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hip-replacement

What is a Hip replacement?

Hip arthroplasty, or hip replacement, is a surgical procedure that aims to treat pain in the hip joint by replacing some parts of the joint with artificial implants. The hip joint consists of a ball at the top of the femur and the socket in the pelvis.  The surgery involves the replacement of one or both of these parts to allow the patient to resume daily activities and exercises with significantly less pain.

Types of Hip Replacement Surgery

Total Hip replacement is the most common form of hip replacement and is done to replace worn-out sections of the hip with artificial implants.

Total Hip replacement

Partial Hip replacement

Hip resurfacing

Hip Replacement is Required because of degeneration of Hip joint because of

  • Osteoporosis of Hip joint
  • Osteonecrosis of Hip joint
  • Osteoarthristis of Hip joint
  • Rheumatoid Arthritis of Hip joint
  • Trauma to Hip joint

Indications of hip replacement surgery

  • Injuries, like dislocation and fracture from a fall.
  • Osteoarthritis
  • Femoroacetabular impingement syndrome
  • Hip dysplasia
  • Avascular necrosis, or osteonecrosis
  • Neoplasms
  • Severe hip pain, swelling, and stiffness that interferes with your mobility.
  • Severe discomfort that interferes with your rest and sleep cycle
  • Daily tasks like walking, climbing stairs, shopping, etc. become painful.
  • Psychological stress and depression because of pain and lack of mobility.
  • No effect of nonsurgical treatment methods
  • Other health issues have been ruled out by your doctor.

Diagnostic tests required for Hip Replacement

The orthopedic surgeon will ask you to have some tests before hip replacement surgery, including-

  • X-Ray
  • MRI
  • Echocardiogram

These imaging tests will help in better diagnosis of the condition, the surgeon will suggest the best suitable treatment option for you after evaluating your condition based on the test results.

Risks & Complications

Hip replacement surgery is a major surgery that involves some risks and complications.

Possible complications from hip replacement surgery include:

  • Bleeding
  • Blood clots
  • Blood vessel injury
  • Dislocation
  • Fractures
  • Infection
  • Leg-length inequality
  • Loosening of implant
  • Nerve injury
  • Pain
  • Stiffness

Questions you should ask your doctor about hip replacement surgery

Is hip replacement surgery the best option to treat my symptoms?
Will my age affect the rate of success of the surgery?
What will happen if I postpone the surgery?
What other options are available for me other than hip replacement surgery?
How is hip replacement surgery performed?
What type of hip replacement surgery should I choose for best results?
What are the potential risks associated with hip replacement surgery?
Will I need blood transfusion during the surgery?
Should I donate some blood before surgery so that it can be used for transfusion later?
What can I do to reduce the chance of complications in the surgery?
Are there any medical issues like high blood pressure, heart diseases, and diabetes which will affect my surgery?
What are the chances of infection during or after the surgery?
What can I do to ensure the success of the surgery?
Should I learn some exercises in advance for my recovery?
Should I learn how to use crutches and walking aids before the surgery?
What changes should I make in my house for the recovery period?
Should I quit alcohol or smoking before the surgery?
Should I lose some weight before the surgery?
Do I need to discontinue any medication before my surgery?
How much does a hip replacement surgery cost?
Will my insurance cover the cost of my hip replacement surgery?
Is the cost of hip replacement surgery different for different hospitals?
How can I find out if my insurance policy will pay for my hip replacement surgery?
What will be the duration of the hospital stay after the surgery?
When will I be discharged from the hospital after my hip replacement surgery?
When will the physiotherapy program begin?
Will I be able to walk and stand immediately after the surgery?

Treatment options & cost

The average cost of hip replacement can range from Rs. 2.8 Lakhs to Rs 5 Lakhs

  • The cost of unilateral hip replacement surgery can range from INR  2,80,000 to 3,50,000.
  • The cost of bilateral hip replacement surgery can range from  INR  4,50,000 to 5,00,000

Please note that the above-mentioned cost includes the basic costs of hospitalisation and postoperative care. However, the cost of hip replacement surgery can change, with various factors involved, such as- 

  • General costs of surgeon and hospital
  • Type of hip implant used 
  • Type of hip replacement
  • Surgical approach used (minimally invasive or open surgery)
  • Type of anesthesia administered
  • Comorbidities such as diabetes, liver or lung disease, etc
  • The city where you need to undergo the procedure 
Insurance coverage for hip replacement surgery

Most insurance companies cover the cost of hip replacement surgeries,  but the exact details of the cover depend on your health insurance policy. To know the amount of insurance cover, talk to your insurance provider and discuss your treatment plan.

Recovery after hip replacement surgery

Immediately after your hip replacement surgery, you will be taken to a recovery room, where you will be kept under observation until your vital signs, including heart rate and blood pressure normalize. Most patients feel comfortable to walk on their own, or using walking aid the same day after the surgery. Rehabilitation will begin in the hospital itself, right after the surgery. Prior to your discharge, you will be prescribed medications for pain, to prevent infection and boost recovery. Hospitalisation after minimally invasive hip replacement surgery is usually 3-5 days and most patients are able to return to their regular life in 3 to 5 weeks. Before your discharge, your orthopedic surgeon will refer you to a physiotherapist who will help you restore maximum function and mobility after the surgery.

Latest research about hip Replacement

Cities Where We Treat Hip-replacement

FAQ

When can I return to my normal life and activities after hip replacement ?

Most people return to normal life somewhere between 4 to 6 weeks. This will broadly depend on the type of hip replacement surgery you had (traditional or minimally invasive) and appropriate completion of the rehabilitation and physiotherapy program.

Will my insurance cover hip replacement surgery?

Most health insurance companies cover the cost of a hip replacement. We also provide a No-Cost EMI option for patients who do not have a health insurance plan and need assistance with finances for the procedure. 

How many days will I have to stay in hospital after minimally invasive hip replacement surgery?

The patient is typically discharged from the hospital 3 to 4 days after the minimally invasive hip replacement surgery.

How long is the incision for arthroscopic hip replacement surgery?

Arthroscopic hip replacement surgery needs a small incision of 4 – 6 inch while the traditional hip replacement open surgery uses a large incision of 10 – 12 inches. 

Facts and statistics around Hip Replacement:

Statistical Data about Hip Replacement and their surgery

India

Over  70,000 hip procedures take place every year in India.  http://timesofindia.indiatimes.com/articleshow/60094167.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst                

Global

The Centers for Disease Control and Prevention report approximately 332,000 hip replacements performed annually in the U.S. https://apnews.com/article/ee75ca4b5d054b05b352e525b820f382

Based on their review of the data, researchers predicted that the total annual counts (95% prediction intervals) of total hip arthroplasty may increase by 34% in 2020 (to 498,000 replacements) and by 75% in 2025 (to 652,000 replacements). https://www.rheumatologyadvisor.com/home/topics/osteoarthritis/increased-rate-of-total-joint-replacements-predicted-from-2020-to-2040/

According to the Agency for Healthcare Research and Quality, more than 450,000 total hip replacements are performed each year in the United States. https://orthoinfo.aaos.org/en/treatment/total-hip-replacement

Around 7 million Americans are living with a hip or knee replacement, and consequently, in most cases, are mobile, despite advanced arthritis. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551172/

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