, the pelvis and the femur (the thighbone). The hip joint is one of the most flexible joints of our body. It also allows the body of a great range of motion than all other joints in the body. It is the largest ball and socket joint of our body. The ball is also called the femoral head and it is the rounded end of the femur. The socket is also called the acetabulum. The femoral head connects with the acetabulum to form the hip joint.
The femoral head attaches to the rest of the femur by way of the femoral neck. At the upper side of the femur, on the outside of the hip, there is another bump that is called the greater trochanter to which the muscles are attached. Cartilage helps to stop the friction between the femoral head and the acetabulum. If the cartilage is damaged the hip pain occurs.
Cause of Hip pain
Hip pain generally occurs in adults due to Osteoarthritis and rheumatoid. Arthritis is the cause of inflammation of the hip joint and the breakdown of the cartilage that prevents friction of your hip bones. The pain increases day by day and it gets worse. The person feels stiffness of the hip and has a reduced range of motion of the hip.
With the growing age, the hip bone becomes more week and fragile. It can easily be broken if a person falls.
Tendons are the kind of think band of tissues that connect bones to the muscles. Tendinitis is the stiffness of the muscles. It is caused by the repetitive movement of muscles from overuse. In the above-mentioned causes of hip pain, the treatment is hip replacement surgery.
Symptoms of hip pain
A person might feel the symptoms of hip pain like discomfort in thigh, pain inside and outside of the hip joint, discomfort in groin and pain in buttocks. The pain gets worst day by day especially when you do some regular activities.
Hip Replacement Surgery
The hip replacement surgery is necessary when the hip is broken or a person has very painful arthritis in his hip. He has a lot of pain and stiffness that cannot be helped by other treatments. The person with pain and stiffness can have difficulty to walk, to climb stairs and to perform everyday activities. Sometimes the person feels grinding coming from his hip. This grinding is called crepitus.
Hip replacement surgery is always done under general or spinal anaesthesia. The duration of the operation is almost two hours. The surgeon cuts about 20-25 cm long down the outside of the thigh. However, increasingly surgeons are using cut in the groin. Then the surgeon cut the part of the hip that is going to be replaced. Sometimes the “ball” of the hip joint need to replace and sometimes it is “socket” but usually they replace both “ball and socket”. The hip is replaced by an artificial part called a prosthesis. Some surgeons make just one or two very small cuts instead of one long cut. Then they use surgical instruments and telescopes. This technique is called a minimally invasive technique. We think that in small cuts there is less blood loss, less pain after surgery shortens stay in hospital and speedy recovery. But in minimally invasive technique the doctor must be highly skilled otherwise the results will be worst.
The patient has to stay in the hospital for four to six days. A wedge-shaped cushion is placed between the legs to support the new hip joint. Physical therapy starts after one day of the surgery and the person can walk with a stick or crutches. He can go home after when he drinks and eats normally and mobile enough. The doctor will examine the patient before discharging him and do his X-Ray to make sure that hip replacement surgery is successful. After surgery from six to twelve months, the patient should not bend or cross the legs. He should follow the instructions of his therapist to avoid the relapse of hip replacement surgeon in Pakistan.
Best orthopaedic surgeon for hip replacement surgeon in Pakistan
Dr Sajid Aslam Khawaja is a well-known Best orthopedic surgeon and he is a specialist of the knee and hip replacement. He has done his MBBS from Bahawalpur, MSC (orthopaedic) from the UK, and Diploma in Navigated knee replacement (CAOS) from the UK, London and Fellowship in Hip and Knee replacement (Glasgow, UK). He is very famous among his patients and listens to them fully. He is sitting in Pakistan International Hospital from Monday to Saturday between 5:00 pm to 8:00 pm. He is also sitting in Bilal Hospital in Rawalpindi from Monday to Thursday between 11:00 am to 2:00 pm and from Monday to Thursday and Saturday between 2:00 pm to 4:00 pm. He is a specialist of hip replacement, knee replacement, fractures and spine issues.
He uses spinal anaesthesia for hip replacement surgery. The person wakes up during the operation but his lower body part is numb. It is the safer most anaesthesia in the World. He makes the cut of almost 15 cm long and replaced the head with a metal head and connects it with the femur. He does this operation in approximately one and a half an hour. He discharges his patients after two days.
The main benefit of hip replacement is that the previous pain of arthritis is finished right after the surgery. The pain after surgery is due to the incision. The patient can walk slowly after 6 hours of the surgery. Due to bed rest, the person can have an infection in the incision and also the blood can make clot and travel through the vessels to the lungs and can be fatal. To avoid blood clotting the doctor prescribed the medicine to make the blood thinner. The patient should avoid cross leg sitting to avoid dislocation of the joint. The patient should fulfil the instructions of his doctors to avoid any further problem.