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HIP REPLACEMENT

Hip is not only one of the most weight bearing joints of the body but also enables us to stand up on our two lower extremities. Hip replacement; either total or partial; might become necessary either due to aging, wear and tear as a result of excessive weights and workloads of body or various diseases resulting heavy and irreversible damage in joint surfacesas a result of some serious diseases such as rheumatoid arthritis, osteoarthritis, trauma, etc.



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Who Need It?


The majority of total hip replacement individuals are over the age of 55. For younger patients, partial hip resurfacing is often a viable option for treating persistent hip pain.

If other treatments such as physical therapy, pain medicines, and exercise haven't helped, hip replacement surgery might be an option.


Treatment:


Hip replacement is a surgical therapy. According to your age, clinical condition of the existing joint, your daily motion capacity and life habbits either total (replacing both surfaces of hip joint with artificial material) or partial (replacing only the femoral head) hip replacement procedure is performed.

Patients should be prepared to spend around 4-6 days in the medical center; it depends on the speed of recovery. During that time, they are going to be visited by physical therapists that will educate them on physical exercises.

Rehabilitation may take many weeks, depending on your overall health prior to the surgery, how quickly the bone tissues of your hip joint cure and also how well you abide the rehabilitation program.


Important points / Adverse effects:


Every surgical procedure has risks and benefits. Your individual results will depend on your personal circumstances, and recovery takes time. How long your hip replacement will last depends on many different factors, and everyone is unique. Only your doctor can discuss this aspect of surgery with you.

Each of the following reactions or complications can occur during and after surgery and may require medical attention (such as further surgery) and implant removal:

Implant dislocation and leg-length difference, blood clots, infection, osteolysis, and implant fracture.

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Your Journey


A personal assistant supplied by Remed Assistance will welcome you at the airport, accompany you to the hospital and do the necessary translation in order to guarantee a worry-free medical trip experience in Turkey.

Preparations For The Operation


Two weeks before surgery:You should stop taking the following medications with the approval of your rheumatologist: Methotrexate, Humira, Enbrel, Remicade or Plaquinil.
One week before surgery:You should stop taking all aspirin or other non-steroidal anti-inflammatory drugs, such as Aleve, Motrin, Ibuprofen, Advil and Naproxen. These medications may thin your blood and increase the amount of blood loss during surgery. You should also stop taking anticoagulant medications, such as Plavix, Heparin and any blood thinners after checking with your internist or cardiologist. Also, stop taking supplements such as vitamin E, gingko biloba, ginseng, glucosamine and fish oil. You may take any Tylenol (acetaminophen) product or Celebrex until the day of surgery.
The day before surgery:Our hospital staff will call to notify you of your surgery and scheduled admission times. The night before your surgery, have a light meal for dinner with no alcohol. Do not have anything to eat or drink after midnight. Please take a shower or bath and wash your body thoroughly, using anti-bacterial soap the night before or the morning of surgery. Try to rest and go to bed early.


Examinations

  • Complete blood count
  • Renal function tests
  • Liver function tests
  • Urine analysis
  • Assessment of cardiac and respiratory function by a specialist or through tests
  • Assessment of bone mineral density for osteoporosis
  • X rays of both the lower limbs in standing position from the hip to the ankle joint, taken in two planes
  • A CT scan or MRI of the hip may also be required


The Treatment

How long is the treatment?


Patients should be prepared to spend around 4-6 days in the medical center; it depends on the speed of recovery. During that time, they are going to be visited by physical therapists that will educate them on physical exercises.

Rehabilitation may take many weeks, depending on your overall health prior to the surgery, how quickly the bone tissues of your hip joint cure and also how well you abide the rehabilitation program.


Steps of the operation:

  • Before undergoing hip replacement surgery your doctor will see and document the following things
  • He will assess the amount of disability by asking about day to day activities including activities that require squatting or sitting cross legged
  • The requirement of a walking aid
  • Examine the hip for stability, pain, range of motion and amount of shortening of the limb
  • Look for any previous surgery around the hip
  • Measure the degree of movement in the hip joint and the presence of deformities
  • He will exclude other causes of pain such as arthritis of the sacroiliac joint and spine and pain due to vascular or neurological causes
  • Will look for muscular weakness, sensory loss and palpate the pulses in the limb
  • Ask about the presence of any systemic disease such as diabetes mellitus, hypertension, liver disease etc
  • Inquire about any addiction such as smoking or alcoholism


Post-operation

  • You will need to accomplish several goals, such as:
  • Getting in and out of bed by yourself.
  • Having acceptable pain control.
  • Being able to eat, drink, and use the bathroom.
  • Walking with an assistive device (a cane, walker, or crutches) on a level surface and being able to climb up and down two or three stairs.
  • Being able to perform the prescribed home exercises.
  • Understanding any hip precautions you may have been given to prevent injury and ensure proper healing.
  • If you are not yet able to accomplish these goals, it may be unsafe for you to go directly home after discharge. If this is the case, you may be temporarily transferred to a rehabilitation or skilled nursing center.
  • When you are discharged, your psycian will explain you with information to support your recovery at home. Although the complication rate after total hip replacement is low, when complications occur they can prolong or limit full recovery.
  • Hospital staff will discuss possible complications, and review with you the warning signs of an infection or a blood clot.


Departure from airport


You will be accompanied to the airport by a personal assistance. If necessary wheelchair assistance will be arranged in the airport.By provided flight authorization and medical report, you will take your flight to home!


Follow up


After your return, Remedhealth.com agents will be available for any future request.

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