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  • HIP Arthroplasty: by Tiong Me Fah

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    Vivian Tiong
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    Hip arthroplasty is a surgical procedure where the hip joint is replaced by a prosthetic implant to relieve pain and improve joint function. There are two main types: total hip replacement replaces both the acetabulum and femoral head and neck, while hemiarthroplasty only replaces the femoral head and neck. Common reasons for surgery include arthritis, avascular necrosis, and severe hip fractures. The procedure aims to reduce pain and improve mobility. Post-operative care focuses on monitoring vitals, managing pain, wound care, early mobilization and rehabilitation exercises.

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    Hip Arthroplasty

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    Hip arthroplasty is a surgical procedure where the hip joint is replaced by a prosthetic implant to relieve pain and improve joint function. There are two main types: total hip replacement replaces both the acetabulum and femoral head and neck, while hemiarthroplasty only replaces the femoral head and neck. Common reasons for surgery include arthritis, avascular necrosis, and severe hip fractures. The procedure aims to reduce pain and improve mobility. Post-operative care focuses on monitoring vitals, managing pain, wound care, early mobilization and rehabilitation exercises.

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    71 views18 pages

    HIP Arthroplasty: by Tiong Me Fah

    Uploaded by

    Vivian Tiong
    Hip arthroplasty is a surgical procedure where the hip joint is replaced by a prosthetic implant to relieve pain and improve joint function. There are two main types: total hip replacement replaces both the acetabulum and femoral head and neck, while hemiarthroplasty only replaces the femoral head and neck. Common reasons for surgery include arthritis, avascular necrosis, and severe hip fractures. The procedure aims to reduce pain and improve mobility. Post-operative care focuses on monitoring vitals, managing pain, wound care, early mobilization and rehabilitation exercises.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 18

    HIP

    ARTHROPLASTY

    By Tiong Me Fah
    OBJECTIVES
    At the end of the presentation, you will be
    able to :-
    Understand the anatomy of hip.
    Defined hip arthroplasty.
    Know the reason of surgery.
    management
    ANATOMY OF HIP
    WHAT IS HIP
    ARTHROPLASTY
    Is an elective surgical procedure which
    the hip joint is replaced by prosthetic
    implant.
    Arthro = joint.
    Plasty = prosthetic implant.
    TYPES OF HIP ARTHROPLASTY
    TOTAL HIP REPLACEMENT
    = replaces both the acetabulum and femoral
    head and neck.

    HEMIARTHROPLASTY
    = replaces femoral head and neck only.
    COMPONENTS OF THA
    - Stem - head - liner - cup
    INDICATIONS OF SURGERY
    Arthritis
     Osteoarthritis.
     Rheumatoid arthritis.
    • Avascular necrosis.
    • Severe hip fracture.
    CANDIDATES FOR SURGERY
    Hip pain and stiffness limit daily
    activities such as walking, bending,
    climbing staircase.
    Hip pain during resting.
    Pain does not alleviates with anti-
    inflammatory drugs.
    Other treatments such as physical therapy
    unable to reduce pain.
    AIMS

    Pain relief.

    Improve joint functions.


    COMPLICATIONS OF SURGERY
    Dislocations.
    Deep vein thrombosis. (DVT)
    Infections.
    Bleeding.
    Fracture.
    Nerve palsy.
    Leg-length inequality.
    Metal allergy.
    Loosening.
    Complications of General Anesthesia.( PE )
    Pre-operation preparation

    Standard pre-op preparation.


    Make sure there is blood cross match
    available.
    Teach the patient to use incentive
    spirometry.
    Ensure the patient has stop anticoagulant
    at least 7 days prior surgery.
    Post –op care
    Vitalsigns
    Monitor closely to look out for:-

    Elevated temperature –infection.


    Hypotension – hemorrhage.
    tachycardia – pulmonary embolism
    Tachypnea – pulmonary embolism
    Continue…
    Pain

    Administer analgesia as instructed.


    PCA.

    Dressing

    Monitor for bleeding.


    Monitor wound site.
    Use aseptic technique when changing it.
    Clips will be removed after 2weeks.
    Continue…
    Elimination
    Encourage patient to mobilize.
    Encourage high fiber intake.
    Give antilaxative as prescribe.

    Skin care
    Observe skin for break down.
    Assist in turning patient.
    Continue…
    Psychological
    Encourage family support.
    REHABILITATION
    Bed exercises such as ankle pumps will
    be started on the day after operation or the
    next day after operation.
    Patient gradually will be taught to stand
    and walk with walking frame with
    physiotherapist.
    SPECIAL CARE:-
    Not to cross legs when sitting, lying or
    standing to prevent dislocations.
    Not to bend hips more than 90 degree.
    Use a pillow between legs at night when
    sleeping.
    Do not turn feet excessively inward or
    outward.
    Sit on a chair or bed which is higher than
    knee level.
    ~THANK YOU~

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