{"id":1809,"date":"2019-05-03T10:36:32","date_gmt":"2019-05-03T08:36:32","guid":{"rendered":"https:\/\/www.cematec.org\/traumatology\/prosthesis\/hip-replacement\/"},"modified":"2022-06-16T21:58:46","modified_gmt":"2022-06-16T19:58:46","slug":"hip-replacement","status":"publish","type":"page","link":"https:\/\/www.cematec.org\/en\/traumatology\/prosthesis\/hip-replacement\/","title":{"rendered":"hip replacement"},"content":{"rendered":"

I know understands<\/span> by<\/span> hip<\/span> prosthesis<\/span> or total hip<\/span> arthroplasty<\/span><\/strong> the restoration<\/span> or replacement<\/span> of a<\/span> damaged<\/span> joint<\/span> and painful<\/span> due to<\/span> metallic<\/span> components<\/span> (<\/span>chrome<\/span> , cobalt<\/span> , molybdenum<\/span> , titanium<\/span> , oxinium<\/span> ), ceramics<\/span> and polyethylenes<\/span> .<\/p>\n

All<\/span> of these<\/span> components<\/span> are They usually<\/span> combine<\/span> different<\/span> ways<\/span> to<\/span> lengthen<\/span> life<\/span> of the prosthesis<\/span> based on decrease<\/span> the friction<\/span> between<\/span> the<\/span> different<\/span> parts<\/span> .<\/p>\n

On<\/span> the other<\/span> hand<\/span> , it They make<\/span> very<\/span> important<\/span> efforts<\/span> so<\/span> that<\/span> these<\/span> components<\/span> are join<\/span> the bone<\/span> of a<\/span> way stable<\/span> and harmonica<\/span> , since<\/span> I<\/span> know try<\/span> to put together<\/span> some<\/span> metals<\/span> that<\/span> are inert<\/span> with a living bone<\/span> and changing<\/span> they will<\/span> respond<\/span> to the<\/span> different<\/span> needs<\/span> of use<\/span> .<\/p>\n

\"\"<\/p>\n

In as for<\/span> the wear<\/span> of prosthetics<\/span> ,<\/span> they have<\/span> obtained<\/span> some<\/span> metals<\/span> hard<\/span> enough<\/span> , attached<\/span> to polyethylenes<\/span> of high<\/span> density<\/span> or well<\/span> the combination<\/span> of ceramics<\/span> , hardened<\/span> metals<\/span> for<\/span> _<\/span> duration<\/span> of they<\/span> can<\/span> exceed<\/span> 20<\/span> years<\/span> .<\/p>\n

\"\"<\/p>\n

The prostheses<\/span> are attached<\/span> to the bone<\/span> either<\/span> by<\/span> screws<\/span> , threaded<\/span> , or cemented<\/span> , depending<\/span> on the age<\/span> and bone<\/span> quality<\/span> of the person.<\/p>\n

WHAT<\/span> CAN I<\/span> DO<\/span> AFTER<\/span> THE OPERATION<\/span> ? <\/strong><\/p>\n

During<\/span> the<\/span> first<\/span> 24-48 hours<\/span> must<\/span> remain<\/span> in bed<\/span> and take<\/span> some<\/span> drains<\/span> so<\/span> you<\/span> don’t bruises<\/span> appear<\/span> inside<\/span> the articulation<\/span> . You should<\/span> also not<\/span> perform<\/span> rotations<\/span> or important<\/span> flexions<\/span> to<\/span> avoid<\/span> a<\/span> dislocation<\/span> of the hip<\/span> since<\/span> the<\/span> mobility<\/span> between<\/span> components<\/span> is<\/span> congruent<\/span> , but<\/span> between<\/span> them<\/span> only<\/span> keep<\/span> for<\/span> him muscle tone<\/span> .<\/p>\n

Between<\/span> the 3rd and 6th days<\/span> will you can<\/span> sit<\/span> in a high chair<\/span> with legs<\/span> apart<\/span> and<\/span> start<\/span> the always go<\/span> with<\/span> help<\/span> of two canes<\/span> , since<\/span> I<\/span> don’t know owns<\/span> the insufficient<\/span> strength<\/span> or<\/span> security<\/span> .<\/p>\n

Depending<\/span> on the bone<\/span> quality<\/span> and yes<\/span> the prosthesis<\/span> is<\/span> cemented<\/span> can<\/span> support<\/span> the weight of body<\/span> to walk<\/span> but<\/span> should be<\/span> postponed<\/span> and be<\/span> progressive<\/span> if<\/span> prosthesis<\/span> is<\/span> without cement<\/span> . All<\/span> of<\/span> this<\/span> is<\/span> for<\/span> one<\/span> and remodel<\/span> the bone<\/span> with the metal prosthesis<\/span> and avoid<\/span> unnecessary<\/span> pain<\/span> in the following<\/span> months<\/span> .<\/p>\n

You can<\/span> walk<\/span> and climb<\/span> stairs<\/span> to from<\/span> 6th to 8th day<\/span> of postoperative<\/span> . stroll<\/span> , in successive<\/span> weeks<\/span> , always<\/span> with the help<\/span> of canes<\/span> and with support<\/span> of the limb<\/span> that<\/span> your<\/span> surgeon<\/span> indicate<\/span> .<\/p>\n

SHOULD I<\/span> PERFORM<\/span> REHABILITATION<\/span> IN THE FOLLOWING<\/span> WEEKS<\/span> ?<\/strong><\/div>\n

I know can<\/span> and should<\/span> perform<\/span> isometric<\/span> exercises<\/span> even<\/span> in bed<\/span> to<\/span> prevent<\/span> muscle atrophy<\/span> , but<\/span> no will need<\/span> active<\/span> physiotherapy<\/span> and<\/span> specialized<\/span> , since<\/span> the<\/span> early<\/span> ambulation<\/span> and minimal<\/span> pain that I<\/span> may<\/span> have<\/span> not will create<\/span> contractures<\/span> or<\/span> stiffness<\/span> that<\/span> will not they can<\/span> win<\/span> by walking<\/span> . You should<\/span> practice<\/span> postural<\/span> hygiene<\/span> sitting<\/span> with open<\/span> legs<\/span> ,<\/span> in high<\/span> chair<\/span> and place<\/span> a supplement<\/span> in the toilet to<\/span> sit<\/span> higher<\/span> than<\/span> usual.<\/p>\n

The pain usually<\/span> disappears<\/span> right<\/span> after<\/span> the operation<\/span> and requires<\/span> little<\/span> analgesia.<\/p>\n

But there is<\/span> a<\/span> contraindication<\/span> by<\/span> the<\/span> surgeon<\/span> , between<\/span> 6-8<\/span> weeks<\/span> you can<\/span> swim<\/span> , drive<\/span> and fend<\/span> for<\/span> oneself<\/span> in<\/span> the<\/span> usual<\/span> tasks<\/span> , but<\/span> no should<\/span> start<\/span> any<\/span> work<\/span> that<\/span> requires efforts<\/span> .<\/p>\n

\"\"<\/p>\n

In prosthetics<\/span> without<\/span> cement<\/span> not should be<\/span> abused<\/span> charge<\/span> so<\/span> that<\/span> the prosthetics<\/span> stabilize<\/span> and be remodel<\/span> the bone<\/span> . This<\/span> is<\/span> particularly<\/span> desirable<\/span> in the young<\/span> patient<\/span> for<\/span> _<\/span> prosthesis<\/span> be durable<\/span> and not loosen<\/span> for<\/span> a excess<\/span> of overload.<\/span><\/p>\n

IS THERE<\/span> REJECTION<\/span> OR LOOSENING<\/span> OF THE HIP<\/span> PROSTHESIS<\/span> ?<\/strong><\/p>\n

\n

With the current<\/span> materials<\/span> and except in very<\/span> exceptional<\/span> cases<\/span> due<\/span> to allergy<\/span> to metals<\/span> , Excessive<\/span> overloads<\/span> are not loosen<\/span> dentures<\/span> _<\/span> hip<\/span> , but<\/span> it may<\/span> happen<\/span> that<\/span> the pain returns<\/span> or form limp<\/span> progressive<\/span> to cape<\/span> of the years<\/span> requiring<\/span> a replacement<\/span> of the prosthesis<\/span> .<\/p>\n

The why<\/span> do i<\/span> know loosens<\/span> a<\/span> prosthesis<\/span> is<\/span> still<\/span> being discussed<\/span> , but<\/span> if<\/span> related<\/span> to poor<\/span> placement<\/span> ,<\/span> excess<\/span> weight, excess<\/span> of request<\/span> in the work<\/span> or sport<\/span> in young<\/span> patients<\/span> or for<\/span> the waste<\/span> from wear<\/span> of materials<\/span> .<\/p>\n

Once<\/span> I<\/span> know start<\/span> the process<\/span> of loosening<\/span> , pain and lameness<\/span> are<\/span> usually<\/span> common<\/span> and are not I would have<\/span> to wait<\/span> a long time<\/span> to<\/span> do<\/span> the replacement<\/span> of the prosthesis<\/span> since<\/span> it<\/span> greatly<\/span> complicates<\/span> its<\/span> rescue<\/span> , it is require<\/span> special<\/span> prosthetics<\/span> interventions<\/span> are<\/span> complex<\/span> .<\/p>\n

I always<\/span> know investigate<\/span> new<\/span> hip<\/span> prostheses<\/span><\/strong> , to<\/span> preserve<\/span> the largest stock bone<\/span> and increase<\/span> the mobility<\/span> in young<\/span> people<\/span> , either<\/span> due to<\/span> avascular<\/span> necrosis sequel<\/span> to a accident<\/span> , but<\/span> the results<\/span> to very<\/span> long deadline<\/span> not yet<\/span> known they know<\/span> .<\/p>\n

\"\"<\/p>\n<\/div>\n<\/div>

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