Anaesthesia for Total Hip Replacement Surgery

Abstract: Joint replacement is a common surgical procedure with a high success rate. Total hip replacement (THR) involves

Dislocation and removal of the femoral head.

• Reaming of the acetabulum and insertion of a prosthetic plastic or ceramic acetabular cup.

Reaming of the femur with insertion of a femoral component (metal or ceramic femoral head, and metal stem) into the femoral shaft (with or without cement). Metals used include stainless steel, alloys of cobalt and chrome, and titanium. Wear-resistant polyethylene (plastic) is used for socket replacement. Bone cement (with or without antibiotics) may be used to anchor the prosthesis into the bone. Joint replacements implanted without cement are designed to fit and lock into the bone directly.

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