What are my alternatives to
hip Replacement? Part 2
Hip fusion is another option
but it is usually the last option. In this scenario the joint is fused and this
eliminates all joint function. The surgery involves fusing the hip joint with
screws and a large metal plate. While the surgery is less complicated, it
severely restricts the patient’s life style. Because the hip is required in
most daily living activities, fusion of the hip joint is very debilitating.
Most patients walk with a limp and eventually require surgery to convert it to
a hip replacement. Hip fusion is usually the last choice for most patients. The
only advantage of the procedure is that it providers pain relief and lasts a
lot longer then any other hip procedure.
Another alternative to hip
replacement is what is known as resection arthroplasty. In this procedure, only
the bone around the hip joint is removed and the residual space is allowed to
fill with scar tissue. It is an option when the patient has an infection that
cannot be controlled with antibiotics and when the risk of inserting a hip
replacement is deemed too high. The procedure is usually done in patients who
have little probability of walking. After the procedure, most patients have a
limp and require the use of an ambulatory device like a cane or a walking
stick.
Hip osteotomy is a procedure that can help align the bones of the hip joint. All it involves is removing a wedge of bone, which helps reduce stress on the hip joint. The procedure may be done on one or both sides and is less complex than other hip procedures. Hip osteotomy can improve gait and provide pain relief. However, it is only used to treat selective patients with congenital problems of the hip.
The decision to undergo hip
surgery should be made after careful thought. The best procedure for you can
only be determine by your surgeon. Never be rushed into surgery and if ever in
doubt, seek a second opinion. Remember, some orthopedic surgeons are no better
than butchers and have atrocious results. Never be rushed into any surgery and
speak to other patients who have had the same surgery.
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