A. The average cost of hip replacement Surgery in India starts from USD 5500-USD 11000. depends on your medical condition, hospital location and surgeon experience. also which company implant is used.
Hip Replacement is surgical procedure, where your surgeons will replace damaged hip joint with artificial implant made up of Metal, Ceramic and polyethylene. The Ceramic is the best implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement surgery may be a choice after a hip fracture or for severe pain because of arthritis. This artificial joint (prosthesis) helps reduce pain and improve function.
Also called total hip arthroplasty, hip replacement surgery might be an option for you if your hip pain interferes with daily activities and nonsurgical treatments haven’t helped or are no longer effective. Arthritis damage is the most common reason to need hip replacement.
Conditions that can damage the hip joint, sometimes making hip replacement surgery necessary, include:
1. Osteoarthritis. Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.
2. Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode cartilage and occasionally underlying bone, resulting in damaged and deformed joints.
3. Osteonecrosis. If there isn’t enough blood supplied to the ball portion of the hip joint, such as might result from a dislocation or fracture, the bone might collapse and deform.
The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged. It also helps relieve hip pain that can’t be controlled by other treatments.
A traditional hip replacement involves an incision several inches long over the hip joint. A newer approach uses 1 or 2 smaller incisions to do the surgery. This is called minimally invasive hip replacement. But the minimally invasive procedure is not suited for all people who need a hip replacement. Your surgeon will figure out the best procedure for you.
During minimally invasive total hip replacement Surgery, your surgeon makes an incision to access your hip bone and thigh bone. Next, the surgeon removes the damaged femoral head and replaces it with a smooth metal stem that attaches to the rest of the thigh bone. Your surgeon also removes the damaged bone and cartilage within the socket of the hip bone, replacing it with a metal shell. Then the new femoral head can move inside the new smooth socket of the hip bone.
Minimally invasive total hip replacement often takes place under spinal or general anesthesia.
Computer assisted orthopaedic surgery (CAOS) is a surgical technology that assists surgeons through creation and display of images showing the replacement components in their relationships to the bones and ligaments of the joint being replaced. CAOS is also called Imaged Guided Surgery or Surgical Navigation. CAOS has two basic components:
1. A special camera designed to see the surgical joint and limb and create a picture or image of the hip or knee
2. Computer programs which integrate these images with surgical information and assist the surgeon during the operation
1. Cemented Prosthesis:- A cemented joint prosthesis uses fast-drying bone cement to help affix it to the bone.
2. Uncemented Prosthesis:- A cement less joint prosthesis, sometimes called a press-fit prosthesis, is specially textured to allow the bone to grow onto it and adhere to it over time.
Doctor recommends hip replacement only when the other treatment options have failed as this is the last resort to help a person suffering from hip pain for long.
Relief from pain is the greatest benefit and the major reason for hip replacement surgery. The procedure offers other benefits, such as:
Improved movement, strength and coordination of the torso and leg.
The ability to walk, climb stairs and maintain an active lifestyle in greater comfort.
Blood clots. Clots can form in your leg veins after surgery. This can be dangerous because a piece of a clot can break off and travel to your lung, heart or, rarely, your brain. Your doctor may prescribe blood-thinning medications to reduce this risk.
Infection. Infections can occur at the site of your incision and in the deeper tissue near your new hip. Most infections are treated with antibiotics, but a major infection near your prosthesis might require surgery to remove and replace the prosthesis.
Fracture. During surgery, healthy portions of your hip joint might fracture. Sometimes the fractures are small enough to heal on their own, but larger fractures might need to be stabilized with wires, screws, and possibly a metal plate or bone grafts.
Dislocation. Certain positions can cause the ball of your new joint to come out of the socket, particularly in the first few months after surgery. If the hip dislocates, your doctor might fit you with a brace to keep the hip in the correct position. If your hip keeps dislocating, surgery is often required to stabilize it.
Loosening. Although this complication is rare with newer implants, your new joint might not become solidly fixed to your bone or might loosen over time, causing pain in your hip. Surgery might be needed to fix the problem.
Change in leg length. Your surgeon takes steps to avoid the problem, but occasionally a new hip makes one leg longer or shorter than the other. Sometimes this is caused by a contracture of muscles around the hip. In this case, progressively strengthening and stretching those muscles might help. You’re not likely to notice, small differences in leg length after a few months.
Nerve damage. Rarely, nerves in the area where the implant is placed can be injured. Nerve damage can cause numbness, weakness and pain..
Your Surgeon will explain the Hip Replacement procedure to you.
You may be asked to sign a consent form that gives your permission to do the procedure.
Your surgeon may do a physical exam to make sure that your health condition is good before having the surgery. You may have blood tests, X-ray, CT scan and MRI Scan etc.
Inform your surgeon, if you are sensitive to or are allergic to any medicines, latex, tape, and anesthesia (both local and general).
Inform your surgeon about all the medicines you are taking. This includes prescription and over-the-counter medicines, and herbal supplements.
Inform your surgeon if you have a history of bleeding disorders or if you are taking any blood-thinners (anticoagulants), aspirin, or other medicines that affect blood clotting. You may need to stop taking these medicines before the surgery.
Tell your surgeon, if you are pregnant or think you may be pregnant.
You may meet with a physical therapist before your surgery to talk about rehabilitation.
If you smoke, stop before your surgery. Smoking can delay wound healing and slow down the recovery period.
Lose weight if you need to.
Based on your health condition, your Surgeon may order other specific tests or exams.
Insure that you will not eat and drink from midnight of day before surgery
Hip replacement usually requires a stay in a hospital. Procedures may vary depending on your condition and your surgeon practices.
Hip replacement surgery is done while you are asleep under general anesthesia or sedated under spinal anesthesia. Your anesthesiologist will discuss this with you before the surgery.
Generally, hip replacement surgery follows this process:
1. You will be asked to remove clothing and will be given a gown to wear.
2. An IV (intravenous) line may be started in your arm or hand.
3. You will be positioned on the operating table.
4. A urinary catheter may be inserted after you are asleep.
5. The anesthesiologist will watch your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
6. The skin over the surgical site will be cleaned with an antiseptic solution.
7. The surgeon will make an incision in the hip area.
8. Your surgeon will remove the damaged parts of the hip joint and replace them with the prosthesis. The hip prosthesis is made up of a stem that goes into the thighbone (femur), the head joint (ball) that fits into the stem, and a cup that is inserted into the socket of the hip joint. The stem and cup are made of metal.
9. The incision will be closed with stitches or surgical staples.
10. A drain may be placed in the incision site to remove the fluid.
11. A sterile bandage or dressing will be put on the site.
After the surgery, you will be shifted to the recovery room to be watched. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. Hip replacement surgery usually requires you to stay in the hospital for several days.
It is important to begin moving the new joint after surgery. A physical therapist will meet with you soon after your surgery and plan an exercise rehabilitation program for you. Your pain will be controlled with medicine so that you can participate in the exercise. You will be given an exercise plan to follow both in the hospital and after discharge.
You will be discharged home or to a rehabilitation center. In either case, your surgeon will arrange for continuation of physical therapy until you regain muscle strength and good range of motion.
Expect your new hip joint to reduce the pain you felt before your surgery and increase the range of motion in your joint. But don’t expect to do everything you could do before the hip became painful.
High-impact activities — such as running or playing basketball — might be too stressful on your artificial joint. But in time, you might be able to swim, play golf, hike or ride a bike comfortably
1. Why hip replacement surgery in India?
A: Hip replacement surgery in India has become a common surgical procedure with a high success rate. patients from abroad come to India to get their hip replacement surgery done. some of the main reasons why one should go for hip replacement surgery in India include the following;
1. Less waiting time.
2. Highly cost-effective hip replacement surgery in India.
3. Experienced and skilled orthopedic doctors.
4. Latest technology.
5. Affordable services.
2. What is the success rate of hip Replacement surgery In India
A. The success rate of hip replacement surgery in India is one of the best in the world, It is a safe and effective procedure and the success rates for it in India is around 95 to 99.9%.
3. How long will I stay in the hospital after hip replacement surgery?
A: Most likely you will stay in the hospital 3-5 days after surgery, depending on how quickly you progress with physical therapy. Once you’re able to walk longer distances and are making consistent progress, you’ll be ready to go home.
4. How successful is the Knee Replacement Surgery?
A: Hip replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the hip. Hip replacements have literally put hundreds and thousands of Americans back on their feet and allowed them to enjoy their golden years.
5. Which exercises should I perform for better recovery after hip replacement surgery?
A: Exercising is a must after hip replacement surgery. It helps improve the flexibility of the muscles and their strength. Ask the physical therapist or the doctor about muscle-strengthening exercises. Walking, stationary cycling, skiing and swimming are some of the recommended exercises.
6. How long will the new hip joint last after surgery?
A: Nearly three decades back, the life of the hip implant was just 10 years. However, advances in the field of medical technology have now increased the life of hip implants to almost 25 years. In some cases, the implants last over a lifetime of the patient.
7. Will I Need Physical Therapy after Hip Replacement surgery?
A: Yes. Physical therapy is an essential part of your total hip replacement recovery process. Physical therapy begins the following day of your surgery and will take place over the course of several weeks. At first, you will do some simple exercises like contracting and relaxing your muscles in order to strengthen your hip. You will also learn new techniques for movements such as sitting, standing, and bending, in order to prevent any possible damage to your hip replacement. Typically patients are in physical therapy for 6-8 weeks and have sessions twice/week.
8. How long does it take to recover from hip replacement surgery?
A: Knee replacement surgery recovery takes time (2-4 weeks), however if is executed nicely with the patient getting good rest and all the physio treatment plans are carried out nicely, then knee replacement will be a success.
9. How often will I see my surgeon after the hip replacement Surgery?
A:Your surgeon will follow your care throughout your hospital stay. It is likely that you’ll see your surgeon, physician assistant or nurse practitioner several times while in the hospital recovering. You will also have a follow-up appointment at the orthopedic clinic two to four weeks after surgery.
10. When can I return to work?
A. Returning to work is highly dependent on the type of work you do, as well as your own recovery progress. If you have an office or desk job, you can expect to return after four to six weeks. With more physical jobs that require lifting, extensive walking or travel, you might need up to three months to fully recover. Your surgeon will tell you when you can return to work and if there are limitations.
11. What activities should I avoid after surgery?
A. It’s important to keep your new joint moving. However, you should return to normal activities gradually. You will be instructed by your joint replacement care team to avoid specific positions that could put stress on your new joint. Avoid high-impact activities, and consult your surgeon before participating in a new exercise routine or a physically demanding sport.
12. Can I avoid undergoing hip replacement?
A. Hip replacement surgery in inevitable in case the medications or topical ointment don’t work, physical therapy is not effective and the pain is getting deteriorated day by day. The medications prescribed to individuals who do not want to undergo hip replacement include anti-inflammatory drugs, NSAIDs, corticosteroids and other topical ointments.