Everything You Need To Know About Total Hip Replacement Treatment

Total hip replacement surgery is a surgical procedure where an orthopaedic surgeon removes the affected parts of the hip joint and then replaces them with artificial parts, which have the function of the normal hip joint. An individual might also require hip replacement surgery if they fracture their hip from an injury like a fall or from a bone disease. On this page, we will learn everything about total hip replacement, such as what is total hip replacement, how to recover after total hip replacement surgery,  cost of total hip replacement surgery in India, which are the best hospitals for total hip replacement in India, and who are top doctors for total hip replacement in India.

Dr. Mohammad Afzal Siddiqui

Review By Dr. Mohammad Afzal Siddiqui
Award-winning CEO of Marlin Medical Assistance Pvt. Ltd

Mar 4, 2024

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What is total hip replacement?

What is total hip replacement?

Total hip replacement, also known as hip arthroplasty, is a surgical procedure performed to relieve hip pain. The surgery involves replacing parts of a hip joint with artificial implants. A hip joint consists of a ball (on the top of the femur, which is also called the thigh bone) and a socket (located in the pelvis, also called the hip bone). Total hip replacement surgery includes replacement of both parts. The aim of the procedure is to enable you to resume exercise and daily activities with less pain. A doctor might recommend total hip replacement if you have significant inflammation, pain and damage to the hip joint because of conditions like Osteoarthritis. Several thousands of people undergo hip replacement surgery every year. This procedure generally brings great benefits in terms of improved mobility, reduced pain, and a better quality of life.

Causes and Symptoms

Causes

  • Osteoarthritis
  • Rheumatoid arthritis
  • Osteonecrosis
  • Posttraumatic arthritis
  • Childhood hip disease
  • osteoporosis
  • Hip fracture

Symptoms

  • Chronic and significant pain
  • Hip disability
  • Hip stiffness, limited range of motion
  • No pain relief with medications
  • Significant joint damage
  • Experience of side effects from hip pain medication

Diagnosis

X-ray: X-rays show joint changes as well as bone damage found in some types of arthritis.

Magnetic resonance imaging: MRI scan produces more detailed than X-rays. This test may show damage to joints, such as muscles, ligaments, and cartilage.

Arthroscopy: This test uses a thin tube with a light and camera to look in the joint. This procedure is used to evaluate degenerative or arthritic changes in the joint to find bone diseases, the cause of bone pain and inflammation.

Risk & Complications

Infection: Experts estimate that infection is observed in 1-2% of hip replacement surgeries. The risk is most for people who are overweight or are suffering from diabetes, inflammatory diseases, such as sickle cell disease, rheumatoid arthritis, and other conditions like anemia and blot clotting disorders. While the risks of infection decrease as the surgical wounds heal, it does not go away completely.

Different Leg Lengths: Orthopedic surgeons operate carefully to make sure that the affected leg is of correct length. However, in some cases, the leg could be made little shorter or longer in order to optimize joint stability, pain relief and joint mobility.

Femur Fracture: The thighbone can fracture during surgery. This may occur while the surgeon dislocates the hip’s socket and ball, or while the surgeon inserts the prosthetic stem into the femur. Fractures may also occur after surgery. Nearly 2 percent of people experience femur fracture following surgery.

Blood clots: Clots may be seen in the leg veins after surgery. In case a clot breaks off and travels to the lung or heart, it may be dangerous. The patient can be prescribed a blood thinner to lessen this risk.

Dislocation: Dislocation of the new hip joint after surgery may be experienced, particularly in the first few months. The health care experts will tell you the correct ways to walk in order to avoid such dislocation.

Joint loosening: Loosening of the new joint may be possible.

Nerve damage: Damage to the nerve may result in numbness, pain or weakness at the implant site, although this happens rarely.

Preparation of Treatment

Preparing for total hip replacement surgery starts several weeks or more ahead of the actual surgery. Remaining as healthy as possible before the surgery can help the patient recover and lower their chances of developing a complication. The patient can do many things ahead of hip replacement surgery to help prepare for surgery and recovery. You need to speak with the surgeon about what to expect. If you smoke, quit or cut back on smoking. If your weight is more, try to reduce it. Being overweight may raise the risk of complications during and after surgery. You need to arrange for transportation for the procedure as well as follow-up visits. Try to meet with a physical therapist before your surgery as the right exercise is important for a good recovery as well as a successful hip replacement. Write down all questions that you want to ask your surgeon. Test drive your walker or crutches. Check whether you can borrow them at your doctor's clinic. Buy helpful gadgets like long-handled shoe hos, which will come in handy after the procedure.

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Treatment Option

Treatment options for Total Hip Replacement include conventional hip replacement surgery and Computer-Navigated surgery.

Conventional hip replacement surgery is a standard surgical procedure aimed at improving joint function and reducing pain. On the other hand, Computer-Navigated surgery relies on mode techniques that allow surgeons to precisely guide the procedure using computer-assisted monitoring. This technology enhances precision and reduces risks, making it an effective option for individuals in need of hip joint replacement.

Cost of the treatment

Cost of total hip joint replacement

Total hip replacement surgery cost in India begins from $5,600 for a single hip and $7,000 for both hips. However, the cost varies with the type of implant, your medical condition, technique of surgery, experience of the surgeon, type of the hospital and the location where you prefer to get the surgery done. The cost of total hip replacement surgery in India is much affordable than that in many other countries like the US, UK, UAE, Singapore and Malaysia.

Recovery

Recovery after total hip replacement surgery

Your rehabilitation will start within 24 hours after total hip replacement surgery. In most cases, the patients progress to walking with a walker, cane or crutches in a day or two after surgery. As the days pass, the patient will increase the distance as well as frequency of walking. Full recovery typically takes anywhere from 2-8 weeks, depending on your general health and other factors.

After total hip joint replacement surgery, the patient is taken to a recovery room for observation that usually lasts between 1-4 hours. The lower extremities are deeply observed for sensation and circulation. In case of unusual symptoms of numbness or tingling, recovery room nurses should be notified by the patient. The patient is then transferred to a hospital room after stabilization. During immediate recovery period, intravenous fluids are given. Intravenous fluids are used to maintain body electrolytes and replace any fluids that are lost during surgery. Pain-control medications may be given via a patient-controlled-analgesia pump.

Recovery
Dr. Mohammad Afzal Siddiqui

Written by

Dr. Mohammad Afzal Siddiqui

Award-winning CEO of Marlin Medical Assistance Pvt. Ltd

Dr. Mohammad Afzal Siddiqui is an award-winning CEO of Marlin Medical Assistance Pvt. Ltd., a professionally managed medical tourism holding company and the active Director of Alshifa Healthcare Services Pvt. Ltd., a full-service medical tourism aggregation agency servicing JCI and NABH/ NABL accredited Hospitals across the country’s 5 locations.

In addition to Marlin, Alshifa also includes Media Group, which houses Arabic Medical Tourism e-Magazine healthandtour.com. The E-magazine “مجلة الصحة والسياحة” provides a wide scope of medical tourism information to healthcare travellers to find a safe, effective and cost-saving solution for their medical and healthcare needs. In addition to running E-Magazine, Dr. Mohammad Afzal also serves as Delhi-state coordinator in Foundation of Healthcare and Wellness Promotion focused on bringing India’s Healthcare closer to the world and smoothen world’s access to Indian Healthcare.

Frequently Asked Questions About Total Hip Replacement

You may be a candidate for total hip replacement surgery when other treatments fail to provide relieve severe pain as well as loss of function. Immobility and joint pain generally happen when the cartilage, which cushions and protects the joints, wears down.

Adults of any age may undergo a hip replacement, although most are performed on people of age between 60 and 80. A modern artificial hip joint generally lasts for nearly 15 years. Most individuals have a reduction in pain as well as improvement in their range of movement.

Two years after their total hip replacement surgery in India, 99.4% of patients claimed that they got relief from pain, while 98.8% stated their ability to move was significantly improved. Many of them also said that their overall quality of life improved because of their surgery.

The patient can expect to experience some pain from the surgery initially, but they will be given medication to relieve the pain. Pain from the total hip replacement surgery generally starts to subside in the first two weeks after the surgery. But some individuals will experience longer-term pain and, in certain cases, it might need further treatment.

For many individuals, both hips could be replaced in a single procedure known as simultaneous bilateral total hip replacement. Sometimes known as a single-stage or one-stage procedure, simultaneous bilateral total hip replacement is done when both hips are replaced using a single surgery.
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