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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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Dr DK Das - Pristyn care Ortho & Joint Care Centre
Delhi
Pristyn Care Clinic, Delhi
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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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.
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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Here are some tips to follow in order to prepare yourself for 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.
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.
A new hip that replaces the old one is usually made up of these parts:
Some of the significant advantages of hip replacement surgery are as follows:
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.
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.
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.
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.
Listed below are some tips to follow to promote healing after the procedure.
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.
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:
The cost of hip replacement surgery in India typically ranges from around INR 280000 to INR 350000 . This is the estimated cost of surgery, the final cost can vary depending on various factors, including
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:
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.
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.
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.
A doctor usually recommends using a walker after hip replacement surgery for the additional support and stability.
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.
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.
Nilesh Sawale
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Thank you doctor for being generous, patient and granular through out my whole treatment period under you, he treats patients generously. He explains the causes for the abnormalities in the patient by his diagnosis and even provide with the tiniest details.
Neelakshi Naidu Malhotra
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First of all Dr. Chintan Rohit Hegde nature is very good .he goes to disease root half illness goes to talk to dr
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.
Radha Sundararajan
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I want to express my heartfelt gratitude for the surgery you performed for my 71-year-old mother. Your surgical expertise and dedicated team have set her on a path to a healthier future.
sree munna
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Excellent Orthopedic doctor and great human being. A Best surgeon in hyderabad.
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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