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Total Hip Replacements


Hip replacement surgery is for people with severe hip damage. When you have a hip replacement, the hip surgeon removes damaged cartilage and bone from your hip joint and replaces them with new, man-made parts. This can relieve pain, reduce hip stiffness and help your hip joint work well, and improve your walking and other movements. Your doctor may recommend it if you have hip problems and pain, and physical therapy, medicines and exercise don't help.
The most common problem after surgery is hip dislocation. Because a man-made hip is smaller than the original joint, the ball can come out of its socket. The surgery can also cause blood clots and infections. After a hip replacement, you might need to avoid certain activities, such as jogging and high-impact sports.

 

What is a total hip replacement?

A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials (Artificial Hip). The normal hip joint is a ball and socket joint. The socket is a "cup-shaped" bone of the pelvis called the acetabulum. The ball is the head of the thigh bone (femur). Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal ball and stem inserted into the femur bone and an artificial plastic cup socket. The metallic artificial ball and stem are referred to as the "prosthesis." Upon inserting the prosthesis into the central core of the femur, it is fixed with bony cement called methylmethacrylate. Alternatively, a "cementless" prosthesis is used which has microscopic pores that allow bony ingrowths from the normal femur into the prosthesis stem. This "cementless" hip is felt to have a longer duration and is considered especially for younger patients.

Candidates for total hip replacement

Total hip replacements are performed most commonly because of progressively worsening severe arthritis in the hip joint. The most common type of arthritis leading to total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of hip arthritis is generally seen with aging, congenital abnormality of the hip joint, or prior trauma to the hip joint. Other conditions leading to total hip replacement include bony fractures of the hip joint, rheumatoid arthritis, and death (aseptic necrosis) of the hip bone. Hip bone necrosis can be caused by fracture of the hip, drugs (such as prednisone and prednisolone), alcoholism, and diseases (such as systemic lupus erythematosus).

The progressively intense chronic pain together with impairment of daily function including walking, climbing stairs, and even arising from a sitting position, eventually become reasons to consider a total hip replacement. Because replaced hip joints can fail with time, whether and when to perform total hip replacement are not easy decisions, especially in younger patients. Replacement is generally considered after pain becomes so severe that it impedes normal function despite use of anti-inflammatory and/or pain medications. A total hip joint replacement is an elective procedure, which means that it is an option selected among other alternatives. It is a decision which is made with an understanding of the potential risks and benefits. A thorough understanding of both the procedure and anticipated outcome is an important part of the decision-making process.

Hip Replacement Surgery Recovery

Post hip surgery you will begin a gentle rehabilitation program to help strengthen the muscles around your new hip and regain your range of motion. You will learn how to protect your new hip while doing daily activities.
As soon as possible, usually within the next 24 hours, your physical therapist will help you start walking a few steps at a time. As you heal you will progress from walker to crutches and then a cane. Before you are dismissed from the hospital, an occupational therapist will also show you how to perform daily tasks at home with your new hip.

Name: Mr. SABAH
Total Hip Replacement Patient from Iraq

 

After about two to four days, or when your surgeon determines that you have recovered sufficiently, you will be discharged. You may be transferred to a rehabilitation facility for a few more days, as determined by your surgeon. Upon returning to your home, you will need to continue taking your regular medications and continue exercising as directed by your surgeon or physical therapist. Walking, remaining active and practicing the required hip replacement exercises are the quickest ways to full recovery.

Cost of hip replacement in India

The average cost of a total hip replacement surgery in India is about $6,600 compared to $24,000 in the United States. Even when you combine the cost of your hip replacement surgery with plane tickets and hotel fare, you can still save thousands of dollars. Wise to this fact, India has launched a robust campaign to attract more Western medical tourism travelers to its beautiful, culturally rich country. The government recognizes that the cost of procedures in India is substantially lower than in places like the UK or US. And India's expertise is not limited to hip replacement surgery either. It is also a leading pioneer in cardiac care, plastic surgery, and countless dental procedures.
However the hip replacement surgery costs in India vary depending on the surgery type, materials being used in the implants which again depend on the age, sex and medical condition of the individual. Besides total hip replacements, we at Kamalnayan also offer different types of hip treatments and surgeries such as partial hip replacement surgery, anterior hip replacement, minimally invasive hip replacement, ceramic hip replacement, bilateral hip replacement, ceramic hip replacements, titanium hip replacement, articular surface replacement, artificial hip replacement, surface replacement etc by some of the best hip replacement surgeons in the country.

Hip Replacements for Younger Patients

Hip resurfacing or surface replacement arthroplasty is a safer alternative to total hip replacement (THR) which is preferred by younger patients. It is a bone conserving procedure that places a metal cap on the femoral head instead of amputating it. This is unlike THR in which the complete femoral head and neck are removed, making it difficult for the patient to regain a natural gait after surgery. There is no long stem placed down the femur so it is more like a natural hip and may allow patients a return too many activities, including marathons and triathlons; although patients must have good bone quality to qualify for it.

Authored By: Dr. S. V. Santpure

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