Total Hip Replacement

Total Hip Replacement


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

The African continent has several barriers to health care, namely, poor physical health infrastructure, scarcity of health facilities and huge amounts of waiting time. Every year, many Africans cannot afford appropriate and on-time treatment for diseases such as severe hip joint pain or arthritis. This is why they started seeking medical facilities in other countries such as India, Thailand, and Singapore.

India has become popular for a total hip replacement operation because of the affordable operation costs and professional surgeons. If we compare with the rates in the Western world, the total hip surgery cost in India is even less than 20% cost of surgeries conducted in developed countries. However, the hip replacement surgery cost in Indian hospitals is much lower compared to the same in developed countries, while the hospitals have experienced surgeons and technological facilities. Also, in modern India, there are many advanced, minimally invasive techniques for total hip surgery and accessible custom treatments. Also, high success rates are achieved by India for such operations, which frequently range between 70-80 per cent. Thus, the patients can come with confidence in order to get an excellent outcome of the hip joint replacement surgery.

Also, the quality of Indian medical tourism includes facilities for travel accommodation and recovery after the operation. Thus, it creates a consistent, warrantied, and less expensive trip for those patients coming from Africa. The hip joint replacement surgery in India aims to correct mobility disorders and improve the patient’s quality of life.

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.

Total hip replacement is a procedure in which a physician operates to remove a damaged hip joint suffering from arthritis and implants an artificial joint usually consisting of a metal and a plastic part. Arthritis is caused in the hip joint either because the surface of the hip socket or the head of the thighbone has been damaged. This causes heavy pain, and the patient has difficulty walking or even performing next-to-impossible tasks throughout the day. In most cases, hip joint replacement surgery is used when other methods aren’t effective and the pain is still present. After you replace your hip, the pain during movement of your hip joint is eliminated, and so you move more easily.

Hip Replacement Surgery in India

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 total hip replacement surgery procedure.

Total Hip Replacement Operation in India

The total hip replacement operation in India 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.

These days, the total hip replacement operation in India is done using the latest equipment, and advanced technology and by the best doctors at the most affordable rates. The total hip replacement operation in India is preferred worldwide for its efficiency, good quality and low costs.

Who Needs a Hip Replacement Surgery?

Hip replacement surgery is usually recommended when hip pain becomes severe and starts affecting daily activities. Common candidates for this surgery are adults over 50 years old who experience chronic pain in the hip joints. If non-surgical treatments, like physiotherapy or using walking aids, do not provide relief, hip joint replacement surgery may be necessary.

Several symptoms indicate the need for surgery. Pain in the hip after exercise or physical activity is a major warning sign, especially if it persists despite taking pain relievers. Nighttime pain that disrupts sleep also suggests worsening hip issues. Stiffness in the joints causes hardness to bend or complete daily tasks. Additionally, difficulty walking even short distances is a reason to consult an orthopaedic specialist.

Hip replacement surgery helps restore mobility and reduces pain. If left untreated, severe hip problems can worsen over time. A timely consultation with a doctor is essential to determine if surgery is the best solution.

People between the ages of 50 and 80 are the most common ones to get 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 breaking 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 total 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.

What are the Components of the Replaced Hip?

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

Components of Hip Replacement Implant

  • 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 is used to stabilize the thigh bone to which the ball is attached.

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

What are the Components of Hip Replacement Implant?

Un-cemented Joint Prosthesis:

Most doctors go for and highly recommend un-cemented joint prostheses. 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 hip replacement procedure is generally performed through the 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 the USA, UK, and 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 the treatment of quite a few specialities like dental, orthopaedics, and IVF treatments in India.

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 hip replacement surgery in India. Most of the doctors in the top hip replacement hospitals in India 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

Dr. Manoj Miglani - Best Pediatric Orthopedic and Spine Surgeon in India

2. Dr. Nitiraj Oberoi

Dr. Nitiraj Oberoi - Spine and Joint Replacement Surgeon in India

3. Dr. Debashish Chanda

Dr. Debasish Chanda - Joint Replacement Surgeon in India

4. Dr. Ashok Rajgopa

Dr. Ashok Rajgopal - Hip Replacement Doctor in India

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 travelling, premium treatment services, cheaper medicines, and the low hip replacement surgery cost 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 hip replacement surgery. Modern innovations like Robotic –robotic-assisted hip replacement surgery are 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 $4,500 5-7 Days
Bilateral Hip Replacement Surgery in India $9,000 7-8 Days

What is the Robotic Hip Replacement Surgery in India?

Robotic total hip replacement surgery is the most recent medical development in the field of orthopaedic surgery. The technique replaces the injured hip with an artificial one with the help of a robot. It uses robotic technology with traditional surgical technique to improve precision, accuracy, and surgical outcomes.

In a robotic-assisted hip replacement, a robotic arm assists the surgeon in planning and performing the surgery with excellent accuracy. The surgeon remains in charge, but the robotic arm gives direction and real-time data during the procedure. This improves implant insertion precision and saves recovery time.

1. Stryker MAKO

The Stryker MAKO is a popular robotic system in India for hip replacements. It employs preoperative CT scans and a robotic arm to plan and carry out the surgery with high precision. MAKO provides a more predictable hip replacement procedure, with accurate implant placement and precision. This robotic device offers surgeons real-time data and feedback to help them improve surgical outcomes and recuperation times.

2. CUVIS by Meril

The advanced robotic-assisted surgery system created by Meril Life Sciences is India's first completely automated robotic joint replacement system. It gives a surgeon real-time 3D visualisation for pre-planning the surgery based on the patient's anatomy, followed by accurate cutting for the best surgical results. The technique makes use of modern motion-tracking technologies to improve accuracy and make sure that the procedure goes by smoothly.

What are the Types of Hip Replacement Surgery in India?

Hip replacement surgeries can be classified in various ways. Basically, it depends on the area of the hip joint addressed, the type of surgical procedure that was used, and the degree of surgical intrusiveness. The human hip joint consists of two main parts: the ball, which is found on the head of the femur, and the socket, which is a part of the acetabulum. Severely damaged hips require a complete total hip replacement procedure. During this operation, both the ball and the socket are replaced. However, during partial hip replacement, only the ball is replaced. These hip surgery types are performed to return movement to the joint and decrease pain.

There are also different surgical methods of reaching the hip joint. The anterior method to the hip is done from the front of the area of the joint. Also, it is a minimally invasive procedure and less invasive leading to a shorter time required for the reconstruction. The lateral surgery has access to the lateral part of the hip, is also less invasive, and does not involve the use of arteries. The posterior method, or conventional total hip arthroplasty, involves the operation on the posterior part of the hip and is a choice for many due to its safety. It can be used in complex cases and those when secondary surgery is needed. In this surgical process, the surgeons divide hip muscles to get access to the body part, which results in a long recovery period. Knowledge of various hip surgery types helps the patient to consult with the orthopaedic surgeon and make correct decisions for the different circumstances of the patient.

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

Unilateral Hip Replacement Surgery

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 Surgery

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 the total hip replacement surgery are:

Before the total hip replacement operation:

  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 your doctor about the current medication.
  6. Avoid eating heavy meals a day before the surgery, as it can lead to nausea and vomiting.

After the total hip replacement operation:

  1. Avoid putting unnecessary strain on the affected joint by lifting heavy objects
  2. Do not indulge in rigorous physical activities
  3. Avoid bending your 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.

How is the Total Hip Replacement Operation Recovery?

After your total hip replacement operation, 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 time 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 up and drop you off at places so that you don't cause too much movement immediately post your Hip Replacement Surgery.

When Can You Walk After the Hip Replacement Surgery?

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 can help improve blood circulation and promote faster healing.

When Does a Hip Replacement Become Necessary?

The hip replacement surgery 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 a hip joint injury 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.

Three months following a hip replacement, most patients are usually 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 the total hip replacement operation, 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 total hip replacement operation 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 hip replacement surgery, 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 total hip replacement operation works very well; over 95% of people having undergone the procedure reported feeling hip pain that is less. After ten years, 90–95% of hip replacements are reported to be still working, and 80–85% to still be working after 20 years.

How to maintain an artificial hip joint?

You must be careful about 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 hip replacement 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 doing 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 plays a big part in taking care of people with hip osteoarthritis. 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.