Hemiarthroplasty is the procedure wherein the head of the femur is replaced with a prosthetic device.

Causes

• Fractures in the elderly of the neck of the femur.
• Hip joint abnormalities like tumors
• Extreme arthritis

For people who are obese, nerve disease, partial muscle paralysis or any other serious medical disorders, this surgery is are not recommended

Basic evaluation will be undertaken to understand the overall health situation with the patient as in the case of any surgery. The surgery will be performed using general or spinal anesthesia.

A surgical cut, often over the buttocks, is done to expose the hip joint. The head of the thigh bone is Hemiarthroplasty removed the hip socket is cleaned out and a tool called a reamer removes all of the remaining cartilage and arthritic bone. The new socket is implanted, after which the metal stem is inserted into the thigh bone. The artificial components are fixed in place, sometimes with special cement. The muscles and tendons are then replaced against the bones and the surgical cut is closed.

There would be moderate to severe post operative pain that can be controlled by painkillers. A gradual decrease in pain can be observed from the 3rd day. Fluids and nutrients may be given as an IV. In the case of an elective procedure, you can donate blood several weeks prior to surgery to replace any blood lost during the procedure. Special stocking may be provided to reduce risk of developing blood clots.

Basic mobilization would be done the very next day after surgery.

Risks as with the case of any surgery will include, post operative infection and rejection in the joint, abnormal bone growth, bleeding, or possible blood clots in the leg.

• Blood clots in the legs
• Dislocation of the artificial hip
• Extra bone growth that can cause stiffness
• Infection that requires removal of the artificial hip
• Pneumonia

Hospitalization would be required for 3 to 5 days after surgery. The new joint will have a definite range of mobility which has to be followed strictly. Sports activities such skiing or vigorous activity sports have to be avoided. The use of crutches or a walker may be necessary for as long as 3 months.

The other Orthopedic Procedures are:

• Achilles Tendon Repair
• Hip Replacement
• Knee Joint Replacement
• Disc Hernia
• Elbow Replacement … etc

Few Major Hospitals for Hemiarthroplasty are:

• Wockhardt Hospitals
• Apollo Hospitals
• Max Healthcare
• Piyavate Hospital
• Florence Nightingale Hospital

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