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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.
Treatment. Surgery [1] Medication. Opioids, nerve block [1] Prognosis. ~20% one year risk of death (older people) [3] [1] Frequency. ~15% of women at some point [1] A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. [2]
Heterotopic ossification of varying severity can be caused by surgery or trauma to the hips and legs. About every third patient who has total hip arthroplasty (joint replacement) or a severe fracture of the long bones of the lower leg will develop heterotopic ossification, but is uncommonly symptomatic.
Typically, people with hip dislocations present with severe pain and an inability to move the affected leg. [1] [4] Diagnosis is made by physical exam and plain X-rays of the hips. A CT scan is recommended following reduction to rule out complications. Complications include osteonecrosis, femoral head fractures, and posttraumatic osteoarthritis.
For those who had total hip replacement or total hip arthroplasty, postoperative single low-dose radiation with three weeks of oral indomethacin regimen will be preventive for heterotopic ossification.
Hip replacement can be performed as a total replacement or a hemi (half) replacement. A total hip replacement consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head.
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