total hip replacement

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Posted - 04/22/2008 :  16:50:13  Show Profile  Reply with Quote
Our user asked: "my question to you is what happens to the joint capsule of the hip post surgical intervention? is it lost forever, does it regenarate to cover the prosthesis, is it even cut during the surgegy? what happens to the JOINT CAPSULE??!!"
Ask a PT Response: "During a total hip replacement (posterolateral approach) the surgeon makes an incision (usually a T-shaped or V-shaped incision) at the joint capsule so that the femoral neck can be exposed. This allows the surgeon to have access for the replacement of the femoral head. At the end of the surgery, the surgeon repairs the capsule using nonabsorbable sutures or 0-vicryl. To answer your question, the hip joint capsule is usually preserved with a total hip replacement and over time heals where the incision site occurs. The only ligament in the hip which is excised is the ligamentum teres femoris, as this ligament does not contribute to the integrity of the joint or control movements there. I hope this answers your question. Thanks for using CyberPT."

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Ask a PT Members Profile Send Private Message Find Members Posts Add to Buddy List Senior Member Joined: Jul 07 2008 Status: Offline Points: 954	Post Options Post Reply Quote Ask a PT Report Post Thanks(0) Quote Reply Topic: total hip replacement Posted: Jul 08 2008 at 5:55pm
	Ask a PT 156 Posts Posted - 04/22/2008 : 16:50:13 Show Profile Reply with Quote Our user asked: "my question to you is what happens to the joint capsule of the hip post surgical intervention? is it lost forever, does it regenarate to cover the prosthesis, is it even cut during the surgegy? what happens to the JOINT CAPSULE??!!" Ask a PT Response: "During a total hip replacement (posterolateral approach) the surgeon makes an incision (usually a T-shaped or V-shaped incision) at the joint capsule so that the femoral neck can be exposed. This allows the surgeon to have access for the replacement of the femoral head. At the end of the surgery, the surgeon repairs the capsule using nonabsorbable sutures or 0-vicryl. To answer your question, the hip joint capsule is usually preserved with a total hip replacement and over time heals where the incision site occurs. The only ligament in the hip which is excised is the ligamentum teres femoris, as this ligament does not contribute to the integrity of the joint or control movements there. I hope this answers your question. Thanks for using CyberPT."

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