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What are the conditions for which hip replacement is indicated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing hip strain. I had a total knee replacement eight weeks ago, and I am noticing groin and outer hip pain. The doctor did an MRI. Are they considering hip replacement? Can you help me understand the results of the MRI?

Thank you.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

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Hello,

Thanks for trusting us with your health care.

I can understand your concern.

Let me go through your report and get back to you. Meanwhile, if you could send me your X-rays, it would be really helpful.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.

Patient's Query

Hi doctor,

Thank you again for your time; I greatly appreciate it.

The X-rays are with the doctor, and I do not have a copy. He is considering a hip replacement, thinking it might help with the total knee recovery.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

After reviewing your MRI (magnetic resonance imaging) report (attachment removed to protect the patient’s identity), it appears there is 20 to 25 percent femoral under-coverage due to acetabular dysplasia. This developmental problem cannot be cured with conservative measures such as medicinal therapy. During weight-bearing, the femoral head needs complete support from the acetabulum, but in your case, there is a 25 percent deficiency. Therefore, to the best of my knowledge, total hip replacement (THR) is the only option to manage this condition. My opinion is based on your MRI report. However, it is advisable to share the complete clinical details of the patient. There seems to be an age discrepancy mentioned as two years, which I believe is not the case. Hence, please provide the full clinical details of the patient.

I hope this has helped you.

Thank you.

Answered by Dr. Anuj Gupta
Medically reviewed by iCliniq medical review team
Published At May 2, 2024
Reviewed At May 2, 2024

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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