Hip Replacement Arthroplasty

Hip replacement arthroplasty is the replacement of a fractured or painful hip joint due to arthritis. The modern procedure is a minimally invasive procedure where only one or two incisions are made and is not suitable for all hip replacements. Total hip replacement may require up to one to two hours and rest for one to two days after surgery.

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What is the reason for the difference in position of hip implants in the x-rays?

Query: Hello doctor, I have been suffering from bilateral AVN. I had a hip replacement surgery done on the right side one and a half months ago. I am attaching the X-ray reports of those taken immediately after the surgery and also a more recent one taken last week. I have a doubt regarding the screw movem...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I have gone through both the reports (attachment removed to protect patient identity). What you have observed is true, but it is not because of the screw moving. This is because of the way the X-ray has been taken. I reassure you there is nothing to worry. Your bon...  Read Full »

What is the treatment for slipped capital femoral epiphysis?

Query: Hello doctor,Avascular necrosis was caused by a slipped capital femoral epiphysis of the left hip in my 12-year-old girl. What is the treatment apart from a hip replacement? I need help. My daughter is in the middle of a bridge.Thank you.   Read Full »


Dr. Lokesh

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. 1. AVN (avascular necrosis) in pediatric patients requires injection of Zoledronic acid (single dose per year for three years) in specific doses, which are lower than adult doses depending upon the weight of the child. Thi...  Read Full »

What causes hip pain and stiffness in older women?

Query: Hi doctor, My 72-year-old mother had surgery on her right hip four months ago. I have enclosed the x-ray taken after surgery. The right hip is fine now. However, there is stiffness and pain in the left hip and also difficulty in walking. Kindly have a look at the x-ray and let me know the problem w...  Read Full »


Dr. Suman Saurabh

Answer: Hi, Welcome to icliniq.com. I am sorry to hear about your mother's problem, and I hope to help you. I have seen the x-ray (attachments removed to protect the patient’s identity), and there appears to be arthritis of the left hip, and it will need replacement of the hip joint as this is the best...  Read Full »

How is an intertrochanteric fracture treated?

Query: Hello doctor, My father is 93 years old with several comorbidities. He fell suddenly, and this happens to be his first fracture. High blood pressure and diabetes both are under control with medication. He also has two stents and a bioprosthetic valve. He suffered a fractured hip. It appears to be a...  Read Full »


Dr. Sumit Chawla

Answer: Hi, Welcome to icliniq.com. The images attached have very poor quality (attachment removed to protect patient identity). Your father has a three-part intertrochanteric fracture and does not require a hip arthroplasty. Hip salvage surgery is indicated. My choice for an implant is a proximal fem...  Read Full »

My mother-in-law suffers from body pain and refuses to walk even with help. How to help her?

Query: Hi doctor, My mother-in-law is 93 years old and had her hip replacement done before five years. She could walk after that, but we have kept a lady to be with her for 24 hours a day and 365 days a year after the operation. She does not have diabetes or has any heart condition. She takes one tablet of...  Read Full »


Dr. Arun Kaushik. R

Answer: Hi, Welcome to icliniq.com. I understand your concern. If I am not wrong, I understand that she has some neurological issue for which she is on medicines. Also, she is elderly. These can explain the swinging of the neck. Lack of energy or strength in her legs might also be a cause for her to sit dow...  Read Full »

Will my previous core decompression surgery cause AVN?

Query: Hello doctor, I was diagnosed with minimal change disease before a few months and started on Prednisone. I was into remission within a week but the disease relapsed while on the full dose. Cyclosporine was added and steroids were tapered to 0 within six months. Recently, last month I had an injury ...  Read Full »


Dr. Shakti A. Goel

Answer: Hello, Welcome to icliniq.com. AVN (avascular necrosis) of the hip is usually due to a number of causes. Prolonged steroid intake is one of them. The treatment of AVN hips ranges from rest, core decompression and eventually hip replacement. Since you have had stage 1 and 2 in your respective hips,...  Read Full »

Is it necessary to get hip replacement to correct leg discrepancy?

Query: Hello doctor, Got surgery done for "fracture neck of femur" five years back. Now living life with 1 inch leg length discrepancy. Highly demotivated. Hip replacement is suggested by surgeons but not now ,as I am 30 years old. As per them a revision surgery is recquired after 15 years or so. My que...  Read Full »


Dr. Lokesh

Answer: Hi, Welcome to icliniq.com. I can understand that limb lengthening can be of concern but you can ealisy wear a heel raise on the normal side of just 1.5 cms (not totally correcte to 1.5 inches, it should always be undercorrected by 1 cm), limping depends upon you abductor hip muscle strength- so y...  Read Full »

I need a hip replacement and I am scared of having anesthesia. What can make me sleep during operation?

Query: Hello doctor,I am 60 years old and need a hip replacement. I am healthy, no diabetes, no heart problems. My sister had a horrible anesthesia awareness incident a few years ago, and now I am terrified to have my surgery because of any risk of being paralyzed but awake. What can I do to make sure I am...  Read Full »


Dr. Kiran Kumar Kolla Gopalkrishna

Answer: Hello, Welcome to icliniq.com. I suggest you opt for regional anesthesia by a spinal and epidural anesthetic. They will give an injection between your spine, and this will make your legs numb and any sensation below the navel you will not be feeling. After the surgery numbness will go and all the ...  Read Full »

I have AVN. Is it possible to treat without hip replacement?

Query: Hello doctor, I am a 31-year-old. I have AVN stage 3 in right hip and stage 2 in the left hip. This is due to the use of steroids. I have done this MRI before two months. Many doctors told me to go for total hip replacement. Today I had an X-ray, and the doctor told me no collapse is done yet and s...  Read Full »


Dr. Anuj Gupta

Answer: Hello, Welcome to icliniq.com. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perfor...  Read Full »

How to recover from a hip fracture?

Query: Hi doctor, My mother is 83 years old. She had a right hip fracture before three years, and she was fitted with a DHS implant. She has pain, and her fracture is not healed. Her mobility got restricted, and she uses a walker to walk. Before two years, she had severe pain, and she was unable to stand....  Read Full »


Dr. Firas Arnaout

Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Her fracture has not healed, and her fixation has got failed. I suggest seeing an experienced anesthetist to assess her fitness for having an extended operation. As her hip is painful, ...  Read Full »

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