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Indications & Eligibility for Total Hip Replacement Surgery

Total hip replacement is a boon of modern medicine and has been widely accepted to alleviate pain and improve mobility. The surgery is usually recommended for patients who suffer from osteoarthritis, rheumatoid arthritis and severe hip trauma.

Hip Replacement surgeries have shown excellent outcomes, allowing the numbers to rise substantially over the past decade. With over 300,000 surgeries done annually in United States alone, hip replacement is one of the leading cures for osteoarthritis of the hip. The success has allowed even younger than the average age group patients to consider Hip Replacements.

Here we will discuss few essential factors that are considered to make an individual eligible for a hip replacement surgery:


Symptoms: The foremost consideration is given to a patient’s symptoms.
Characteristic symptoms like:

- Persistent pain over time

- Restricted mobility

- Stiffness in hips after sitting in one position for a long

- Increased pain which prevents sleep in the night

- A grating feeling in the hip joint and swelling


Failure of earlier treatments: When non invasive and nonsurgical treatments, like anti-inflammatory drugs (NSAIDs), physical therapy, steroid injections, or the use of assisting devices like a cane or walker, fail to alleviate the patients pain.


Age: There is no upper or lower age limit for a hip replacement surgery and the procedure has been successfully carried out on both young as well as aged individuals. The age factor only reflects in the post operative recovery as an older person will have added medical conditions which will have to be addressed while considering the operation.


Weight: Obesity reduces the life span of an implant and obese people are more prone to complications like wound healing, and post surgical infections. In addition, maintaining an optimum body weight helps in faster recovery.


Osteoporosis: An important factor considered during a total hip replacement surgery is osteoporosis. In osteoporosis density of the bone decreases making them weak and brittle. If this condition is in its advanced stage the surgeon may declare the patient ineligible for a total hip replacement surgery, as their bones may not be able to support the weight of the new implant. Thus healthy bones are a must for a patient to be eligible for hip replacement surgery.


Infection: Infection is another reason that will push a surgeon to postpone any surgical procedure.  Our body takes time to heal post surgery. During this time, it is unable to produce the full repertoire of cells needed to counter any infection. Thus, if you are prone to infections, the surgeon may consider you ineligible for the procedure.


Other factors: Other factors include; the patient’s mental health, alcoholism and nicotine usage .In case of dementia and alcoholism, repeat falls may hinder the healing process, and at times lead to dislocation of the implant. Smokers have also been advised to cut down on their nicotine usage to ensure a successful hip replacement.

With hip implants lasting for a long time (some for a life time), more and more people are considering hip replacement surgery. So if you experience symptoms mentioned above, and would like to know more about the procedure, read our free eBook – Step by Step Guide to Hip Replacement Surgery. Update yourself so you can make a concrete decision about the procedure.


Disclaimer: The information provided in this blog is meant for patient education purposes only. Although the information included in this article is scientifically and medically valid, it is not intended to be a substitute for the proper diagnosis of the medical condition described. Please consult doctors and qualified specialists for accurate diagnosis and treatment.

Topics: Hip Replacement


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