Hip and Pelvis Reconstruction in Dubai
The hip or pelvic injuries can be complicated. The pelvic bone can suffer serious injury or fracture due to osteoarthritis, osteoporosis, or accident. The hip and pelvis reconstruction in Dubai aims to reduce damage and repair minor fractures to restore hip functionality. In cases of fractures, bone degeneration, or severe osteoarthritis, Dr. Sabri recommends hip and pelvis replacement to restore pelvic functions.
He prescribes detailed diagnoses of the hip and pelvis to analyze their anatomical condition and recommend the best treatment course. Surgery is planned while minding the patient’s health, complexity, age, and previous surgeries in mind.
Depending on the severity of the injury, the type of surgery is chosen. There are two main types of hip and pelvic reconstruction surgeries: Fixation surgery or hip replacement.
Hip Reconstruction: Reduction, Resurfacing, and Fixation surgery
For treating mild hip osteoarthritis, these are some options for hip and pelvis reconstruction in Dubai.
Arthroscopy is a minimally invasive procedure in which the hip is repaired through a small key-hole incision. The surgeon will view the real-time images of hip anatomy via an arthroscope and repair the joints accordingly.
Swollen bones can become constricted and cause mobility issues. In resurfacing, the acetabulum socket and femoral head – two important parts of the hip joint, are resurfaced so that the femoral head fits and moves smoothly into the acetabulum.
Cartilage is the soft tissue covering joint surfaces to protect and nourish the joints. The hip joint is shrouded with synovial tissue and cartilage that helps the femoral head move smoothly. But drying or wearing synovial tissue causes friction in joint components and eventually mobility issues. Cartilage transplant is performed to resolve such hip mobility issues.
Stress fractures and fractures are treated with other surgical approaches that include reduction and fixation. A broken bone in the hip needs to be assembled and kept in place with reduction and fixation. In reduction, the bone fragments are assembled and placed together, while in fixation, they are joined with bone cement, screws, and wire to remain in place while the bone grows naturally.
If the bone fracture is fatal (in case of an accident) such that the bones are displaced or have torn through the skin, open surgery is preferred for reduction and fixation procedures. Contrary to minimally invasive surgeries, open surgeries involve bigger incisions to access the entire damaged part directly.
Partial or Total Hip Replacement
If the above reconstruction procedures cannot resolve the hip and pelvis injury or fracture, Dr. Sabri recommends partial or total hip replacement surgeries.
Partial hip replacement
The hip joint comprises the femur head and acetabulum socket(part of the pelvis bone). The partial hip replacement replaces only the femoral, damaged, or swollen head and resurfaces the acetabulum cavity instead of replacing the entire hip joint with prosthetics.
Dr. Sabri reaches the damaged hip joint laterally through one or two key-hole incisions. He performs the partial hip replacement while viewing the internal hip joint on live feed via arthroscopy. The femoral head is removed in surgery, and a prosthetic head is press-fit or cemented in the femur stem. On the other hand, the rough inner side of the acetabulum is resurfaced to acclimatize the prosthetic femur.
Once the components are assembled, their stability and mobility are checked, the incision is closed.
It is recommended for patients with progressing osteoarthritis, jammed joint, or fractured femoral component. If an acetabular fracture can be resolved with bone cement filling, the surgeon reconstructs the fracture accordingly.
Total hip replacement or Arthroplasty
Dr. Sabri recommends total hip replacement surgery also known as Hip Arthroplasty. The surgery changes the entire hip joint and replaces it with a long-lasting prosthetic joint. The artificial hip joint prothesis comprises two components: the femoral component and the acetabular component.
The femur head is replaced with a prosthetic head and drilled in the femur stem, while the acetabulum is resurfaced and fixed with hollow metal or ceramic shell. A liner is placed on the shell, which allows the femoral head to dock and rotate smoothly in the acetabular component without friction.
Once the components are ready, they are assorted into the joint, and their functionality and stability are checked. Finally, the incisions are closed.
As soon as you are able to stand and walk alone, you will be allowed to go home. Dr. Sabri will recommend seeking help from a physiotherapist to expedite the rehabilitation of hip joints. He will also prescribe pain medications to manage post-surgery pain.
In a month, you shall be able to walk unassisted and resume walking. However, you must be careful to not bend past 90°, as it will pressurize the prosthetic joints.
Hip and pelvic reconstruction is a complex surgery, and minor surgical differences can lead to significant changes in the long-term results.
Dr. Sabri is a highly qualified and experienced consultant surgeon in trauma and orthopedics and has vast experience in devising pelvic and acetabular surgeries, including hip reconstruction and arthroplasty. So, if you are seeking hip and pelvis reconstruction in Dubai, consult him to know his expert opinion in your case.