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Hip joint replacement - series - Indications

Indications:

Indications

Hip joint replacement or total hip replacement is surgery to replace all or part of the hip joint with an artificial device (a prosthesis) to restore joint movement and reduce pain. Hip joint replacement is mostly done in older people. The operation is usually not recommended for younger people because of the strain they can put on the artificial hip.

The indications for the replacement of the hip joint include:

  • Hip pain that has failed to respond to conservative therapy (NSAID medication for 6 months or more)
  • Severe hip osteoarthritis or arthritis confirmed by x-ray
  • Inability to work, sleep, or move because of hip pain
  • Loose hip prosthesis
  • Some hip fractures
  • Hip joint tumors

This surgery is not recommended for patients who have:

  • Current hip infection
  • Poor skin coverage around hip
  • Paralysis of the quadriceps muscles
  • Severe disease of the blood vessels of the leg and foot (peripheral vascular disease)
  • Severe limiting mental dysfunction
  • Serious physical disease (terminal disease, such as metastatic disease)
  • Morbid obesity (over 300 lb.)
  • Reviewed last on: 6/7/2008
  • Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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