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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
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.
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 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.
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.