Hip Replacement Surgery Treatment Cost in India

Types & Procedure of Hip Replacement Surgery Treatment in India

Total Hip replacement can be done by different approaches. These approaches are described below:

Posterior Approach

This is the most common approach for total hip replacement. The surgeon accesses the hip joint from the back of the hip. It involves making an incision along the side or back of the hip, allowing the surgeon to replace the joint by moving muscles aside.

Anterior Approach

In this approach, the surgeon accesses the hip joint from the front of the hip. The incision is made in front of the hip, usually between muscles. This approach is used for minimal muscle damage. It also has a speedy recovery which demands less post-operative care as compared to other approaches.

Lateral Approach

The lateral approach involves accessing the hip joint from the side. This approach requires an incision on the side of the hip, allowing the surgeon to reach the joint by moving muscles aside. It offers good access to the joint and is commonly used in the cases with severe complications of previous surgeries.

Cemented Prosthesis

In this type of total hip replacement, the prosthesis is fixed to the bone using bone cement. Bone cement is a special adhesive substance that helps secure the artificial components to the existing bone.

Uncemented Prosthesis

In an uncemented total hip replacement, the prosthesis has a special surface that allows the bone to grow into it, creating a secure attachment without the need for bone cement. Over time, the natural bone grows into the prosthesis which provides stability.

Hybrid Hip Replacement 

A hybrid hip replacement involves using a combination of cemented and uncemented components. For example, the thigh bone stem may be cemented into place while the thigh bone cup may be uncemented. This approach is sometimes used to achieve the best possible fixation which is based on the specific needs of patients.

Procedure of Total Hip Replacement

Here is a general outline of the procedure:

Preoperative Evaluation: The surgeon performs some specific tests and examines the general health of patients to assess the condition of the hip joint and determine the suitability for surgery.

Anesthesia: The patient is usually given general anesthesia to ensure comfort during surgery. An incision is made over the hip joint, usually on the side or front of the hip. The length and placement of the incision may vary depending on the surgeon's skill and the condition of the joint.

Hip Joint Exposure: The surgeon carefully preserves the muscles, tendons, and ligaments surrounding the hip joint and exposes the damaged joint.

Removal of damaged bone: The surgeon removes the damaged tissues and bone from the hip socket and ball-shaped top of the thigh bone. Some special instruments are used for this.

Shaping of the bone: The surgeon prepares the thigh bone to receive the component of the artificial hip implant. This may involve shaping the bone with specialized instruments.

Placement of the Implants: The surgeon inserts the artificial components into the prepared areas. The hip implant typically consists of a metal or ceramic ball that replaces the head of thigh bone and a socket component made of plastic, ceramic, or metal that replaces the ball head of thigh bone.

Wound Closure: The incision is closed by using sutures, and a dressing is applied with some medications to prevent infection.

Postoperative Care: The patient is moved to a recovery area where pain medication, antibiotics, and blood thinners may be given to prevent pain, infection and blood clot respectively. Physical therapy begins soon after surgery to promote healing, regain mobility and strengthen the muscles.

Cost of Hip Replacement Surgery Treatment in India

The cost of total Hip Replacement Surgery in India ranges from ₹ 4,73,000 to ₹ 5,95,000. It may vary according to the skills of the doctor in performing the procedure, patients’ condition, hospital facilities, and the city of India where the total hip replacement is performed. Here is the cost range of total hip replacement in different cities of India.

Hip Replacement Surgery Treatment Cost in India

City Wise Hip Replacement Surgery Treatment Cost in India

Symptoms & Risk Factors of Hip Replacement Surgery Treatment in India

Here are some of the conditions in which the total hip replacement surgery is required:

• Osteoarthritis (degenerative disease of joint)
• Rheumatoid arthritis
• Avascular necrosis (bone death)
• Hip dysplasia
• Hip fractures
• Osteonecrosis
• Ankylosing spondylitis
• Hip bursitis 
• Juvenile idiopathic arthritis (disease of children)
• Post-traumatic arthritis (due to previous hip injury)

Risk Factors of Total Hip Replacement

Infections : After any surgery, the risk of infections can delay the recovery. So proper medications to prevent any infection is necessary which also promotes speedy recovery.

Blood clots : Blood clots form in the legs which often travel to the major organs like heart and lungs that cause severe complications. These can be the reason for death in some cases. 

Leg length discrepancy : This is the condition when one leg becomes shorter or longer than the other one. After surgery, the length of the operated leg may become slightly longer or shorter which can cause problems in walking.

Pneumonia : The lack of mobility can cause the infection in lungs. So proper drainage and medications are required to prevent pneumonia. Chest physical therapy can be helpful in these cases.

Displacement of prosthesis : Sometimes the prosthesis becomes loose and dislocates, which can lead to implant failure. A skillful procedure must be performed otherwise revision surgery will be required.

Allergy : People who have allergy to metal, the metal implant can cause swelling, pain, fever and redness that can limit the recovery.

Damage to nerve or blood vessels : The nerves and blood vessels sometimes become affected and cause numbness, pain and reduce blood supply to the joint which makes it difficult to heal after the total hip replacement surgery.