What is Hip Replacement Surgery
Hip replacement surgery is a surgical procedure where the hip joint is replaced with a prosthetic implant. Hip pain is caused by arthritis, fracture, rheumatoid arthritis, and other conditions that make it difficult to walk. Joint pain can impair people’s everyday activities, and sometimes surgery is the only option for severe cases that cannot be controlled with medication or rehabilitation. For these patients, hip replacement surgery may provide relief from pain and allow them to resume normal activities like walking.
Hip replacement surgery is a way to replace a damaged or worn-out hip joint. This can cause pain and disability, which may affect daily activities such as walking and standing, as well as sleep. The modern hip replacement was invented in 1962 by Sir John Charnley, who replaced the arthritic femoral head with a metal ball. He also replaced the femur's socket with a plastic one.
Symptoms of Hip Disorder
Hip replacement surgery is a common operation, but the right candidate might still be hard to find. Most people think of an older person when they think of a hip replacement, but this is not the case at all. Hip replacement surgery is suitable for many patients, who are between the ages of 60 and 80. Most of the patients are over 65 years old, but many younger individuals undergo this procedure. Various symptoms related to hip replacement are:
- One has used all non-operative treatment modalities to get relief from pain.
- One experiences permanent and continual pain in the hip, knee, or groin.
- One found it difficult to walk, bend, etc.
- Cartilage thinning and grinding bones.
- Person misbalance because of Instability of the hip joint.
- Not able to sleep at night due to pain.
Causes of Hip Replacement
Some common causes which are related to hip replacement surgery are:
- Osteoarthritis:Osteoarthritis is the most common form of arthritis, and it affects the joint cartilage and the cushion inside the joint. Pain and stiffness often appear in this condition, which can impact your daily activities.
- Femoral head Fractures:Femoral head fracture is a rare injury that occurs to the hip joint. The most common causes are high-energy trauma (such as automobile collision) or an intervention involving abnormal forces on soft tissues. This is a very serious hip fracture that needs to be treated immediately by a physician.
- Avascular Necrosis: Avascular Necrosis is a medical condition that happens when there is a loss of blood supply to a bone. It is also known as Osteonecrosis.
Diagnosis For Hip Replacement Surgery
The physical examination allows the physician to determine any correlation between hip pain and history or demands placed on the joint during physical activity. The physician may also order one or more specialized tests, depending on their known or suspected causes of pain. Various tests that could be beneficial for the diagnosis of Hip injury are:
Magnetic Resonance Image (MRI)
Aspiration
If your hip joint is degenerating, you may be asked to remove a small amount of fluid from the affected joint. If other conditions are contributing to the degenerative process, this procedure may rule out systemic arthritis (such as Rheumatoid Arthritis) or infection in the hip if there is reason to believe that these conditions are contributing
Arthrogram
The procedure can be performed as an outpatient procedure through an injection of contrast dye or as an inpatient procedure through a series of x-rays using a special camera. In both cases, your doctor will outline the affected area on an x-ray and then use the information from this to help determine what treatment may be most effective for you.
Magnetic Resonance Image (MRI)
MRI is a special kind of X-ray that uses a large magnet, radio waves, and a computer to generate images of the head and back. MRI can help diagnose avascular necrosis, stroke, or tumor.
Computed Tomography Scan
Computed tomography scan is a special kind of X-ray that uses computers to generate three-dimensional images of the hip joint. It provides information that can be used to detect diseases, save lives, and maintain long-term pain management.
Bone Densitometry Test
This test measures the density or strength of your bones. It does not require an injection, but we recommend that you talk to your doctor if you have concerns.
Types Of Hip Replacement Surgery
There are various types of hip replacement surgery based on the person's condition. Orthopedic surgeons are doctors who specialize in joint and bone problems. They will advise you about which treatment is right for you based on your specific case history, including the severity of your illness, any other medical conditions you have, and whether you have any risk factors for complications like infection. The types of hip replacement surgery include:
Total Hip Replacement Surgery
Partial Hip Replacement Surgery
Minimally Invasive Surgery
Revision Hip Replacement Surgery
Robotic Assisted Hip Replacement Surgery
Total Hip Replacement Surgery
Total hip replacement (THR) surgery is one of the most common surgeries performed. It is a complex procedure often performed to alleviate pain and debilitation caused by osteoarthritis, rheumatoid arthritis, fractures, dislocations, and congenital deformities. The immediate benefits of this operation include relief from chronic pain and improved mobility after 4 months.
Partial Hip Replacement Surgery
Physicians opt for a partial hip replacement in cases where only the femur head is broken or destroyed. Before deciding on partial hip replacement, doctors may resort to other tactics like pain-alleviating medication, injecting anti-inflammatory agents and steroids, physical therapy, strength training, installing hip braces, etc. But if these options fail to give the desired results, then partial replacement may be the next best remedy left.
Hip Resurfacing
Hip resurfacing is a surgical procedure (a form of arthroplasty) that has been developed as an intervention alternative to total hip replacement. Hip resurfacing creates a bigger hip ball than is used in hip replacement, which may reduce the risk of dislocation.
Minimally Invasive Surgery
Minimally invasive surgery (MIS) is a new hip replacement technique introduced in 2001 that puts less stress on the patient. Instead of making one big incision, surgeons use two 2-inch incisions or a 3.5-1/2 inch incision. They also use newly designed smaller implements and replace the injured bone with part of a new prosthesis.
Double Hip Replacement
It is a fortunate procedure for the treatment of Hip Arthritis. The aim is to remove two damaged, worn parts of the hip joint - the hip socket and femoral head - and replace them with smooth, artificial implants called prostheses, which will help make your hip strong, stable, and flexible again.
Revision Hip Replacement Surgery
Revisions entail replacing worn-out hip replacement implants with new ones. This surgery is a type of revision surgery and may include changing just one or all the components of your previous hip replacement. In some cases, extra bone (cadaver bone) may need to be used to make up for any bone loss from revision surgery.
Robotic Assisted Hip Replacement Surgery
Robotic assisted surgery is one of the most advanced and highly effective orthopedic surgeries today. With its latest advancement, the robot-assisted surgery technique is becoming more refined and precise than ever. Performing various complex surgical procedures with increased precision, reduces risks, complications, and long hospital stays associated with traditional open surgery.
Alternative of Hip Replacement Surgery
Hip replacement is one of the most common surgical procedures performed today, especially in older adults. The goal of hip replacement surgery is to improve the function of your hips and reduce pain or other symptoms associated with arthritis. While hip replacement can be helpful under the right circumstances, there are a few things you should consider before having the procedure. There are various alternative to surgery such as:
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Nonsurgical treatment: Conservative treatments such as Non-surgical treatment (NST) methods are first recommended for people with hip problems due to osteoarthritis or other conditions. These types of treatment include:
- Loss of weight or maintaining a healthy diet
- Physical therapy
- An Assistive device for instance cane or walker can be used
- Intake of pain-relieving medicine
- Glucocorticoid injection to painful joints
- One who suffers from inflammatory arthritis may undergo a treatment regimen of antirheumatic or some other medicines.
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Surgical alternatives: Surgical alternatives to hip replacement, such as hip fusion or osteotomy, may be considered in young people, in whom a hip replacement may not be durable enough to last for many years.
Risks of Hip Replacement Surgery
Hip replacement surgery is a serious medical procedure and carries some risks rare, serious problems. These risks must be fully understood by patients and relatives before the surgery takes place. There are various complications related to hip replacement surgery which include:
- Change in leg length
- Continued pain
- Blood clots
- Infection
- Fracture
- Limping
- Dislocation
- Nerve damage
Complications of Hip Replacement Surgery
Hip replacement surgery is a serious medical procedure and carries some risks rare, serious problems. These risks must be fully understood by patients and relatives before the surgery takes place. There are various complications related to hip replacement surgery which include:
Benefits Of Hip Replacement Surgery
Getting Relief from pain is the best benefit and the main cause of hip replacement surgery. There are some other benefits of this surgery:
- Relief in Pain
- Restore of Mobility
- Improves Overall Quality of Life
- Long-term Health Benefits
- Peace of Mind
- Excellent success rate
Hip Replacement Surgery Cost In India
There are different types of hip replacement surgery, and the cost depends on the patient opting for the procedure. The surgery is complex and can only be performed by experienced orthopedic surgeons. India is the best place to get hip replacement surgery and is relatively cheap as compared to other countries. The average cost of hip replacement surgery in India is around USD 1882 (INR 150,000). But the cost can vary depending on the city, surgeon and hospital you choose.
| Type Of Hip Replacement |
Cost in USD |
Price in INR |
| Partial Hip Replacement |
$941 to $2196 |
₹75,000 to ₹1,75,000 |
| Total Hip Replacement |
$1882 to $3765 |
₹1,50,000 to ₹3,00,000 |
| Single hip replacement surgery |
$2886 to $ 3639 |
₹2,30,000 to ₹2,90,000 |
Best Hospitals and Cities For Hip Replacement Surgery in India
The best hospitals which provide proper facilities, best surgeons, and treatment for hip replacement surgery include:
- Medanta the Medicity, Gurgaon, India
- Fortis Hospital, New Delhi and Gurgaon, India
- Max Super Specialty Hospital, Saket, New Delhi, India
- BLK Super Speciality Hospital, New Delhi, India
- Kokilaben Dhirubhai Ambani Hospital, Mumbai
- Apollo Hospitals, Greams Road, Chennai
- Manipal Hospital (Old Airport Road) Bangalore
- Apollo Hospitals, Jubilee Hills Hyderabad, MUMBAI
- Apollo Gleneagles Hospital, Kolkata
- Artemis Hospital, Gurgaon
FAQs
You can comfortably sleep on your operative side after six to eight weeks of starting treatment. However, this is not a guarantee, and you may need to wait longer if there are any problems. You can sleep on the non-operative side after three to four weeks by placing a pillow between both knees.
If you are getting a hip replacement, your doctor will recommend that you check your blood sugar levels before surgery. This is because elevated blood sugar levels can interfere with recovery and wound healing following hip surgery, so the sugar must be brought under control before the surgery occurs.
Most implants will last between 10 and 15 years. The mean life is 10-15 years, but some types of implants are prone to failure sooner than others
One can stand within 1 to 2 days after surgery, but the use of walking aids is recommended.
Exercising, like walking and getting treated properly and on time with qualified doctors would reduce the risk of going for hip replacement surgery in India. Surgery is usually the last option a doctor would take.
Dislocation of the hip can happen when the femoral head (ball) leaves the hip bone socket (attachment), or acetabulum, also called an acetabulum. Dislocation of the hip can be treated by putting it back into place with a simple procedure.
A revision medical procedure is a medical procedure that is targeted at fixing an afflicted region of the body. It could be a hip or knee arthroscopic procedure. These procedures are thought about as complex and altogether invasive.
Indeed a person needs a blood transfusion after the surgery.
Expect your scars to be about 6 to 8 inches long that too along the side of your hips. It may take around two weeks for swelling to go down, and another week or so for complete recovery.
The most important thing to look at is how you are moving. Only go for activities that do not place excessive or extra weight on your hips, like walking, gardening, or playing golf. However, swimming is also a good option as it burns calories faster and increases cardiovascular health.
