This ball-and-socket construction allows for three distinct types of flexibility:
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The hip joint is a Diarthrodial Joint whose unique anatomy enables it to be both extremely strong and amazingly flexible, so it can bear weight and allow for a wide range of movements. The primary function of the hip joint is to provide dynamic support the weight of the body/trunk while facilitating force and load transmission from the axial skeleton to the lower extremities, allowing for ambulatory and mobility functions The hip is located where the head of the femur, or thighbone, fits into a rounded socket (Acetabulum) of the pelvis.
This ball-and-socket construction allows for three distinct types of flexibility:
Hip joint though very strong, but not indestructible. There are several reasons that may cause hip pain and damage:
Hip arthroscopy is a minimally invasive form of hip surgery in which an orthopedic surgeon creates access points for arthroscopic needles, scalpels or other special surgical tools to examine or treat the inside of the hip joint and surrounding soft tissues. During the procedure, a small camera called an arthroscope is inserted into your hip joint through small incisions, usually about 1 cm, thereby avoiding large cuts as compared to a conventional open surgery. The camera is connected to a video monitor that relays the detailed pictures of the hip joint. The surgeon can now directly observe the inside of the joint, evaluate numerous key anatomic structures and helps verify the safe placement of other specialized instruments. This exploratory surgery allows the hip replacement surgeon to diagnose the cause of hip pain or other joint problems that is creating discomfort for the patient.
Hip Arthroscopy may be recommended for hip conditions that do not respond to non-surgical treatment. Hip arthroscopy may be recommended as treatment for the following conditions.
Limitations:
Hip Arthroscopy is case dependent and if the extent of damage is more, then its outcomes are doubtful therefore proper planning with the help of investigations, X rays and MRI is mandatory.
A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced to relieve the patient of hip is discomfort. If the hip has been damaged by arthritis, a fracture, or because of heavy impact; performing regular activities may become painful and difficult. One will find stiffness in the hip, and discomfort while walking, or bending and perhaps even while resting. Hip replacement surgery is commonly advised when:
Total hip replacements are performed most commonly because of:
In Hip Replacement Surgery, the surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. This artificial joint or prosthesis helps reduce pain and improve function. The prosthetic components could either be ‘press fit’ into the bone or they may be cemented into place. Based on a number of factors, such as the quality and strength of your bone, the orthopedic surgeon will decide to press fit or to cement the components or use a combination of both.
Treatment for femoral neck fractures can be successfully achieved through a bipolar hemiarthroplasty. Fractures of the hip often occur within the femoral neck, a thin section of the thigh bone that helps to connect the “ball” end of the bone to the main shaft. When a fracture occurs in this area of the bone, it can cut off blood supply and lead to severe joint damage that cannot be treated with conservative methods.
Hemiarthroplasty is a surgical procedure that replaces one half of the hip joint with a prosthetic, while leaving the other half intact whereas in hip replacement surgery both the components of joint are replaced. During the hemiarthroplasty procedure, the damaged femoral head and neck are removed and replaced with the bipolar prosthetic. The prosthetic may be held in place with or without cement. Patients will need to undergo physical therapy after surgery to help restore movement and function to the joint. Therapy begins post surgery often the very next day. Most patients experience effective, long-term results from this procedure.