Hip Replacement Surgery in India
Hip replacement surgery is a medical procedure that involves replacing of a damaged and painful hip joint with an artificial joint often made from metal and plastic components. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure is aimed at relieving a painful hip joint, making walking more comfortable.
The hip joint is one of the human body's largest joints. It is a ball-and-socket synovial joint: the ball is the femoral head, and the socket is the acetabulum.
The bone surface of this synovial joint is covered with articular cartilage that cushions the ends of the bones and helps them to move quickly. Bands of tissue called ligaments (the hip capsule) connect the ball to the socket and provide stability to the joint. It forms a connection from the lower limb to the pelvic girdle and thus is designed for balance and weight-bearing – rather than an extensive range of movement.
The most common cause of persistent hip pain and disability is arthritis. Different manifestation of this disease includes osteoarthritis, rheumatoid arthritis, and traumatic arthritis. When the hip joint is damaged to the extent that you suffer persistent pain, reducing your mobility, hip replacement surgery becomes a necessity.
The primary reason for hip replacement surgery in India is osteoarthritis. It is an age-related disorder usually occurring in people 50 years of age and older. In this case of arthritis, the cartilage of the hip wears away, which results in bones rubbing against each other, causing hip pain and stiffness. Osteoarthritis may also be aggravated by subtle irregularities in how the hip developed in childhood.
Other conditions that can cause hip joint disorder or damage include:
• Rheumatoid arthritis
• a hip fracture
• septic arthritis
• ankylosing spondylitis
• disorders that cause unusual bone growth
Who is offered hip replacement surgery in India?
A hip replacement is a major surgery, which is recommended only if other treatments, such as medications, physiotherapy or steroid injections haven't helped reduce pain or improve mobility.
You may be offered hip replacement surgery in India if:
• you have persistent pain, and stiffness in your hip joint
• your hip pain is so severe that it reduces your mobility and interferes with everyday tasks, such as sitting, bending or even casual stroll becomes difficult or impossible
• you can't work or have a healthy social life
• Along with the reasons as mentioned above, you also need to be fit enough to cope with both major surgery and the rehabilitation afterwards.
As one needs to be in right frame of health and mind to undergo hip replacement surgery in India, certain factors might prevent you from having a hip replacement such as uncontrolled high blood pressure, heart diseases, or some other infection.
Hip replacement surgery in India are of two types: a) Traditional or standard hip replacement and b) Minimally-invasive hip replacement. The primary difference between the two procedures is the size of the incision.
During standard hip replacement surgery in India, under general anaesthesia or epidural, the surgeon makes an incision into the hip. He then removes the damaged and painful hip joint and replaces it with an artificial joint that best suits your body type. The surgery usually takes around 1-2 hours to complete.
For artificial hip joints, there are different types of designs and materials currently available. All of them consist of two essential components: the ball component- made of highly polished sturdy metal or ceramic material and the socket component- which could be either plastic or ceramic with an outer metal shell.
There are two ways to fit these prosthetic components. Your orthopedic surgeon could either "press fit" them into the bone to allow your bone to grow onto the parts or they may be cemented into place. The decision to press fit or to cement the components is based on many factors, including the quality and strength of your bone.
Your surgeon will choose the prosthesis that best meets your needs and your body type. Metal on highly crossed-linked polyethylene (metal ball on the plastic liner) is currently the most preferred option with both surgeons and patients. It is highly successful with the best track record for hip replacement surgery in India.
Minimally-invasive hip replacement surgery
While most hip replacement surgery in India are performed using the standard technique (with 8- 10 inches cut along the side of the hip), in recent years, a new minimally-invasive procedure has got popular with doctors and patients alike. In the minimally-invasive approach, doctors make one to two cuts, which are 2 to 6 inches long. The artificial joints used in this procedure are the same as those used for traditional surgery. However, certain specially designed surgical tools and instruments are used to prepare the socket and femur and to place the implants correctly.
1. Single-incision surgery: In this type of hip replacement surgery in India, the surgeon makes a single incision measuring 3 to 6 inches depending on the size of the patient.
The incision is usually made on the outside of the hip. Then the muscles and tendons are split from the hip joint, but to a lesser extent compared to traditional hip replacement surgery.
2. Two-incision surgery: This is a minimally invasive hip replacement, here, the surgeon makes two small incisions which is basically a 2-3 inches incision over the groin for placement of the socket, and another 1 to 2-inch incision over the buttock for installation of the femoral stem.
As a result of the small cuts, there is less blood loss which in turn helps in easing out the pain following surgery. It also shortens hospital stays, reduces scar appearance, and speeds up the process of healing.
Though minimally-invasive hip replacement has a lot of positives, it's not suitable for all patients. The minimally invasive technique is not recommended for people 65 years and above as bones tend to weaken as a person becomes older. It is also not advised for menopausal women for the same reason. Your orthopedic will conduct a comprehensive evaluation and consider several factors before determining if the procedure is an option for you.
Additionally, for patients who are overweight or who have already undergone other hip surgeries, minimally invasive surgeries are not so suitable. Furthermore, patients who have a significant deformity of the hip joint, or those who are very muscular cannot undergo this type of surgery. Individuals with health problems experience slow wound healing and are thus advised against minimally invasive hip replacement surgery in India.
Besides the standard and minimally-invasive hip replacement procedures, there is an alternative type of hip replacement surgery in India known as hip resurfacing. This operation involves removing the damaged surfaces of the bones inside the hip joint and replacing them with a metal surface.
The main advantage of resurfacing is that it removes less bone compared to open hip replacement. However, this approach is much less prevalent now due to concerns about the metal surface causing damage to soft tissues around the hip.
Your surgeon thoroughly examines you before deciding on which type of hip replacement surgery in India suits you the best.
Post-surgical advice and precautions
Post hip replacement surgery, your surgeon will talk about various precautions you need to undertake as part of a recovery program. These include:
• Range-of-motion precautions- There are a lot of precautions regarding one's movement that needs to be strictly followed post-surgery to minimise the chance of dislocation. For example, a patient may be told not to cross his or her legs.
• Weight-bearing precautions- To maximise the chance that the natural bone has an opportunity to grow into the implants, the patient is advised not to put any pressure on the joint. For example, a patient may be told not to stand or walk without using crutches or a walker.
The rehabilitation process after your hip replacement surgery in India can be a demanding task and requires commitment. A successful surgery will depend in no small measure on how well you follow your surgeon's do's and don'ts regarding home care during the first few weeks after surgery.
• The stitches or staples, running along your wound or a suture beneath your skin will be removed approximately two weeks after surgery. Be cautious with water and avoid getting the wound wet until it has dried. It's advised to continue with a bandage to prevent irritation from clothing.
• Diet: Some loss of appetite is typical for several weeks after surgery. It is important to take a balanced diet, often with an iron supplement, is essential to promote proper tissue healing and restore muscle strength. It is also necessary to keep oneself hydrated by drinking plenty of fluids.
• Exercise is a critical component of home care, particularly during the first few weeks after your hip replacement surgery in India. For the first month or so after the operation, you'll need a walking aid, such as crutches, to help support you. You may also enrol in an exercise programme to help you regain flexibility and movement your new hip joint.
• Physiotherapy is also advised to restore movement and strengthen your hip. Most people can resume normal activities within two to three months, but for some patients, it might take longer before you experience the full benefits of your new hip.
Possible Complications of Surgery
The complication rate following hip replacement surgery in India is low. Serious complications, such as joint infection, occur in less than 2 percent of patients. Chronic illnesses, however, may increase the potential for complications. Common complications of a hip replacement can include:
a) hip dislocation
b) infection at the site of the surgery
c) blood clots
d) a fracture
e) differences in leg length
There are chances, though quite rare, that an artificial joint wears out earlier than expected or goes wrong in some way. Such patients will need revision surgery to repair or replace the joint.
The top hospitals for hip replacement surgery in India offer cutting-edge diagnostic tools and advanced technology supported by skilled surgeons and trained staff. The top hospitals for hip replacement surgery in India are at Delhi, Mumbai, Bangalore, Gurgaon, Chennai, Ahmedabad, Hyderabad, Noida, Nagpur, Kerala, etc.
The top hip replacement surgeons in India are highly qualified and have many years of experience in performing the hip replacement surgery. They are recognised nationally and internationally for their surgical technical excellence and innovative abilities to perform both simple and challenging operations.
Indian hospitals provide comprehensive, exceptional orthopaedic care to every patient. From accurate diagnosis to development of a personalised treatment plan and thorough post-operative follow-up, Indian doctors and surgeons work hard to ensure you have the best possible outcome. And all this is done at a very affordable cost.
The cost of hip replacement surgery in India starts from USD 5000 which is 1/4th of what it costs in the US. Though this price may vary as per your choice of hospital and surgery, it is still much less than other medical hubs in the western world.
Each year, patients from the UK, US, Sri Lanka, Bangladesh, East Africa, Middle East, and Nepal come for hip replacement surgery in India. All the major orthopaedic procedures in India are pre-planned to meet the demands and convenience of patients coming from abroad. India offers e-visa facilities to countries like United States, United Kingdom, Australia, New Zealand, Oman, UAE, middle east countries, East Asian countries, African countries and others so that they can travel quickly to India to undergo hip replacement.
Medmonks team ensures complete hand-holding of our international clients. We are at the top of everything right from the online consultation with leading doctors; or the process to help them decide the right doctor and hospital and follow-up once they are safely back in their country. We offer our customers the best available treatment for their medical needs without any false promises or jargons. We at Medmonks vouch for your safety, security and successful completion of your treatment.