Kac Para Yarismasi

Arthritis Diet and Exercises

(soft music) – Hips, like all joints, deteriorate for a number of reasons. Essentially that process
means that the cartilage wears down to where
bone is exposed on bone. And it can happen with
wear and tear arthritis, which we term osteoarthritis. Inflammatory diseases such as lupus, psoriatic arthritis, or
rheumatoid arthritis. Or it can happen after
accidents, which we term post traumatic arthritis. – Well early on we always
treat em with nonoperative measures first. So what people refer to
as conservative measures. And that consists of
the nonoperative things. So, use of anti-inflammatory medication. Maybe use of glucosamine and chondroitin sulfate. Those kinds of things that
you can buy over the counter. Activity modification. And then trying to get to and maintain the proper body weight. Sometimes that’s an
issue for some patients. So we’ll counsel them on weight reduction. But those are the main things that people can do initially to
try to prolong the life of their native joint,
until they get to the point where they just can’t stand it anymore. And then we start talking
about the surgical remedy. – Hip replacement becomes a
viable option for a patient, when their pain and activities
are modified greatly. When patients require pain
pills and walking aids during the day. When it affects their sleep at night. When they can’t participate
in the activities that they like, and that
correlates with their examination and significant X-ray changes. Then they may be a candidate to have a hip replacement procedure. When we operate on an
anterior type approach, there’s several things different than the traditional approach. The patients aren’t turned onto the side, but rather they’re supine or flat. Anesthesiologist tend
to prefer this approach. – Now we can come in from the front. Not take down any bone. Not take down any muscles
or tendon attachments. And basically go into the
joint, replace the joint, and then just close the capsule, and the fascia, and then the skin. Without having to reattach
any muscles and tendons. So it makes a huge difference
in the terms of the patients discomfort postoperatively, and how fast they progress. – We also use a special
table that allows us not only to place the
components very precisely, but it also allows for X-ray guidance. So that we can see what’s
happening inside the bone. This allows us to balance
the leg and make it match the opposite side, both for length as well as offset. This keeps even tension on the muscles. And along with not transecting the muscles is one of the reasons
for a more rapid recovery on the part of the patient. Hip replacement surgery
has been a viable option in this country, since 1969. And so there’s a vast amount of experience and there are many, many approaches. We feel that the anterior approach differs from the other approaches,
in that it doesn’t transect muscle or tendon. It allows for a much easier
recovery for the patient. – The advantages of the
patient are twofold. First is, just the fact that it is a easier procedure to recover from. So less immediate pain after surgery. And a much faster
recovery from the surgery. The second way that it’s
advantages to the patient is that we can do a better
job putting it in that way. In that with the use of
the intraoperative imaging we can do a better job of
positioning the prosthesis in the appropriate place. And do a better job of replicating their offset and their length. So the issue of limb length and equality after hip replacement really
goes away with this technique. In that it allows us to make sure, before we ever leave the operating room, that we have the offset
and the length correct. And I think that’s a huge
advantage for the patient as well. – [Narrator] For more
information about this physician. Or to schedule an appointment. Please call our referral line. Or visit NotBiggerJustBetterHealth.com.

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