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Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. [1] Hip replacement surgery can be performed as a total replacement or a hemi/semi(half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.
The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities [2]
Hip replacement surgery can be performed from three main directions, each with advantages and disadvantages The classical approach is the posterior, and requires dissection of the gluteus maximus and other large muscles of the back of the thigh to access the acetabulum.
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
Zones of a hip prosthesis, by the DeLee and Charnley system, [1] and the Gruen system. [2] After hip replacement, hip prosthesis zones are regions in the interface between prosthesis material and the surrounding bone. These are used as reference regions when describing for example complications including hip prosthesis loosening on medical imaging.
The pelvic bone, also known as the innominate bone, is formed by three bones fused together: the ilium, ischium, and pubis. The musculature of the hip is divided into anterior hip muscles and posterior hip muscles. The major nerve supply that runs through the hip joint is the femoral nerve and the sciatic nerve. [16]
One way to prevent a hip labrum tear is to decrease the pressure on the anterior labrum region. The labrum is about 2 to 3 mm thick but is wider and thinner in the anterior portion. Studies have found that in the United States and European countries, hip labral tears are commonly found in the anterior region. [1]
Unstable fractures are further divided into anterior posterior compression, lateral compression, vertical shear, and combined mechanism fractures. [2] [1] Diagnosis is suspected based on symptoms and examination with confirmation by X-rays or CT scan. [1] If a person is fully awake and has no pain of the pelvis medical imaging is not needed. [2]
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