When it comes to hip injuries, especially fractures, choosing the right surgical treatment can be overwhelming. Two common procedures, hip pinning and hip replacement, have different purposes. Understanding their differences is crucial for making an informed decision.
Therefore, whether you or a loved one is facing these two options, you must know what each procedure entails, who they are best suited for, and the long-term outcomes. This article breaks it down in the easiest way possible.
What is Hip Pinning?
Hip pinning, also known as internal fixation, is a surgical procedure to stabilise a fractured hip. Surgeons use metal screws, pins, or plates to hold the broken bones in place while they heal naturally.
The procedure is commonly recommended for patients with fractures where the bones are still properly aligned, younger individuals whose bones have a higher chance of healing successfully, and those who want to preserve their natural hip joint rather than replace it.
How Does It Work?
During hip pinning, the surgeon makes a small incision near the hip and inserts metal to secure the fractured bone. Because it is a minimally invasive surgery, recovery is typically quicker than a full hip replacement. Many patients gain mobility in a few weeks, but healing takes several months.
However, hip pinning is not foolproof. In some cases, especially with older patients, complications can occur, such as poor bone healing or the death of bone tissue due to a lack of blood supply. This could lead to another surgery.
What is Hip Replacement Surgery?
Hip replacement in Mumbai is a more extensive procedure that involves removing the damaged hip joint and replacing it with an artificial implant. It can be a total hip replacement, where both the ball and socket of the hip joint are replaced, or a partial hip replacement, where only the ball part of the joint is replaced.
This procedure is recommended for older patients whose bones may not heal well with pinning, people who have severe fractures like displaced femoral neck fractures, or individuals with chronic joint issues like osteoarthritis or vascular necrosis.
How Does It Work?
A hip replacement surgery in Mumbai involves making an incision to remove the damaged part of the hip joint and replacing it with artificial components. The new joint does not rely on natural bone healing; patients may experience less pain over time. However, hip replacements also have their challenge. The artificial joints may wear down, and the surgery might need to be revisited after 15 to 20 years. There is also a risk of dislocation, infection, or implant loosening.
Which One Is Right for You?
Deciding between a hip pinning and hip replacement depends on several factors, such as:
- Age and Activity Level: Younger patients with active lifestyles benefit better from hip pinning because it preserves the natural joint.
- Fracture Type: If the bone is well aligned, pinning is an option, but if it is severely broken or has been displaced, hip replacement surgery may be necessary.
- Bone Health: Osteoporosis or poor bone quality can reduce the success of pinning, which makes a replacement a better long-term option.
- Overall Health: Patients with chronic conditions may recover better from one procedure than the other. It all depends on each individual’s ability to heal quickly and handle surgery.
Conclusion
Hip pinning and hip replacement are both effective treatments. The success of each treatment depends on each patient’s specific situation. Hip pinning is great for preserving natural joints in younger individuals, while hip replacement is a better solution for older patients or those with severe fractures. Ultimately, consulting the best hip replacement surgeon in Mumbai is imperative. If you are unsure which procedure is right for you, be sure to connect with Dr. Niraj Vora.