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Hip Replacement Surgeon

17 November 2022

Hip Replacement | Dr. Pradeep Kriplani
Hip Replacement Surgeon

What’s New In Hip Replacement 2022

Hip arthroplasty, often known as hip replacement, is a surgical procedure used to treat hip pain. Artificial implants are used during the operation to replace some of the hip joints. The hip ball and socket joint is located near the head of the femur, commonly known as the thigh bone (in the pelvis, also known as the hip bone).

One or both parts of the hip might be replaced during surgery to replace it. Your ability to continue everyday activities and engage in physical activity with reduced pain is the procedure's main objective.

Let's take a look at what's been trending with Hip Replacement Surgery

Dual Mobility

In India, total hip replacements are performed annually in large numbers. Even though joint replacements reduce discomfort and enhance daily function, they can occasionally restrict a person's range of motion.

However, a novel approach to hip replacement enables patients to move freely without worrying about dislocation.

The dual mobility system features a second implant, in contrast to a conventional hip replacement, which only has a single ball that moves inside a socket.

You have a smaller ball on top of either a metal or ceramic ball, and a metal liner that fits inside the cup. Consequently, it's a little more challenging bearing system. However, the approach lowers the likelihood of dislocation, which is the main cause of hip replacement failure. Furthermore, it may possibly give the patient better range of motion to perform certain things that, ordinarily, we wouldn't be enthusiastic about them performing because they demand higher degrees of range of motion.

According to a research study, surgeons who examined an observational cohort of 2,242 patients with dual-mobility cups against a matched cohort of 6,726 patients with a traditional total hip implant, dual-mobility cups do not lower the revision risk for patients with acute femoral neck fractures.

The authors claimed they "could not find any differences between a complete hip arthroplasty with a dual mobility cup and one with conventional bearing" after implant revision surgery. Whether the implants were placed using a direct lateral or posterior method, as well as for subgroup analyses of revision for dislocation and infection, results were comparable and independent of these approaches.

Improvements in the treatment of patients with hip fractures are likely to come from other points along the healthcare ecosystem, the authors concluded, "not in design variations of contemporary orthopedic implants."

A dual hip replacement has the same procedure and recuperation time as a standard hip replacement.


Recent studies examined 158,677 hips (42.4%) that had cobalt-chromium implants with a maximum follow-up of 14.5 years; the authors reported finding no association with any of the adverse clinical outcomes studied, including all-cause mortality, heart outcomes, cancer, and neurodegenerative disorders. They claimed that these data might reassure both patients and medical professionals that primary THA implants containing cobalt chromium are not linked to any observable negative systemic consequences.

In a recent single-surgeon cohort, the authors claimed that for men who received resurfacing implants with a head size of >46 mm4, metal-on-metal hip resurfacing offers a durable intervention at a mean follow-up of 14.9 years (range, 9.3 to 19.1 years).

No metal ion level in this group of survivors exceeded the established safe limits, according to the stated survival rate of 97.7%. The survival rate for female patients was, however, 73.4%. The scientists hypothesized that head diameters of 46 mm were directly connected to this significant failure rate.

Patient Consent

Patients were randomized to receive or not receive a pre admission procedure-specific permission document in addition to a procedure-specific agreement form on the morning of the surgical procedure in a recent prospective randomized controlled experiment including 70 adults undergoing elective THA. Four weeks following the surgical operation, when 30% of patients could not recall even one potential issue, the supplementary informed consent letter provided at pre admission did not increase recall of potential complications.

Closing Thoughts

The surgical procedure that your doctor will suggest depends on a number of variables, such as how the surgeon will access the hip, the type and form of the implant, and how it will be attached, as well as your age, level of activity, and the size and condition of the hip bones. Future surgical propensity also influences the choice because particular surgical techniques and types of implant attachment can make revision surgery simpler or more difficult.

Your hip replacement surgeon will go over the pros and cons of minimally invasive versus standard hip replacement surgery, as well as his surgical approach and the kind of implant that will be utilized, as part of the evaluation for surgery.

A group of orthopedic specialists with extensive experience performing joint replacement surgeries may be found at Neemtree Healthcare. From preoperative education to postoperative care and physical therapy, our team, composed of some of the best hip replacement surgeon in India, will walk you through every step. We want to get you back to your preferred level of activity as quickly as we can.

Visit neemtreehealthcare.com for more information.

Dr. Pradeep Kriplani

Dr. Pradeep Kriplani

Sr. Orthopedic Surgeon
MBBS, Ms (Ortho), Training in Sports Medicine

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