The hip is a ball-and-socket “joint. The largest bone in the body, the femur is the thigh and is reduced to a “neck” that angles into the pelvis and ends in a ball-shaped knob. This fits in a curve ball in the socket of the pelvis (acetabulum). This agreement establishes a joint can move freely in all directions. The package itself is located rather deep in some big muscles so it is protected from dislocating – that is, since it leaves the outlet.

Two problems arise because of this anatomical region. The narrow neck of the femur can break rather easily, and this is what normally happens when an older person “is broken hip after a slight fall. Also, the “ball” from the common must obtain their blood supply from below, and the small artery supplying the head of the femur can become clogged, leading to the death of the bone and a type of arthritis known as aseptic necrosis.

The hip can also become infected. Very occasionally be the site of an attack of gout. Bursae which are sets can be inflamed with bursitis. Rheumatoid arthritis can damage the joint. Conditions such as spondylitis can cause stiffness or loss of motion of the hip.

A flexion contracture is a common consequence of hip problems. This means that the movement of the hip has been lost in part. Hip becomes fixed in a slightly bent position. This causes the pelvis to tilt forward when you walk or stand, so that when you are directly behind the curve that has a bit more than usual. This allows more tension in the lumbar area.

For reasons poorly understood, pain in the hip is often felt in the leg, often at or just above the knee. This is called “referred” pain. Concerns can not feel pain in the groin or the upper outer thigh. Pain that starts in the lower back is often felt in the region of the hip. Since the hip joint is so deep, that can often be problematic to locate the exact source of pain in these regions.

To listen to the message of pain and try to avoid activities that cause pain or aggravate the pain. You want to avoid pain medication as much as possible. Rest of all activities painful. Use a cane or crutches if necessary. The cane is the best thing that took place on the opposite side of the painful hip as this allows greater relaxation in the great pain in the muscles around the hip joint. Move the cane and the affected side at the same time, then the bright side.

As the pain begins to resolve the exercise should be introduced gradually. First, use the gentle exercise of the freedom movement of the hip and prevent stiffness. Stand with your hips for a good table and rely on the table with his hand. Let the bad hip swing from side to side and rear. Lie on your back with your body half out of bed and bad hip and the left leg hanging back toward the floor. Permanent, see how far you can extend your legs and bend your upper body from side to side. With feet together, try to give back to their feet like a duck to the rotation ligaments are stretched. Repeat these exercises gently two or three times a day.

Then, introducing more active exercises to strengthen the muscles around the hips. Lie on your back and raise your legs one at a time. Bicycle or walk. When walking, start with small steps and gradually lengthen and loosen it up. Gradually increase the effort and distance, but no more than 10% every day. Sections of swimming muscles and builds good muscle tone.

A good company will help the bed, and the best position to sleep on their backs. Avoid pillows under the knees or lower back. Make sure you are taking anti-inflammatory medications as prescribed, especially if you have rheumatoid arthritis or spondylitis.

Arthritis of the hip in India affects young and middle aged persons unlike the west where Primary hip osteoarthritis before predominantly affects the elderly. Surgery in this group of relatively younger patients requires new techniques and implants. This article shed light on the disease and the current treatment available.

Types of arthritis of the hip

Hip arthritis is classified as primary and secondary osteoarthritis.

Primary osteoarthritis is age wear arthritis. It is rare in India.

Secondary osteoarthritis occurs at a younger age and is more common. Rheumatoid arthritis, avascular necrosis, traumatic arthritis and other connective tissue disorders like SLE, Psoriasis etc all lead to secondary osteoarthritis.

Rheumatoid arthritis is an auto immune disorder, affects all the joints including small joints, but also spare no hips and knees.

Avascular necrosis is a condition that reduces blood supply to the end of the bone. Subsequent patients with excessive alcohol consumption of steroids, connective tissue disorders such as SLE. Systemic lupus erythematosus (SLE) is a connective tissue disorder that primarily affects young women A photo sensitive rash on the cheeks, renal involvement and arthritis are some noteworthy features. Avascular necrosis affects a proportion of patients with SLE.

Gaucher disease is a genetic disorder of storage.

Post-traumatic arthritis occurs after a severe injury to the hip. Fractures of the ball (at the top of the femur) or socket (acetabulum) can lead to arthritis after inadequate treatment.

Hip arthritis is very disabling, because it is a small ball and making joint unlike the knee joint, which is great. In advanced disease a total hip replacement was recommended by orthopedic surgeons, until recently. Progress in orthopedic surgery now to meet the specific needs of these younger patients.

Surgical Solutions

These are the mainstay of conservative treatment measures such as not to relieve pain. Total hip replacement (THR) is a time tested and has the operation a success rate of 93% survival at 10 years.

The hip joint may need to be replaced by an artificial joint when it is irreversibly damaged and can not be salvaged by alternate surgery. The patient complains of pain and limitation of movement. The pain can often be referred to the knee or felt in the knee and no hip symptoms. Sometimes you may feel more pain in the buttocks and not on the front of the groin area.

Who needs a hip replacement?

In India, many young patients with ankylosing spondylitis, avascular necrosis, post septic arthritis after hip injuries and arthritis recommended a hip replacement for disabling pain. Thus many hip replacement operations are performed in younger patients. The surgery must address the increased demand for an artificial joint of young patients and more active. Naturally, an operation designed for Western elderly patients is not appropriate for younger patients.

What is a total hip replacement?

Fig1. Shows the differences between a normal THR on the left and one on the right hip Proxima

In this operation the ball shaped upper end of the thigh bone (femur) and socket (acetabulum) are replaced. The ball is replaced with a long metal which is fixed at the upper end, where the thigh bone. Its upper spherical end articulates with a cup shaped polyethylene socket that was consolidated in the pelvis.

Conventional hip replacements sacrifice a large amount of bone as a normal head, neck and upper part of the thigh bone is removed for implantation of the prosthesis. Moreover wear debris from the poly-line etheylene lead to osteolysis and bone loss. When this first hip is to be changed or revised after its lifespan more bone loss occurs. Conventional hips have a small ball to reduce friction and wear, but the bad effect of this is an increased risk of disorders. An average rate of disorders of 3-4% have been reported. These implants do not last much longer than 20 years and rates of 50% in 20 years have been reported. Survival rates are less satisfactory for the relatively younger active patients. Thus, a total hip replacement is not an ideal implant for younger patients of less than fifty years they need a new hip.

Problems with conventional total hip replacement:

* The excessive bone loss and sacrifice

* Increased risk of

* Patients can not squat or sit cross legs on the ground with the risk of dislocation.

* Range of motion is less

* Patients can not participate in sports

* Poor survival in young patients and assets that require an earlier review.

* Revision surgery is difficult

* The hip feels less like a normal hip

* The cup takes time and damage the plastic bone

* Changes in the length of the leg after surgery to the leg length discrepancy.

Why remove normal bone when only the surface of the ball is bad?

This is the logic behind the hip resurfacings. The preservation of this bone hip resurfacing involves replacing only the diseased bony surfaces of the femur head and acetabulum. This is sculpting the head of the femur and covering it with a metal cap and fixing an uncemented socket into the acetabulum to receive the head.

Hip Resurfacing a hip replacement-the preservation of the bones!

Preservation of bones and less emphasis on protection makes it easy to review the hip if necessary. The large head size provides a very stable joint and recreates the feel of a normal hip joint. Patients have returned to playing Judo and Squash after this operation. Advances metallurgy makes the metal on the joint most likely to survive in the young and active patient. With less metal inside the bone and less invasion of the marrow cavity of the femur, the risk of infection is reduced. Rehabilitation is faster and better.

Advantages of hip resurfacing:

* Allows the patient to squat and sit cross-legged on the ground safely

* Allows a normal range of motion

* Sacrifices only the surface of the diseased bone and preserves normal bone

* Gives a feeling more normal

* The package is likely to last longer even in younger patients and assets.

* Earlier and faster rehabilitation

* Decreased risk of

* Easier to revise if necessary.

* No leg length discrepancy

Proxima hip replacement – a perfect bone conserving hip replacement?

This is the latest addition to the arsenal of the hip surgeon in India. This is a hip replacement preserve bone.

In this operation, all the diseased femoral head is removed. The lining of the hip socket is returned with a cup of metal. A small uncemented hip stem with a short called Proxima hip is affected at the upper end of the femur or thigh bone.

The size of the implant matches the natural, and hence the risk of dislocation is almost eliminated. It is recommended when the bony destruction is advanced and hence unsuitable for resurfacing and total hip replacement would be overkill. The advantages of proximity are

* Suitable for minimally invasive surgery
* No thigh pain

* Metal on metal – confer longevity

* Compliance with the normal size eliminates the risk of

* Ability to correct biomechanical abnormalities than do the repaving.

* Gives a feeling more normal

* Allows a normal range of motion and normal activities

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Arthritis is a common disease that many people suffer. It is characterized by inflammation of the joints, and often accompanied by pain and redness of the affected area. Most cases of arthritis are osteoarthritis and rheumatoid arthritis. The former is generally the case, as an older person with the pain and swelling in an experience of the fingers, hips and knees. This is an adverse effect when the body’s own defense system fails.

There are several medications that have been developed to address the problems and painful symptoms of arthritis. One of the highly recommended and proved to be among the most effective drugs for arthritis is Lyprinol. Lyprinol is a pure oil extracted from the green-lipped mussel (GLM) of origin in New Zealand. The human body contains certain chemicals such as leukotrienes that are easily due to the allergic inflammation and other similar types of reactions to foods and other items. Lyprinol combination of omega-3 fatty acids and only found only on lipid GLMs is guaranteed to control the inflammation that penetrates the system. This necessarily involves the reduction of pain you feel in your joints and other affected parts of your body.

Lyprinol uses natural elements to combat inflammation in arthritis led to the attacks. In extreme cases, it prevents further damage to the body because of the excessive inflammatory responses. Instead of producing harmful fatty acids that exacerbates the process of inflammation, Lyprinol of omega-3 fatty acids deter further swelling as part of the body’s metabolism. Studies have been conducted with positive results, demonstrating the beneficial use of Lyprinol for people suffering from arthritis.

In Brief Gibson, a study by the Glasgow Homeopathic Hospital in Glasgow, United Kingdom, the power Lyprinol was tested. Lyprinol lipid extract stabilized GLM was compared with the raw material powder stabilized GLM to determine whether these were the main active components in the treatment of arthritis. It was concluded that both the lipid extract and powder form are very effective in the treatment of inflammation, stiffness and more importantly, in so much pain and rheumatoid arthritis. However, the liquid extract Lyprinol has a faster response than its powder.

Similar results have been made in White House Study entitled “Anti-inflammatory activity of a lipid fraction of the NZ green lipped mussel,” and the OTC study – “At the oral proceedings against arthritis and rheumatism: the degree of effective are they? ” The study showed the anti-inflammatory effect of Lyprinol Whitehouse in rats that were artificially induced with arthritis. OTC Lyprinol study ranked as one of the best remedies for arthritis with ibuprofen. These investigations emphasize the effectiveness of Lyprinol as a natural resource of arthritis.