Hip Replacement Surgery | All You Need to Know About Hip Replacement Surgery

Contraindications of hip replacement surgery

The choice of patients that are candidate to the hip arthroplasty is particularly important. Some situations and conditions may interfere with the success of the surgery. so, there are a few contraindications for a patient to undergo a hip arthroplasty surgery such as:

Infection: the infection is one of the most important contraindications for hip arthroplasties, and any patient with ongoing infection is an absolute contraindication to the surgery.

Smoking: heavy smoking results in increasing the risk of post-surgical complications in hip replacement surgery. In a study by Kapedia et al. founded that smoker who underwent total hip arthroplasty surgery have more post-surgical complications than non-smokers. In the same study, they founded that, smokers were more likely to undergo a revisit surgery than non-smokers. All patients that may undergo a hip arthroplasty surgery are advised to stop smoking before the surgery.

Osteoporosis: it is a medical condition that results in fragile and weak bones and raises the patient’s risk to break a bone. In a study by Botti et al. to study the role of bone metabolism effect on patients with osteoporosis who undergo a hip arthroplasty surgery. At the end of the study, they founded that mild cases of osteoporosis can undergo the surgery after proper assessment and evaluation of their condition, while more severe cases may benefit from delaying the procedure and pursuit in osteoporosis medical treatment first. In the same study they founded that, bisphosphonates can improve post-surgical outcome. Patients with osteoporosis have multiple complications in case of undergoing hip arthroplasty surgery, these complications include:

    • A fracture that may happen before the scheduled surgery
    • Increase the risk of intra-operative fracture
    • Osteoporosis may cause post-operative loosening of the joint

Miscellaneous: other contraindications include chronic alcoholism, severe cases of vascular insufficiency, and patients with poor mental state as in Alzheimer, and dementia.