Pawar Hospital

Spire Hospital

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Dr Gaurav Pawar is a well established Hip and Knee joint replacement and sports injury (Arthroscopy) surgeon. He has eight years of experience in Trauma & Orthropaedics and has gained considerable knowledge and espertise in this field during this period. He has also worked in Trauma and Orthopaedics in the NHS system in UK for 3 years at reputed hospitals like Royal Free Hospital,London, Chase Farm Hospital, London and Tameside Hospital, Greater Manchester. He has performed numerous joint replacement and arthroscopy surgeries during this period and is well versed with the latest surgical techniques. He has also presented and published many papers at national and international stages.

Hip Replacement

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Total Hip Replacement

Total Hip Replacement (THR) is a surgical procedure in which the damaged or diseased hip joint is replaced with an artificial prosthesis. It is one of the most common and successful orthopedic surgeries performed to relieve pain and restore function in individuals with severe hip joint conditions. Total hip replacement is typically recommended for patients who have:

  • Osteoarthritis: A degenerative joint disease that occurs when the protective cartilage in the hip joint wears down over time, leading to pain and limited mobility.
  • Rheumatoid Arthritis: An autoimmune disease that causes inflammation and damage to the synovium, the lining of the joint, leading to pain, swelling, and joint deformity.
  • Avascular Necrosis: A condition in which the blood supply to the femoral head (the ball-shaped end of the thigh bone) is disrupted, causing bone death and eventual collapse of the hip joint.
  • Hip Fractures: Severe fractures in the hip joint that cannot be effectively repaired with other surgical methods.

The Total Hip Replacement Procedure:

  • Anesthesia: The procedure is performed under general anesthesia or regional anesthesia, depending on the patient's overall health and the surgeon's preference.
  • Incision: The surgeon makes an incision over the hip joint to access the affected area.
  • Removal of Damaged Bone and Cartilage: The damaged portions of the femoral head and acetabulum (the hip socket) are carefully removed to prepare the joint for the prosthesis.
  • Prosthesis Placement: The artificial hip joint components are then inserted. The prosthesis typically consists of a metal stem that is inserted into the femur (thigh bone), a metal or ceramic ball that replaces the femoral head, and a plastic or metal socket that replaces the acetabulum.
  • Closing Incision: After the prosthesis is securely in place, the incision is closed with stitches or staples.

Do's & Don't in Hip Replacement Surgery

Before and after hip replacement surgery, there are important do's and don'ts to consider for a successful procedure and smooth recovery. Following these guidelines can help minimize complications and promote optimal healing:

Do's for Hip Replacement Surgery

  • Follow Preoperative Instructions: Adhere to all preoperative instructions given by your surgeon and healthcare team. This may include fasting before surgery, stopping certain medications, and attending preoperative education sessions.
  • Inform About Medical History: Provide your surgeon with a complete and accurate medical history, including all medications, allergies, and past surgeries.
  • Prepare Your Home: Before the surgery, arrange your home to make it more accessible and safe for post-operative recovery. Remove trip hazards, secure handrails, and consider using assistive devices like a walker or crutches.
  • Practice Physical Therapy Exercises: Preoperative exercises recommended by your physical therapist can help strengthen your hip and improve mobility before surgery. This can contribute to a smoother recovery.
  • Communicate with Your Healthcare Team: If you have any concerns or questions, don't hesitate to communicate with your surgeon, nurses, or physical therapist. Understanding the process and knowing what to expect can alleviate anxiety.

Don'ts for Hip Replacement Surgery

  • Don't Ignore Infections or Illness: If you develop an infection or illness before the scheduled surgery, inform your healthcare team immediately. In some cases, surgery may need to be postponed until you have fully recovered.
  • Don't Smoke: If you smoke, it's essential to quit before hip replacement surgery. Smoking can interfere with healing and increase the risk of complications.
  • Don't Overdo Physical Activity: Avoid high-impact exercises or activities that may put excessive stress on your hip joint before surgery. This can worsen the condition and delay healing.
  • Don't Ignore Medication Instructions: Follow your surgeon's advice regarding medications before surgery. Some medications, such as blood thinners, may need to be adjusted or temporarily stopped.
  • Don't Eat or Drink Before Surgery: Follow the fasting guidelines provided by your healthcare team to prevent potential complications during anesthesia.