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Hip Calcification /Hip Replacement
How do we understand hip calcification?
There are symptoms such as pain in the joints while moving and after movement, pain in the joints during weather changes, loss of flexibility, swelling in the joints, stumbling, shortening of walking distance, and morning stiffness.
Methods used in the treatment of hip calcification
X-rays are sufficient to diagnose hip calcification. The important thing in the treatment of calcification is to determine the degree of calcification. Regular diet and exercise are important for primary treatment, because weight loss is important in the treatment of osteoarthritis. Apart from this, spa treatments, physical therapy, sports (especially swimming), and drug treatments can also be applied. If non-surgical treatment methods do not have a positive effect on the patients quality of life, surgical intervention may be considered.
How is surgical intervention performed in hip calcification?
If there is an angular problem in the bones forming the hip joint, the bone structures must be cut and corrected. In this intervention, called osteotomy, the neck of the femoral bone is cut and reorientated. With this method, the loads on the hip joint are rearranged and/or the solid surfaces of the joint are brought to the load-bearing areas.
If hip calcification is advanced, hip prosthesis application is necessary. In this surgery, the calcified surfaces are cut and scraped and a metal and hard plastic prosthesis is placed in their place.
Hip replacement – Total hip replacement is surgery to replace the damaged joint with an artificial joint in patients with severely damaged hip joint. The hip prosthesis consists of main parts made of cobalt, chrome or titanium and plastic, metal or ceramic spacers where they articulate.
Hip replacement is the best treatment option in cases of severe pain, limitation of movement and shortness that prevent activities of daily living. It is preferred that the patient is over 60 years of age, but it can also be applied to younger patients when necessary (eg rheumatoid arthritis). A hip replacement can be attached to the bone in two ways:
-Cemented prosthesis
-Cementless prosthesis
cemented prosthesissurgery is the procedure in which the hip replacement is attached to the bone with a filling material called cement. Cementless prosthesisIn the operation, the prostheses covered with a porous material are placed very tightly into the bone, and then the bone of the body is fixed by moving into the pores on the prosthesis. The age and bone condition of the patient should be taken into account when deciding which prosthesis surgery will be applied to the patient.
Although the life of the hip prosthesis varies according to the age, weight, gender and level of movement of the patient, the life of hip prostheses made by using appropriate surgical techniques and modern prosthesis designs has extended up to 15-20 years. Total hip replacement surgeries can be performed with general or epidural anesthesia, which is an anesthetic from the waist. The operations that were previously performed with much larger incisions and in a way that would damage large muscle groups, can now be performed with smaller incisions and in a way that does not harm the soft tissues around the hips. Patients undergoing hip replacement surgery are discharged from the hospital 3-7 days after their general condition.