Anatomy of the Human Hip

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

The bone structure of a normal hip consists of an acetabular and a femoral head, which is covered with articular cartilage, a smooth and strong cover. There is then a ring of cartilage which is called the acetabular labrum. This provides stability, maintains joint fluid pressure and distributes weight to the femoral head. With poor coverage of the femoral

An incision will be made in your hip. Your surgeon will take out any damaged cartilage and bone.

During the weeks of February 7 through February 17, I observed a total hip arthroplasty on a 56-year-old Caucasian female patient who suffered from a femoral neck fracture and damage to the acetabulum. The fracture was a result from a car accident where the patient's knees collided with the dashboard, forcing the femur into the hip and breaking the femur.

As early as 2700BC in China, a form of manipulation, described by the Kung Fou Document was practiced. Centuries later, The Golden Mirror of Medicine had an illustration of a gravity traction technique, suggesting that the practice of spinal manipulation had continued. The patient was illustrated standing on two piles of tiles that were removed from under the patient as the practitioner applied force to the patient’s lumbar spine.

Getting a total or even a partial hip replacement in Frisco, TX is a major surgical event, and the process of deciding whether or not to have a the procedure performed is an even bigger decision. Perhaps the most daunting aspect of getting a hip replacement in Frisco, TX is the recovery time that is necessary following the surgery. If you're not sure whether or not it may be time to tackle this kind of major surgery, here are some of the signs you should be looking out for.

Once the head of the femur was removed, a drill was used to create a canal in the femur; this allows the femoral stem to be placed. The head is then connected to the same femoral stem. The small head is the replacement for the original femoral head which was the site of the osteoarthritis. Next an acetabular shell made of high molecular weight polyethylene is inserted into the acetabulum of the hip bone. The acetabular shell and femoral head articulate with one another and comprise Mrs. R’s new hip joint (United States Library of Medicine, 2013).

As for my family’s perspective, this is going to be mainly based on my mom’s friend’s perspective. His expectation of entering Walt Disney World Magic Kingdom was not to wait in extensively long lines, to be selected randomly to go through metal detectors, be detained for ten minutes, and then must explain his medical history because his hip replacement created the metal detector to be activated. His first encounter with Walt Disney World cast members created the term “moment of truth” and this first approach between him and the cast member security gave a negative effect on my mom’s friend. He was expecting a magical service experience, everything he has seen on television; however, he felt he did not receive this type of expectation,

A total hip replacement is when the ball of the hip joint (which is also known as the femoral head) and the socket ( also known as the acetabulum) are removed and replaced with prosthetic part. Most people who have this procedure suffer from either sever hip fracture, they were born with a hip condition, or they suffer from an acute chronic arthritis(Stuart Fischer md,2010). The most common reason for a total hip replacement is a form of arthritis(osteoarthritis). Patient have this surgery to relive chronic pain they are suffering from. Someone who is suffering from a damage or a disease joint will be in constant pain(Stuart Fischer md, 2010).

Joint replacements are among the most common and successful orthopedic surgeries, giving more people the opportunity to remain active well into their golden years. (American) The American Academy of Orthopaedic Surgeons estimates there are more than 300,000 total hip replacements (THRs) and 600,000 total knee replacements (TKRs) performed every year—numbers that will only increase in the future. Most patients who undergo total joint replacement, or arthroplasty, experience a dramatic reduction in pain and a significant improvement in their ability to function in daily life. (American Hip)

The continuous aging of the human body combined with the stress of physical activities create a repeated stress on the joints of our bodies that carry the potential risk of developing osteoarthritis. Osteoarthritis is one of the most common forms of arthritis that is the worsening of the joints occurring particularly in the hands, knees, and hip. Osteoarthritis occurs primarily with elderly individuals who have severely worsened their joints leading to disability. When studying joint deterioration “radiographic signs of OA include joint space narrowing, subchondral bone sclerosis, and osteophyte formation” (Bennell, Poquet, Williams, 2016, P. 1689). These signs prove detrimental for some individuals who begin to suffer severe pain leading to the inability of performing simple tasks such as writing and/or walking. Hip disabilities are especially common as a result of osteoarthritis, leaving individuals with several choices of treatment. Whether it’s physical therapy, exercise, or taking medicine, these options might not prove helpful depending on the severity of the hip joint. In this essay, I will be comparing minimally invasive hip replacement to traditional hip replacement to determine why someone need’s a hip replacement procedure, which option more favorable, and the physical therapy following post-replacement.

Despite contrary belief, hip replacement is not necessarily negative. Many Americans believe that in order to have a hip replacement, your condition must be terrible. A survey conducted in 2012 said that almost 1/3 of respondents to the hip replacement survey felt they would have benefited from having their surgery done earlier. This procedure has and continues to change the lives’ of many people in our world. Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint are removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain. According to the Centers for Disease Control and Prevention, 332,000 total hip replacements are performed in the United States each year. “Hip Replacement.” Questions and Answers about. N.p., n.d. Web. 21 Oct. 2013.

The knee is a hinge joint which gives the legs mobility. The muscles and ligaments of this joint allows flexion and extension of the leg. “Because the knee supports the majority of the body weight, it is at risk of overuse and traumatic injuries” (France). The knee is composed of 3 major bones; the femur, tibia, and the fibula. The femur is the biggest bone in the human body, the inferior end flares out into two rounded landmarks called femoral condyles. Their name comes from the side of the body they are on, which is where we get Lateral Femoral Condyle and Media Femoral Condyle. Superiorly to these condlyes are the medial and lateral femoral epicondyles. The bones inferior to the femur are the Tibia and Fibula. The superior end of the Tibia flares out into slightly concave structures called the Tibial Plateaus. A crescent wedge shape of cartilage sits in each plateau. These are the Medial Meniscus and the Lateral Meniscus. This cartilage acts as a shock absorber and distributes forces. “The menisci are bathed by the synovial fluid of the knee” (France). The meniscus is what separates the each side of the Tibia and Femur and the transverse ligament connects each menisci. There is a circular bone on the

Hip osteoarthritis is a cause of severe pain and disability but it can be treated well with total hip arthroplasty surgery. Short term THA studies have reported a great improvement in the general health and quality of life and functionality of the hip in subjects with OA. Patient who undergo total hip arthroplasty may have impaired long-term self-reported physical quality of life and hip functionality, but still, they perform physically in a better condition than the ones who are untreated with advanced hip

According to Goodman and Fuller (2009) Osteoarthritis is divided into 2 classifications: Primary and secondary. Primary OA is a disorder of unknown cause which in the cascade of joint degeneration it is believed to be a related defect in the articular cartilage. Secondary OA has a known cause, which may be trauma, infection, hemarthrosis, osteonecrosis, or some condition Primary Osteoarthritis (OA) is the most common joint disorder in the world and often affects the knee and hip joints (Rubak, Svendsen, Soballe, & Frost, 2013). For patients with primary hip OA, pain and disability are the most important indications for total hip replacement (THR) (Rubake et al., 2013, p.486) Primary symptoms of OA include joint pain, stiffness, and limitation of movement. Disease progression is usually slow but can