Question 1

When can I walk after minimally invasive hip replacement in Delhi ?

Accepted Answer

You can start walking right from the next day of your minimally invasive hip replacement surgery in Delhi.

Question 2

Will I need Physiotherapy after hip replacement?

Accepted Answer

Yes. Physiotherapy is an essential part of the hip replacement recovery process. Physiotherapy begins the same day of the surgery and will be recommended for a few weeks.

Question 3

Will I need blood after hip surgery?

Accepted Answer

Rarely do patients need blood after hip replacement surgery.

Question 4

When will I be able to get out of bed after hip replacement?

Accepted Answer

You will be able to walk and get out of bed the same day of the surgery.

Question 5

How long will I be in the hospital?

Accepted Answer

Most patients are discharged 2 to 3 days after hip surgery. If there are any complications, hospitalisation might get extended.

Question 6

Which doctor should I consult for hip pain?

Accepted Answer

An orthopedic doctor is the specialist you should consider for hip pain or other hip-related conditions (may it be an injury or degenerative hip disease like osteoarthritis). If you have chronic hip pain that has not resolved on its own and is affecting your daily life and activity level, you should visit an orthopedic doctor to learn about treatment options.

Question 7

What types of arthritis can affect the hip joint?

Accepted Answer

There are 5 main types of arthritis that can affect the hip joint-

Osteoarthritis (OA)
Rheumatoid arthritis (RA)
Psoriatic arthritis
Ankylosing spondylitis
Systemic lupus erythematosus
Arthritis, including several types like OA and RA, have no cure. But there are treatment options (non-surgical and surgical) to treat associated symptoms such as pain and stiffness.

Question 8

What is the most common hip arthritis?

Accepted Answer

Osteoarthritis is the most common type of hip arthritis.

Question 9

What are the common causes of hip osteoarthritis?

Accepted Answer

There is no single specific cause of osteoarthritis, but there are certain factors that increase the risk of developing the disease, such as-

Obesity
Aging
Family history of osteoarthritis
Previous injury to the hip joint
Developmental dysplasia of the hip joint (a condition in which there is improper formation of the hip joint at birth)

People with no above mentioned conditions or risk factors can still develop osteoarthritis.

Question 10

What are the symptoms of hip osteoarthritis?

Accepted Answer

Common symptoms of osteoarthritis of the hip joint are-

Hip joint stiffness while getting out of bed or getting up after sitting for a long time
Hip pain, swelling, and tenderness
A sound or feeling (like crunching) of the bone rubbing against another bone (of the hip joint)
Inability to move the hip to perform daily activities such as putting on socks, getting out of a chair, etc.

Question 11

What is hip resurfacing?

Accepted Answer

Hip resurfacing is a surgical procedure that can provide short-term relief while delaying a hip replacement. In a hip resurfacing surgery, the diseased surfaces of the hip joint are removed surgically and replaced with smooth metal covering. The entire femur bone is preserved in this procedure, which makes a future hip replacement surgery possible.

Question 12

What is hip hemiarthroplasty?

Accepted Answer

Hip hemiarthroplasty is the surgical procedure that replaces half of the hip joint. This procedure has proven to be an effective treatment for various types of femoral neck fractures for over 50 years. It is associated with low incidence rates of dislocation and infection.

Question 13

How long is the hospitalization after arthroscopic hip replacement surgery?

Accepted Answer

Patients are typically discharged from the hospital 2 to 3 days after minimally invasive hip bone replacement.

Question 14

How long is the incision for hip replacement surgery?

Accepted Answer

Conventional hip replacement open surgery uses a large incision of 10 -12 inches while arthroscopic hip replacement surgery needs a small incision of 4 – 6 inch.

Question 15

When can I return to work after a hip bone replacement?

Accepted Answer

If your job involves a regular office setting, you might be able to return to work within 2 to 3 weeks after your hip replacement. However, if your job requires strenuous work, bending over, walking, a lot of exertion, use of heavy machinery or heavy manual labour, you will be advised to take a longer time off work.

Question 16

When do I start rehabilitation after the hip replacement?

Accepted Answer

Rehabilitation typically begins the same day or next day after the surgery.

Question 17

What is the success rate after hip replacement?

Accepted Answer

Hip bone replacement has a 90% success rate in terms of stability of the knee joint, pain-relief, patient’s satisfaction, mobility and return to maximum activity.

Question 18

What is a robotic assisted hip replacement?

Accepted Answer

Robotic hip replacement is the surgery where the orthopedic surgeon uses a robot during the hip bone replacement. The procedure is the same as a normal hip replacement surgery and involves using a CT scan (typically taken prior to the surgery) to produce a 3D (three-dimensional) model of the affected hip joint. The 3D model is then used to digitally plan the surgery, based on the individual anatomy and condition of the patient, enhancing surgery precision.

Question 19

How long has robotic hip replacement been used?

Accepted Answer

The first robotic assisted hip replacement surgery was performed in October 2010.

Question 20

What are the benefits of robotic-assisted hip replacement surgery?

Accepted Answer

Benefits of robotic hip replacement include-

Patient specific anatomic/functional customization
Higher accuracy rates in preparation of hip bone surfaces
Lower risk of postoperative complications
Reduced trauma or injury to adjacent healthy tissues
Faster recovery and rehabilitation
More optimal outcomes

Question 21

When to call your hip surgeon after hip replacement?

Accepted Answer

You should call your surgeon right away if you notice symptoms of infections or complications after your hip replacement. Call your doctor right away if you notice-

Bad smelly discharge or drainage from the incision
Chills or shaking
Fever higher than 100.4 degrees
Hip pain, that gets worse
Pain, swelling, tenderness or redness in the calf (which could be blood clots)
Swelling or redness around the incision

Question 22

What is the use of walkers for hip surgery?

Accepted Answer

After a hip replacement, the patient is advised to not put full weight on his knees and hips to ensure proper recovery. Risk of an injury or dislocation is also higher as the new hip might not be prepared to take the full weight of the body. A walker can be used by patients after hip replacement to help provide stability to the new hip while moving while keeping it within the weight-bearing restrictions.

Question 23

Which method of hip replacement is the best?

Accepted Answer

Hip replacement surgery can be performed using conventional technique (requiring a 10 to 12 inch incision) and minimally invasive technique ( requiring incision of 4 – 6 inch). As the minimally invasive hip replacement requires a much shorter incision, there is a lot less trauma or damage to the surrounding muscle and tissue, which promotes early recovery. Risk of infection and postoperative complications is also lesser in case of minimally invasive hip replacement. Most orthopedic surgeons prefer to use the minimally invasive approach because of its high success rate and benefits.

Question 24

What is the most commonly performed hip operation?

Accepted Answer

Total hip replacement or hip arthroplasty is the most common hip operation performed. Over 70,000 hip procedures take place every year in India.

Question 25

What is the most common complication after hip replacement?

Accepted Answer

Loosening or dislocation of the hip joint and difference in length of the leg are the most common complications after hip replacement.

Question 26

Is a bloated stomach after hip replacement surgery normal?

Accepted Answer

During the hip operation, the patient is given IV (intravenous) fluids to replenish the body’s fluids and balance the sodium levels. The IV fluids can result in some bloating while the body regulates its fluid levels after the surgery. Although it can be uncomfortable, rest assured that a bloated stomach after hip replacement is a normal part of the recovery process and will subside on its own over time. If the problem still persists after a few days, you should speak to your surgeon.

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