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Hip Replacement - Diagnosis, Surgery & Recovery

Chronic hip pain, hip arthritis, limping, or weakness in the lower extremities can indicate that you may need hip replacement surgery. Typically hip replacement surgery is recommended when the hip joint is damaged because of degenerative disease or trauma.

Chronic hip pain, hip arthritis, limping, or weakness in the lower extremities can ... Read More

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Our Orthopedic Doctors in India for Hip Replacement

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    Dr. Kamal Bachani (3uCOy0grwa)

    Dr. Kamal Bachani

    MBBS, MS(Ortho), M.Ch(Ortho)
    32 Yrs.Exp.

    4.7/5

    32 + Years

    Delhi

    Orthopedics

    Joint replacement

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    6366-370-250
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    Dr. Venu Madhav Badla (iU0HlZxGtA)

    Dr. Venu Madhav Badla

    MBBS, MS- Orthopedics
    20 Yrs.Exp.

    4.6/5

    20 + Years

    Hyderabad

    Orthopedics

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    6366-370-250
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    Dr. Sharath Kumar Shetty (HVlM9ywqHb)

    Dr. Sharath Kumar Shetty

    MBBS, MS
    20 Yrs.Exp.

    4.8/5

    20 + Years

    Bangalore

    Orthopedics

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    6366-370-250
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    Dr. Yash Kishore Shah (hUpsfCEmHm)

    Dr. Yash Kishore Shah

    MBBS, MS (Ortho)
    19 Yrs.Exp.

    4.6/5

    19 + Years

    Pune

    Orthopedics

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    6366-370-250
  • What is Hip Replacement Surgery?

    Hip replacement surgery is usually performed to replace the damaged hip joint with artificial implants to restore joint mobility and function. An orthopedic surgeon usually recommends this surgery to patients with severe hip joint arthritis or necrosis, who’ve become bedridden due to pain and joint instability. During the surgery, only the affected parts of the joint are removed, whether it is a small portion of the entire joint.

    Hip replacement surgery is also known as hip arthroplasty. The aim of the procedure is to allow you to resume daily activities and exercise without any pain.

    • Disease name

    Osteoarthritis

    • Surgery name

    Total Hip Replacement Surgery

    • Duration

    1 to 2 Hours

    • Treated by

    Orthopedic Surgeon

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    Types of Hip Replacement Surgery

    Total Hip Replacement

    In total hip replacement surgery, a surgeon removes both the ball and socket from the damaged joint and replaces them with prosthetics made from metal, plastic, or ceramic. It can either be done traditionally (called the anterior approach) through the front of the leg or via a minimally invasive incision through the back of the joint (posterior approach), which is more conventional.

    Partial Hip Replacement

    In a partial hip replacement, a surgeon replaces only the ball of the hip joint, leaving the socket intact. It is also known as hemiarthroplasty. The primary aim of this surgery is to treat fractures and other traumatic hip injuries where the ball is cracked and cannot be pinned. It is not typically used to treat degenerative conditions where both parts of the joint have been damaged. 

    Hip Surfacing

    In hip surfacing, the original joint remains in place but is covered with a thin metal sheet. In this procedure, only a few centimeters of bone are removed, enough to ensure a tight fit with the metal. It has a lower risk of dislocation since much of the original bone is preserved. Patients may be able to return to normal physical activity once they’re healed. 

    Are you going through any of these symptoms?

    Diagnosis Before Hip Replacement Surgery

    • Medical history: An orthopedic surgeon gathers information about your general health and asks questions about the extent of your hip pain and how it affects your ability to perform everyday activities.
    • Physical examination: This test helps assess hip mobility, strength, and alignment.
    • X-rays: It is an imaging test that provides images to help determine the extent of damage or deformity in your hip.
    • Other tests: In some cases, other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip.

    What is the Procedure of Hip Replacement Surgery?

    During total hip replacement surgery, a surgeon removes the damaged part of the hip joint and replaces it with prosthetic components. The head of the thigh bone is removed and replaced with a metal stem that is placed into the hollow center of the femur. The stem may be secured in place, either with bone cement or is press fit into the bone. After that, a prosthetic (metal or ceramic) ball is placed on the upper part of the stem. This ball replaces the femoral head that was removed. After that, the damaged acetabulum is removed and replaced with a metal socket. A surgeon usually uses screws or cement to hold the socket in place. 

    There are two basic types of hip replacement procedures: traditional hip replacement and minimally invasive.

    Traditional Hip Replacement Surgery

    In this surgical procedure, a surgeon makes a 10- to 12-inch incision on the side of the hip, then splits or detaches the muscles from the hip, allowing the hip to be dislocated and fully viewed. After that, a surgeon removes the damaged femoral head and inserts a metal stem into the hollow center of the femur. A surgeon then places a metal or ceramic ball on the upper part of the stem. This ball replaces the damaged femoral head that was removed.

    A surgeon removes the damaged cartilage surface of the socket (acetabulum) and replaces it with a metal socket, and may use screws or cement to hold the socket in place. A surgeon inserts a plastic, ceramic, or metal spacer between the new ball and the socket to allow for a smooth, gliding surface.

    Minimally invasive hip replacement surgery

    In this surgical procedure, a surgeon cuts less of the tissue surrounding the hip. The artificial implants used are same as those used for traditional hip replacement. However, specially designed surgical instruments are needed to prepare the socket and femur and to place the implants properly. Minimally invasive total hip replacement can be performed with either one or two small incisions. Smaller incisions allow for less tissue disturbance. In small incision surgery, a surgeon makes a single incision of around 3 to 6 inches. A surgeon usually makes the incision on the side or back of the hip. The muscles and tendons are split or detached from the hip but to a lesser extent than in traditional hip replacement surgery. They are routinely repaired after a surgeon places the implants. This encourages healing and helps prevent dislocation of the hip.

    In multiple incision surgery, a surgeon performs a hip replacement through two separate small incisions. The reason behind two incisions is to approach the pelvis (cup) through one incision and the femur (thighbone) through a separate incision.

    Approaching the hip in this manner may allow for less disruption of the underlying tissues compared to using one incision.

    For this procedure, a surgeon often uses X-ray guidance during surgery to ensure proper placement of the implants.

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    Top Health Insurance for Hip Replacement Surgery
    Insurance Providers FREE Quotes
    Aditya Birla Health Insurance Co. Ltd. Aditya Birla Health Insurance Co. Ltd.
    National Insurance Co. Ltd. National Insurance Co. Ltd.
    Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz General Insurance Co. Ltd.
    Bharti AXA General Insurance Co. Ltd. Bharti AXA General Insurance Co. Ltd.
    Future General India Insurance Co. Ltd. Future General India Insurance Co. Ltd.
    HDFC ERGO General Insurance Co. Ltd. HDFC ERGO General Insurance Co. Ltd.

    How to prepare for Hip replacement surgery?

    Here are some tips to follow in order to prepare yourself for hip replacement surgery:

    • Consult your healthcare provider and ask about exercises that you can perform to strengthen your core, upper body, and leg muscles before the surgery.
    • Avoid smoking and drinking alcohol, as it can increase the chances of complications during the surgery.
    • If you are overweight, try to lose weight. Being overweight can increase the risk of complications during or after the surgery.

    Are there any risks involved in Hip replacement surgery?

    Like any surgical procedure, hip replacement surgery also carries certain risks and complications. Some common risks and complications are as follows:

    Blood clots: There is a chance of clots in the leg veins after surgery. It can be critical because a piece of a clot can break off and travel to the lung, heart, or, rarely, the brain. A healthcare provider usually suggests blood-thinning medications to reduce the chances of risk.

    Infection: It can occur at the incision site and in the deeper tissue near the new hip. In most cases, infections are treated with antibiotics, but a major infection near the new hip might require surgery to remove and replace the artificial parts.

    Fracture: In some cases, during surgery, healthy portions of the hip joint might fracture. Sometimes the fractures are small enough to heal independently, 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 the new joint to come out of the socket, particularly in the first few months after surgery. If the hip dislocates, a brace can help keep the hip in the correct position. If the hip keeps dislocating, surgery may be needed to stabilize it.

    Change in leg length: Surgeons usually take steps to avoid the problem, but occasionally a new hip makes one leg longer or shorter than the other. Sometimes it is caused by a contracture of muscles around the hip. In these cases, progressively strengthening and stretching those muscles might help. Small differences in leg length usually aren’t noticeable after a few months.

    Loosening: Although this complication is rare with newer implants, the new joint might not become solidly fixed to the bone or might loosen over time, causing pain in the hip. Surgery might be needed to fix the problem.

    Nerve damage: In some rare cases, nerves in the area where the implant is placed can be injured. Nerve damage can cause numbness, weakness, and pain.

    When is Hip replacement surgery required?

    An orthopedic surgeon usually recommends hip replacement surgery in the following conditions:

    Osteoarthritis: It is commonly known as wear-and-tear arthritis. Osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.

    Rheumatoid arthritis: It is usually caused by an overactive immune system. It  causes a type of inflammation that can erode cartilage and occasionally underlying bone, resulting in damaged and deformed joints.

    Osteonecrosis: It occurs when there isn’t enough blood supply to the ball portion of the hip joint, such as might result from a dislocation or fracture, and the bone might collapse and deform.

    What are the components of Hip implants?

    A new hip that replaces the old one is usually made up of these parts:

    • Socket: It is usually made up of strong metal.
    • Liner: A liner is used to fit inside the socket.
    • Metal or ceramic ball: It replaces the round head (top) of the thigh bone.
    • Metal stem: A metal stem is attached to the thigh bone to anchor the joint.

    Advantages of Hip Replacement Surgery

    Some of the significant advantages of hip replacement surgery are as follows: 

    • High success rate

    Hip replacement surgery is relatively safe with a good success rate. The procedure is one of the safest, durable, and one of the most effective ways to treat several problems that come along with arthritis.

    • Relieving your pain

    It is one of the major benefits that of hip replacement surgery. It can significantly help in reducing pain and provides complete relief from arthritic hip pain.

    • Improved mobility and hip function

    Hip replacement help in reducing pain and increased mobility. A hip replacement allows one to get back to walking without restraint. The improved hip function also helps significantly with other typical problems linked to hip arthritis, such as going up the stairs, putting on socks, getting up from a chair, etc.

    • Long-lasting effect

    A hip replacement is a long-lasting approach to treating the problems that come with severe hip arthritis. 80-85% of hip replacements work even after  20 years after they were inserted.

    Post-operative Care Hip Replacement Surgery

    Listed below are some tips to follow to promote healing after the procedure.

    • Gradually resume regular/daily activities, as advised by the healthcare provider and physiotherapist. 
    • Avoid strenuous activities, such as tennis, skiing, or contact sports and lifting or pulling heavy objects. 
    • Start using a walker, followed by crutches, and then a cane, if required.
    • A healthcare provider is usually advised to use assistive devices, such as a raised toilet seat, a bench for the bathtub, etc., to limit bending at the hip.
    • A doctor usually advises individuals to use handrails to assist them while walking up and down the stairs.
    • Identify your maximum range of motion.
    • Resume driving only when advised by your physician. 
    • Gently wash the surgical wound every day with organic soap and water to avoid the chances of contamination. 
    • Elevate your legs while resting to prevent the formation of blood clots and reduce the chances of swelling.
    • Blood thinning medications are usually prescribed by the healthcare provider to help prevent the formation of blood clots.
    • Take stool softeners to prevent constipation, as advised by the doctor. 
    • Take antibiotic medication to help combat or prevent infections, as advised by the physician.
    • Avoid taking nonprescription medications, such as aspirin. However, individuals may take acetaminophen to relieve pain if required.
    • Eat healthy food that is enriched with proteins, vitamins, and nutrients to promote healthy recovery. 
    • If you experience any odd signs or suffer striking pain at the surgical site, consult the doctor immediately. 

     

    Case Study

    Mr. Raj Sinha (changed name), 64, was suffering from chronic pain for 3 months and took pain killers to manage the pain. His son contacted Pristyn Care and informed us about Mr. Sinha’s condition, along with a few symptoms he was experiencing such as pain, discomfort, and difficulty in walking and sitting. 

    Our medical coordinator booked his appointment with one of our expert orthopedic doctors, Dr. Ashish Taneja. The doctor conducted a thorough diagnosis to assess the condition and its severity. He suggested some diagnostic tests such as X-ray, MRI, and other imaging tests to get clear images of the damaged hip joint and tissues around it. 

    Mr. Sinha got diagnosed with severe hip arthritis and was advised hip replacement surgery to avoid future complications. Dr. Bansal recommended arthroscopy to retore the mobility of the hip joint. Mr. Sinha stayed for 4 days in the hospital and got discharged when he showed normal vitals. He started regular activities within 10-14 days of hip replacement surgery and recovered well.

    Questions to Ask Your Doctor Before Hip Replacement Surgery

    Before hip replacement surgery, it is extremely important to ask the following questions to the surgeon to have a better understanding of the procedure and the risks and complications associated with it:

    • Can age influence the success rate of hip replacement surgery?
    • What will happen if I delay the surgery?
    • How is hip replacement surgery performed?
    • What are the potential risks and complications of hip replacement surgery?
    • Will I need a blood transfusion during the surgery?
    • What precautions do I need to take to reduce the chances of complications during the surgery?
    • Is hip replacement a serious surgical procedure?
    • Can I live a normal life after hip replacement surgery?
    • How long does it take to recover completely after the hip replacement surgery?
    • What is the success rate of hip replacement surgery?
    • Can I walk after hip replacement?
    • Can I use stairs after hip replacement surgery?
    • What is the cost of hip replacement surgery in India?
    • How is hip replacement surgery performed?
    • What are the chances of infection after hip replacement surgery?
    • Do I need to lose some weight before the surgery?
    • Is hip joint replacement surgery a major procedure?

     

    Hip Replacement Surgery Cost in India

    The cost of hip replacement surgery in India typically ranges from around INR 1,60,000 to INR 3,50,000. This is the estimated cost of surgery, the final cost can vary depending on various factors, including    

    • The severity of the condition
    • City of the treatment
    • Age of the patient 
    • Type of implants
    • Cost of the surgeon
    • Type of anesthesia
    • Type of surgery

    Is Hip replacement covered under insurance?

    Yes, most insurance companies in India cover the cost of hip replacement surgery as it is considered a medically necessary treatment. However, the specifics can vary from policy to policy. List of health insurance providers for hip replacement surgery:

    • Aditya Birla Health Insurance 
    • Future Generali Health Insurance

    It is important to understand that each insurance plan varies in terms of coverage and benefits, so it’s important to review the policy details and speak with the insurance provider to confirm coverage for your specific needs. Additionally, it’s important to check with your surgeon and hospital to ensure that they are in-network with your insurance provider.

    FAQs about Hip Replacement

    Is there a need for rehabilitation or physiotherapy after hip replacement?

    In most cases, a healthcare provider suggests physiotherapy right after the surgery to restore strength and mobility. A doctor usually recommends physiotherapy for up to 3 months with an average of 2 weekly sessions to promote healing. 

     

    Is hip replacement surgery painful?

    In some cases, patients experience swelling and pain at the joint after the hip replacement surgery. A doctor usually recommends medications and physiotherapy to help reduce the pain.

    What is the use of walkers for hip surgery?

    A doctor usually recommends using a walker after hip replacement surgery for the additional support and stability. 

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

    In most cases, patients return to work within 4-12 weeks after the surgery. However, you must avoid lifting heavy objects as it can be tough on the hips.

    Can both hips be replaced simultaneously?

    Some patients have degenerative problems in both hips. In such cases, a doctor usually recommends bilateral total hip replacement. This surgery is safe and effective, with a high success rate. 

     

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    Content Reviewed By
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    Dr. Kamal Bachani
    32 Years Experience Overall
    Last Updated : March 30, 2024

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      Radha Raman

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      Thank you very much Dr. S.D.I Ranjit for the care, concern and compassion in treating my hip pain with your innovative surgical skills. Thank you also to Ms Ayesha for her assurances and encouragement.

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      Sanjeev Kumar

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      Pristyn Care Delhi and Dr. Abhishek Bansal make a wonderful team. My hip replacement surgery was seamless and the care, attention, and expertise provided by them were unparalleled. I am feeling fantastic and forever grateful!

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