CONSERVATIVE APPROACH


MEDICATIONS: every disease has its own medical management which is beyond the scope of generalization & your orthopedic & joint replacement surgeon perfectly guide on this but the main stay of treatment is pain killers & anti inflammatory drugs.


Medications, including acetaminophen (Tylenol), a nonsteroidal anti-inflammatory drug such as ibuprofen (Advil), or a prescription pain medication.

Steroid and hyaluronicacid injections


Two types of injections are used for treatment of severe pain from hip osteoarthritis: steroid injections and hyaluronic acid injections.

  • Steroid injections This may reduce swelling and thereby alleviate hip stiffness and pain.
  • Hyaluronic acid injections This is again a local pain killer & it does not have any effect on disease process.

PHYSIOTHERAPY AND LIFE STYLE MODIFICATIONS:

jogging

Physical Therapy: The main goal of treating osteoarthritis of the hip is to improve the person's mobility (ability to get around) and lifestyle. Part of this goal involves improving the function of the hip and controlling pain.


Hip Strengthening exercises and hip Mobility exercises help to stabilize the hip joint.


Life Style Modifications:

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  • Rest and joint care
  • Use of a cane to take weight off the affected hip
  • Nondrug pain relief techniques to control pain
  • Losing excess weight
  • Exercise
  • Complementary and alternative therapies

Weight loss.  Losing even a small amount of weight, if needed, can significantly decrease knee pain from osteoarthritis.

Activity modification
While exercise is important to treating hip osteoarthritis, some types of activities and exercise will aggravate the hip joint. These activities should be avoided and alternatives may be identified. For example, golf, which requires twisting at the hip, and high impact activities such as jogging, may be replaced with gentle yoga, cycling or swimming, which exerts less stress on the hip joint.

Surgical approach
Osteotomy of hip joint
Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of acetabulum - (socket) - and femoral head (femur head) - (ball), innominate osteotomies and femoral osteotomies. The bones are cut, reshaped or partially removed to realign the load-bearing surfaces of the joint.

http://upload.wikimedia.org/wikipedia/commons/thumb/d/d6/FO_after.jpg/220px-FO_after.jpg

Hip arthroscopy


Hip arthroscopy refers to the viewing of the interior of the acetabulofemoral(hip) joint through an arthroscope and the treatment of hip pathology through a minimally invasive approach. This technique is sometimes used to help in the treatment of various joint disorders has gained popularity because of the small incisions used and shorter recovery times when compared with conventional surgical techniques (sometimes referred to as "open surgery"). 

http://www.peakphysicaltherapy.com/media/img/347751/hip_arthroscopy_surgery02.jpg

Fracture fixation


There are different types of surgery for hip fractures, depending on the location of the break, the position of the bone fragments, and your age. Surgery for a hip fracture may be done either through internal fixation or through arthroplastic surgery.

Internal fixation involves stabilizing broken bones with surgical screws, rods, or plates. This type of surgery is usually for people who have fractures in which the bones can be properly aligned.

1

Cc screw fixation

2

DHS fixation


  • ARTHROPLASTY OPTIONS (HIP REPLACEMENT):

Hemiarthroplasty (bipolar prosthesis)

http://img.medscape.com/pi/emed/ckb/radiology/336139-385837-398669-1391586tn.jpg Hemiarthroplasty is a surgical procedure that replaces one half of the hip joint with a prosthesis, while leaving the other half intact. During this procedure, the damaged femoral head and neck are removed and replaced with the bipolar prosthesis.  The prosthesis may be held in place with or without cement. 


Hip Resurfacing Arthroplasty

xray-hip-resurfacing
Hip resurfacing is a surgical option that can provide relief while delaying hip replacement surgery.
In hip resurfacing, the diseased hip joint surfaces are removed surgically and substituted with metal. However, the entire femur bone is preserved.
This makes future hip replacement surgeries possible. Rather than removing the ball of the hip socket, the surgeon covers it with a metal cap.

 Hip Replacement Surgery (THR LINK)



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