Hip Pain : causes and treatment strategy

Treatment strategy depends upon the cause of hip pain. Inflammatory arthritis, Avascular necrosis of hip leading to secondary osteoarthritis, Osteoarthritis , Trauma , infective arthritis are common causes of hip pain & best hip replacement surgeon near me. Femoro-acetabular impingement is seen in younger patients.

Various Treatment Option based on the cause:
  • 1) Exercise therapy
  • 2) Hip preservation and key hole surgery
  • 3) Hip replacement Surgery

Total Hip Replacement (THR)

In this surgery , head of femur (thigh bone) is removed and the Articulation is metal with plastic. Hip replacement involves the use of a socket and a ball for the femoral head. These components could be fixed to the bone either with the help of bone cement (cemented THR) or as a press fit (un-cemented THR). Both of these techniques have shown good results over 15-20 years follow up.

Numerous factors decide the choice between cemented or un-cemented technique, like, the age, the bone quality, cost issues and to some extent also the surgeon’s preference. However, the experience over the last 40 years worldwide seems to show that the press fit (un-cemented) technique has given the best results for the cup fixation.

The reasons for failure of this surgery are mainly due to the wear of the polyethylene cup. Hence, in the last 10-15 years there has been a renewed interest in the use of other materials which are wear resistant. Current computer aided manufacturing technique enable highly polished surfaces that are wear rates.

Hip preservation surgery and key-hole surgery

Femoro-acetabular impingement is one of the cause of hip pain in younger population. Based on the etiology , treatment options are decided.

Avascular Necrosis of femoral head is another cause of hip pain in younger population. Core decompression with or without stem cell therapy is used for it based on the Grade of AVN.

Surgical Dislocation of hip can be done for sectoral cheilectomy.

Core Decompression

This technique is used in early stages of AVN. Done under spinal anaesthesia , it is a minimally invasive technique with may be combined with bone marrow aspiration and stem cell instillation. This has showed good results if done early and for specific etiology.

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