Overview of Hip Replacement Surgery Treatment

In Total Hip Replacement surgery, the bone and surrounding damaged tissues are removed and replaced by artificial prosthesis. This is also known as Total Hip Arthroplasty. People who have extreme pain in the hip joint even during rest and cannot be treated with medications usually receive Total Hip Replacement Surgery. The limitations of doing daily activities and social withdrawal can also be the reason for irritation and pain which require Total Hip Replacement surgery. Most patients who undergo Total Hip Replacement surgery fall under the age group of 55-80 years. But the Total Hip Replacement Surgery can also be done in the young age with severe hip joint diseases. It can be performed in both hip joints which is termed as bilateral Hip Replacement Surgery. Although total hip replacement surgery is a very successful and effective treatment, it also carries some risk and complications like any other open surgical procedure. Sometimes, the procedure itself fails and may need Revision Total Hip Replacement. Even a successful surgery needs to go under revision total hip replacement due to the lifespan of prosthesis which is 10-15 years almost. Patient’s weight and age is usually not the problem to perform the Total Hip Replacement Surgery but it is decided on the basis of impaired functioning and activity limitations that can lower the quality of life of the patients. 

Types & Procedure of Hip Replacement Surgery Treatment

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 Total Hip Replacement in India

The cost of total Hip Replacement Surgery in India starts from USD 4,000. It may vary according to doctor’s skilled performance of 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.

Cost of Total Hip Replacement in different cities of India: 

Treatment Costs in India Min in USD Max in USD
Bengaluru 2820 USD 5760 USD
New Delhi 2520 USD 4980 USD
Mumbai 2544 USD 5880 USD
Gurgaon 1560 USD 2280 USD
Chennai 2820 USD 5760 USD
Hyderabad 4320 USD 7080 USD

 

Symptoms & Risk Factors of Hip Replacement Surgery Treatment

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.

Top Hospitals for Hip Replacement Surgery in India

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Max Multi Speciality Centre , Noida Noida,India

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Paras Hospitals Delhi, Gurgaon,India

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Fortis Escorts Hospital, Amritsar Amritsar,India

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Fortis Escorts Hospital, Faridabad Faridabad,India

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Max Super Speciality Hospital, Vaishali Ghaziabad,India

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Jaypee Hospitals, Noida, Uttar Pradesh India

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Metro Hospital Faridabad,India,

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Indraprastha Apollo Hospital New Delhi

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Metro Hospital Faridabad,India,

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Top Doctors for Hip Replacement Surgery in India

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Dr. Bhushan Nariani

Department of Orthopedics

Senior Director Joint Replacement

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Dr. Milind Sawant

Department of Orthopedics

Consultant – Orthopaedics

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Dr. Sachin Bhonsle

Department of Orthopedics

Consultant – Orthopaedics

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Dr. Amit Gupta

Department of Orthopedics & Opthalmology

Senior Consultant

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Dr. Ashish Philip Zachariah

Department of General Orthopaedic

Consultant

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Treatment Costs for Hip Replacement Surgery

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FAQ's of Hip Replacement Surgery Treatment in India

The minimum amount of time for patients to go back to their normal activities after a total hip replacement surgery is 12 weeks. However, in case of older patient's complete recovery may take up to 6 months.

Yes, total hip replacement surgery is a major operation. Hence, one should be absolutely sure that they want to go ahead with procedure and understand what entails.

Patients should be prepared to commit to physical therapy post a total knee replacement surgery for their full and fast recovery.

After the hip replacement surgery, the constant pain from arthritis is usually gone, however, the post-surgical pain and discomfort will remain for a few days.

Generally, a total hip replacement takes anywhere between 2 to 4 hours.

After a given period of time you will be free to resume to your daily activities including driving, jogging and sports. However, during the rehabilitation period, a patient is advised to take things slow and not put too much pressure in the hip joints which includes no bending, no crossing of legs when sitting and walking with support.

The patient is discharged from the hospital 3 days after the hip replacement after which they will have to commit to post surgery rehabilitation.

The patient should put only as much stress on their hip joints post-surgery, as much as the physical therapist asks for.

The physical therapist will be suggesting the best exercises depending on the body type, age and strength of the patient.