Total Hip Replacement

Total Hip Replacement


Hip Replacement Surgery in India - Best Doctors, Top Hospitals & Cost

Total hip replacement surgery is a procedure in which a doctor surgically removes a painful hip joint with arthritis and replaces it with an artificial joint often made from metal and plastic components. Arthritis caused in the hip joint is because either the socket of the hip or the thighbone is injured or becomes diseased. This leads to heavy pain, difficulty in walking and trouble completing everyday tasks. Hip replacement surgery is often adopted when other methods of treatment to have failed and the pain still persists. Post your hip replacement surgery, the pain at the hip joint is relieved, making your move smoother.

What is a Hip Replacement Surgery?

Walking and getting in and out of chairs may be excruciatingly painful and difficult if your hip has been injured by osteoarthritis, a fracture, or one of the many other disorders that can cause hip injury. Wearing shoes and socks might be difficult if your hip is tight. Even if you're lying down, you may find it difficult to relax because of the hip injury.

You may want to consider getting a total hip replacement surgery if using the medicine, making adjustments to how you usually do things, and using walking aids like canes or crutches aren't cutting it for you in terms of relieving your pain and symptoms. You can relieve your discomfort, improve your range of motion, and return to the things you love to do with a hip replacement surgery procedure.

The total hip replacement surgery is among the most effective procedures ever performed in medicine. Improved joint replacement surgical procedures and technology dating back to the early 1960s have made total hip replacement far more successful than it was. The Healthcare Research and Quality Agency reported that more than 450,000 total hip replacements are done in the United States each year.

Who needs a Hip Replacement Surgery?

People between the age of 50 and 80 are the most common ones to get a hip replacement surgery done. The total hip replacement surgery is usually carried out to treat arthritis caused at the hip joint.

Arthritis is a disorder that is responsible for breaks the cushion between the bones, known as Cartilage. Without cartilage, when the bones rub against each other, severe friction is caused leading to heavy pain between the joints.

What Conditions Does a Hip Replacement Surgery Treat?

A hip replacement surgery is mainly used to treat three types of arthritis:

  • Rheumatoid Arthritis: A chronic inflammatory disorder affecting many joints, including those in the hands and feet.
  • Osteoarthritis: A type of arthritis that occurs when flexible tissue at the ends of bones wears down.
  • Traumatic Arthritis: Damage to the joint caused by an injury or trauma

Initially, doctors prescribe and resort to several methods to treat arthritis. This may include the use of walkers, physiotherapy, and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. If your arthritis does not respond to such medical measures, getting a hip replacement surgery may seem like the best solution. However, Hip replacement surgery can also be used to treat several other health conditions.

  • Hip Replacement Surgery is performed on a patient if a tumour develops in the hip joint
  • In the case of emergency, Hip replacement may also be used to amend a fracture in the hip joint or the thighbone
  • A condition called avascular necrosis of the hip often requires a total hip replacement

Components of the New Hip

The replacement hip that would be planted in place of your old hip is made up of four components:

  • A metal socket
  • A liner to help the ball move easily within the socket
  • A metal or ceramic ball to replace the femoral head
  • A metal rod used to stabilize the thigh bone to which the ball is attached.

For joint prosthesis, you may be offered several options from your doctor:

Un-cemented Joint Prosthesis:

Most doctors go for and highly recommend un-cemented joint prosthesis. This procedure allows your bone to grow into the prosthesis over time. This kind of prosthesis may take longer than usual to stick to the bone and hence the recovery time is also longer.

Cemented Prosthesis:

On the other hand, a cemented prosthesis is attached to the hip with bone cement for quick attachment. This is a better option for adults especially the older ones (who are not very active)as this is quicker.

Muscle sparing hip replacement:

This procedure is generally performed through anterior or posterior, which spares cuts through the muscles, thereby reducing pain and recovery time.

Best Hip Replacement Surgeons in India

The total hip replacement surgery cost may vary across the world. Where countries like USA, UK, Canada may provide surgeries at expensive costs, countries like India are more cost-effective and affordable for getting hip replacement surgery with the same quality and brand. India is now a preferred medical destination for a lot of medical travelers for treatment of quite a few specialties like dental, orthopedics, IVF etc.

CureIndia is a platform that bridges the gap between medical tourists seeking treatment in India and the state of the hospitals in India. It helps you choose the right doctor for your medical treatment. Most of the doctors in our associated hip replacement hospitals have been internationally trained and are active members of many international medical councils and associations. Let's hear from some of the best hip replacement surgeons in India.

1. Dr. Manoj Miglani

2. Dr. Nitiraj Oberoi

3) Dr. Debashish Chanda

4) Dr. Mandeep Singh

 

What is the Hip Replacement Surgery Cost in India?

Every year, many people from African nations like Tanzania, Nigeria, and Kenya visit India for Hip Replacement Surgery. The low cost of stay and traveling, premium treatment services, cheaper medicines, and the low cost of Hip Replacement Surgery in India make it a hub for global patients to get treatment done in this country. Indian surgeons provide the Anterior approach, Posterior approach, and Lateral approach to the Hip Replacement Surgery. The modern innovations like Robotic –Assisted Hip Replacement Surgery is also available in India. The average total cost of hip replacement surgery in India is mentioned below.

Treatment Cost in India Stay in India
Unilateral Hip Replacement Surgery in India 4500 USD 5-7 Days
Bilateral Hip Replacement Surgery in India 9000 USD 7-8 Days

Types of Hip Replacement

There mainly two types of Hip Replacement Procedure: Unilateral Hip Replacement and Bilateral Hip Replacement Surgery. They are illustrated below:

Unilateral Hip Replacement

In the case of unilateral hip joint replacement surgery, artificial parts are used in place of diseased hip joint parts of just one hip. This type of treatment is required at the last stage of degenerative hip disease.

Bilateral Hip Replacement

In the case of highly diseased hips, the patient may need to get both his hips replaced. The Bilateral hip replacement surgery is then performed which replaces both hips during a single surgery. Bilateral hip replacement is performed by one team doing one hip surgery after the other. The operation is done under a single anaesthetic and takes two to three hours to complete.

The various precautions that one must take before and after undergoing Hip Replacement Surgery are:

Before The Surgery:

  1. Indulge in mild physical activities like walking even if it’s for 10 to 20 minutes.
  2. Lose extra body weight as this can hinder the healing procedure.
  3. Abstain from smoking and drinking.
  4. Take all the prescribed medications religiously.
  5. Inform the doctor about current medication.
  6. Avoid eating heavy meals a day before the surgery, as it can lead to nausea and vomiting.

After The Surgery:

  1. Avoid putting unnecessary strain on the affected joint by lifting heavy objects
  2. Do not indulge in rigorous physical activities
  3. Avoid bending hip for any other reason
  4. Abstain from indulging in sexual activities
  5. Inform the doctor while experiencing any discomfort.
  6. Do not perform any exercise without consulting a physiotherapist
  7. Keep the wound sterilised and covered, to avoid exposure to infections.

Hip Replacement Surgery Recovery

After your hip replacement surgery, you will be staying in the hospital for about 3-5 days. Full recovery from a hip joint replacement surgery takes about three to six months. A cemented joint prosthesis has the longest recovery time. To ensure a smooth recovery post your hip replacement surgery, you will need to:

  • Have someone help you most of the times during the first few weeks
  • Get regular therapy sessions.
  • Make some changes at home, such as getting a raised toilet seat if you have a usually low toilet
  • Have someone pick you and drop you to places so that you don't cause too much movement immediately post your Hip Replacement Surgery.

When Can You Walk after Hip Replacement?

To ensure a good total hip replacement recovery, adhere to these guidelines.

  • Engage in regular physical activity.
  • Recovery from an illness or injury requires regular physical activity. Healthy exercise should be a part of your rehabilitation plan as soon as mild exertion is tolerated. Moderate exercise, such as walking and gentle housework, is also suggested.
  • Most patients can return to their daily routines within the first three to six weeks following total hip replacement recovery.
  • Diet and weight should be taken into consideration.
  • Your new hip prosthesis may experience increased wear and tear due to excess weight, raising the risk of complications.
  • Your ability to recover faster from surgery and extend your prosthesis's useful life may be aided by keeping your weight at a healthy level before and after the procedure. Maintaining a well-balanced diet is also essential throughout your rehabilitation.
  • Exercising to Improve Blood Circulation.

Hip Replacement Surgery Risks

The risks and complications that arise due to Hip Replacement Surgery are not very serious. As a matter of fact, most complications arise when as a patient, you're not taken proper care of post your Hip Replacement Surgery. The risks of getting Hip Replacement Surgery are:

  • Infection
  • Joint Dislocation
  • Loosening
  • Change in leg length
  • Hip stiffness
  • Increased pain
  • Inflammation and swelling
  • Allergic reaction to medications

When is a replacement for the hip necessary?

Surgery to replace the hip joint is often required when the hip joint has been worn or injured, causing the patient to experience discomfort even when they are at rest. This results in a reduction in the patient's mobility. Osteoarthritis is a condition that is treated via hip replacement surgery more often than any other cause. Other conditions that might lead to injury to the hip joint include the following:

  • Arthritis with rheumatoid features
  • Arthritis caused by infection.
  • Fracture of the hip
  • Conditions that result in abnormal development of the bones (bone dysplasias).

How long does a Hip Replacement Surgery take?

A total hip replacement usually takes an hour and a half to do surgically. Most patients also need an overnight stay in a medical facility for observation after surgery, typically lasting between one and two days.

Bottom line

Three months following a hip replacement, most patients have fully recovered and are back to their pre-surgery levels. First-year results are often better than they were before surgery. The novel hip joint has the potential to alleviate hip discomfort while also expanding the hip range of motion. However, you should not anticipate being able to accomplish all you can before the hip discomfort sets in. The artificial joint may not be able to handle high-impact activities like jogging or playing basketball. Diving, golfing, and bicycling are all low-impact sports that most individuals may resume over time.

Hip Replacement Surgery FAQs

After a hip replacement, how long should I expect to be out of commission?

Hip replacement recovery may take anywhere from two to four weeks, although each patient's recovery time is unique. It depends on several aspects, such as your age, diet, any previous illnesses you may have, and other parts of your health and lifestyle, such as how energetic you were before your operation.

After having hip surgery, how long will you need to use a walker?

2 to 4 weeks following surgery, you'll likely require a walking stick or crutches to get about. Using a cane may be recommended after you stop using crutches.

Before and after surgery, what is restricted?

At the very least, you should refrain from crossing your legs at the knees for the next six to eight weeks. Do not raise your knee over your hip. Ensure you don't hunch forward when sitting or putting your feet on the floor. When seated, don't reach down to pick anything off the floor.

After a hip replacement, are you able to ascend the stairs?

After the procedure and throughout the first few stages of your recovery, you will require assistance going up or down stairs. This might be in the shape of a cane or handrails on the staircase. Railings or bannisters on your stairwell should come standard on your property.

After having a hip replacement, is it necessary to use a shower chair?

If you've had a hip replacement, you should have someone assist you in washing and drying your feet since you can't bend your hips beyond a 90-degree angle. For the first six weeks, you may only take a shower; no bathing is permitted.

What is the success rate of hip replacement surgery?

This surgery works very well; over 95% of people with it feel less hip pain. After ten years, 90–95% of hip replacements are still working, and 80–85% are still working after 20 years.

How to maintain an artificial hip joint?

You must be careful how you move your hip during the initial few months after hip replacement surgery. You'll need to learn some exercises to strengthen your new hip. Additionally, you shouldn't go downhill skiing or play contact sports like football or soccer after surgery. You should be able to do low-impact things like gardening, hiking, swimming, tennis, and golf.

What are the risks of hip replacement surgery?

Although hip replacement surgery is not considered a high-risk treatment, there are chances of problems with every major operation. Blood clots are one of the most prevalent risks associated with hip replacement surgery. They are frequently observed in the legs (deep vein thrombosis) or lungs (Pulmonary embolus).

How long does hip replacement surgery take?

The surgery can be finished in about two hours. To do a hip replacement, the surgeon cuts through the layers of tissue over the hip. It removes diseased and broken bones and cartilage while leaving healthy bones alone.

What are the exercises for the treatment of pelvic osteoarthritis?

People with osteoarthritis can benefit from exercises like walking, swimming, biking, yoga, and water aerobics. Because water is warm and buoyant, it is a great place to work out. It's a gentle way to work out joints and muscles, and it also helps build muscle strength by acting as resistance.

What is the herbal treatment of pelvic osteoarthritis?

Several herbal treatments are now being recommended for the treatment of arthritis. Some include feverfew, devil's claw, ginger, fever turmeric, Boswellia serrata, and willow bark extract.

What are the benefits of Physiotherapy for the hip joint?

Physiotherapy is a big part of taking care of people with osteoarthritis of the hip. The goal is to get stronger, move better, and have a broader range of motion. In addition to alleviating pain, physiotherapy helps restore hip and leg mobility. It also focuses on pain management and making functional adaptations.