Orthopedic Surgery in Tunisia
Hip Prosthesis

The total hip prosthesis is on the one hand the part which replaces the articulation of the basin and worn on the other hand the neck and the head of the femur. It includes the rod that is implanted in the femur and the other the neck and head that articulate with the femur. Young patients (- 65) will possess the acetabular articular surface of a ceramic that will be unsealed low wear rate.

 

Pre-operative examinations

You and your surgeon agree to the establishment of a hip prosthesis. It will therefore carry out reviews:

  • Blood Test
  • Consultation with a cardiologist
  • Infections Test:
    • Urinalysis
    • Dental panoramic radiography to have it checked by your dentist.
  • Consultation with the anesthetist provided with all your test results and the order of your ongoing treatment. This one you indicated the type of anesthesia best suited (general anesthesia or spinal anesthesia). It will organize to stop certain treatments that interact with coagulation.
  • Tell your surgeon if you want an outlet at home or in a convalescent home or rehabilitation
You heard the choice of hospitalization in a private room or double room.

Stay at the clinic

  • Home:
    • Entry into the clinic before surgery equipped with all the results and balance sheets preoperative radiological (X-rays, MRI scans ...), your card and your certificate of vital mutual. Also plan your business and toilets to put on simple clothes.
    • A whole team of nurses will welcome you and show you your room.
    • You will receive a visit from your surgeon and anesthesiologist.
    • The morning of surgery you take a shower with antiseptic and then you shall put on garments block. You will be given a premedication to reduce stress, then you will be taken to the operating room.
  • The operating room:
    • Introduction of the catheter by the anesthesiologist.
    • 15 to 20 cm incision posterior external.
    • Capsulotomy
    • Dislocation of the femoral head.
    • Cervical overlaps.
    • Implementation of the test piece
    • Implementation of the acetabulum and the femoral stem
    • Fixation of the prosthesis with or without cement
    • Fixation of the prosthesis with or without cement
    • Installation in the recovery room under the supervision of the anesthesiologist and nurses
    • Back in room 3 to 4 hours later.
  • Rehabilitation:
    • Management of pain
    • Antibiotics 48 hours
    • Sunrise the day after surgery with full support to the aid of two canes with the physiotherapist
    • Antithrombotic prevention to eliminate any risk of phlebitis
    • Rehabilitation with daily personalized learning movements to avoid
    • The output will be about 8 days later.

Post Operative

  • After surgery you will be offered:
    • return home if you are helped in everyday life
    • a stay in a convalescent home or rehabilitation of approximately 3 weeks
  • The son will be removed on the 15th day after surgery. Once you complete healing can take showers. Regular consultations with your surgeon control are essential even if everything seems normal:
    • the 15th day
    • the 30th or 45th day
    • 3 months, 6 months, 1 year and then every 5 years.
  • It takes a minimum of two months of rehabilitation at 3 to 5 sessions per week. Very quickly you will regain a normal walking without limping, without pain and regaining mobility.
  • The resumption of conduct may be regarded as appropriate for the second month following the intervention. Some non-violent sports are allowed, such as walking, cycling, gymnastics.

Representative diagram of the hip prosthesis

Orthopedic surgery in Tunisia - Hip prosthesis
The hip before procedure
Orthopedic surgery in Tunisia - Hip prosthesis
The hip after procedure

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