Best Hip Replacement Surgery Hospitals in India

What Is a Hip Replacement?

Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint are  removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain.

About Hip Joint Replacement Surgery

Our hip joint is called a ball and socket joint because of its structure. It is formed by the head of the Femur (thigh bone) and the acetabulum of the pelvis (the hip bone).hip123 The dome-shaped head of the femur for acetabulum. The hip joint is a very strong joint, due to the tight fitting of the bones and the strong surrounding ligaments and muscles. Some conditions may cause severe pain in hip joint and may affect the mobility.

Some of the most common causes for a hip pain are arthritis, Trochanteric Bursitis, Tendonitis, Osteonecrosis, Lumbar Pain, Snapping Hip Syndrome, Muscle Strains, Hip Fracture and Stress Fracture. The most common cause for a Hip Replacement surgery is the arthritis.

Risks of hip replacement surgery

  • Complications of a hip replacement can include:
  • hip dislocation
  • infection at the site of the surgery
  • injuries to the blood vessels or nerves
  • a fracture
  • differences in leg length

Diagnosis
The diagnosis of a hip pain starts with medical history taking by your doctor. Here the doctor tries understanding the cause for pain as well as reviewing any other underlying complaints. Observation of the hip at rest and while standing or walking, palpation (or feeling) of the hip and surrounding structures, testing for range of motion and strength, and checking for sensation and pulses all may be done. Few blood tests may also be ordered.
The most common imaging technique used in the diagnosis of a hip pain is X-ray. Other imaging like CT scan or a MRI scan may also be used.

Type of Total Hip Replacement (THR)

Conventional total hip replacement is a prosthesis that is anchored in the upper part of femur (thighbone).

In a short stem hip replacement, the prosthesis on the femoral side is very small in comparison. It is anchored only in the spongy bone. It is uncemented. This is a bone preserving hip replacement.

Anchorage method can be either cemented or uncemented. Prostheses that are anchored with bone cement are cemented hip replacements. Those prostheses, which rely on natural bony ingrowth for anchorage, are uncemented hip replacement. Natural bone in growth is encouraged by various coatings to the stem.

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Best Hip Replacement Surgery Hospitals in India

Total Hip Replacement Surgery Best Hospitals in India

Hip replacement, also called total hip arthroplasty, is a surgical procedure to replace a worn out or damaged hip123hip joint with a prosthesis (an artificial joint). This surgery may be an option after a hip fracture or for severe pain due to arthritis.

 

 

Various types of arthritis may affect the hip joint:

  • Osteoarthritis. This is a degenerative joint disease that affects mostly middle-aged and older adults. It may cause the breakdown of joint cartilage and adjacent bone in the hips.
  • Rheumatoid arthritis. This type of arthritis causes inflammation of the synovial lining of the joint and results in excessive synovial fluid. It may lead to severe pain and stiffness.
  • Traumatic arthritis. This is arthritis resulting from an injury. It may also cause damage to the hip cartilage.

Why might I need hip replacement surgery?

Hip replacement surgery is a treatment for pain and disability in the hip. The most common condition that results in the need for hip replacement surgery is osteoarthritis.

Osteoarthritis causes loss of joint cartilage in the hip. Damage to the cartilage and bones limits movement and may cause pain. People with severe pain due to degenerative joint disease may be unable to do normal activities that involve bending at the hip, such as walking or sitting, because they are painful.

Other forms of arthritis, such as rheumatoid arthritis and arthritis that results from a hip injury, can also lead to degeneration of the hip joint.

Hip replacement may also be used as a method of treating certain hip fractures. A fracture is an injury often from a fall. Pain from a fracture is severe and walking or even moving the leg is difficult.

If medical treatments are not effectively controlling arthritis pain, hip replacement may be an option. Some medical treatments for degenerative joint disease may include:

  • Anti-inflammatory medications
  • Glucosamine and chondroitin sulfate
  • Pain medications
  • Limiting painful activities
  • Assistive devices for walking (such as a cane)
  • Physical therapy

There may be other reasons for your healthcare provider to recommend a hip replacement surgery.

What are the risks of hip replacement surgery?

As with any surgical procedure, complications can occur. Some possible complications may include:

  • Bleeding
  • Infection
  • Blood clots in the legs or lungs
  • Dislocation
  • Need for revision or additional hip surgery
  • Nerve injury resulting in weakness or numbness

There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your healthcare provider prior to the procedure.

How do I get ready for hip replacement surgery?

  • Your healthcare provider will explain the procedure to you and offer you the chance to ask any questions that you might have about the procedure.
  • You may be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something is not clear.
  • In addition to a complete medical history, your healthcare provider may perform a complete physical exam to ensure you are in good health before undergoing the procedure. You may undergo blood tests or other diagnostic tests.
  • Tell your healthcare provider if you are sensitive to or are allergic to any medications, latex, tape, and anesthetic agents (local and general).
  • Tell your healthcare provider of all medications (prescribed and over-the-counter) and herbal supplements that you are taking.
  • Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure.
  • If you are pregnant or suspect that you are pregnant, you should notify your healthcare provider.
  • You will be asked to fast for 8 hours before the procedure, generally after midnight.
  • You may receive a sedative prior to the procedure to help you relax.
  • You may meet with a physical therapist prior to your surgery to discuss rehabilitation.
  • Stop smoking, as smoking can delay wound healing and slow down the recovery period.
  • Lose weight if needed.
  • Perform conditioning exercises as prescribed to strengthen muscles.
  • Arrange for someone to help around the house for a week or two after you are discharged from the hospital.
  • Based on your medical condition, your healthcare provider may request other specific tests or exams.

What happens during hip replacement surgery?

Hip replacement requires a stay in a hospital. Procedures may vary depending on your condition and your doctor’s practices.

Hip replacement surgery is performed while you are asleep under general anesthesia or sedated under spinal anesthesia. Your anesthesiologist will discuss this with you in advance.

Generally, hip replacement surgery follows this process:

  • You will be asked to remove clothing and will be given a gown to wear.
  • An intravenous (IV) line may be started in your arm or hand.
  • You will be positioned on the operating table.
  • A urinary catheter may be inserted (after you are asleep).
  • The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
  • The skin over the surgical site will be cleansed with an antiseptic solution.
  • The doctor will make an incision in the hip area.
  • The doctor will remove the damaged parts of the hip joint and replace them with the prosthesis. The hip prosthesis is made up of a stem that goes into the femur (thighbone), the ball (head joint) that fits into the stem, and a cup that is inserted into the socket of the hip joint. The stem and cup are made of metal. The ball may be made of metal or ceramic. The cup has a liner that may be made of plastic or ceramic. The two most common types of artificial hip prostheses used are cemented prostheses and uncemented prostheses. A cemented prosthesis attaches to the bone with surgical cement. An uncemented prosthesis attaches to the bone with a porous surface onto which the bone grows to attach to the prosthesis. Sometimes, a combination of the two types is used to replace a hip.
  • The incision will be closed with stitches or surgical staples.
  • A drain may be placed in the incision site to remove fluid.
  • A sterile bandage or dressing will be applied.

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Total Hip Replacement Surgery Best Hospitals in India

Best Hip Replacement Surgery Hospitals in India

What Is a Hip Replacement?

Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint arehip123 removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain.

 

How to Prepare for Surgery and Recovery

People can do many things before and after they have surgery to make everyday tasks easier and help speed their recovery.

Before Surgery

  • Learn what to expect. Request information written for patients from the doctor, or contact one of the organizations listed near the end of this publication.
  • Arrange for someone to help you around the house for a week or two after coming home from the hospital.
  • Arrange for transportation to and from the hospital.
  • Set up a “recovery station” at home. Place the television remote control, radio, telephone, medicine, tissues, wastebasket, and pitcher and glass next to the spot where you will spend the most time while you recover.
  • Place items you use every day at arm’s level to avoid reaching up or bending down.
  • Stock up on kitchen supplies and prepare food in advance, such as frozen casseroles or soups that can be reheated and served easily.

After Surgery

  • Follow the doctor’s instructions.
  • Work with a physical therapist or other health care professional to rehabilitate your hip.
  • Wear an apron for carrying things around the house. This leaves hands and arms free for balance or to use crutches.
  • Use a long-handled “reacher” to turn on lights or grab things that are beyond arm’s length. Hospital personnel may provide one of these or suggest where to buy one.

Risks of hip replacement surgery

Complications of a hip replacement can include:

  • hip dislocation
  • infection at the site of the surgery
  • injuries to the blood vessels or nerves
  • a fracture
  • differences in leg length

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Best Hip Replacement Surgery Hospitals in India

Most Advanced Total Hip Joint Replacement Surgery at World Best Hospitals in India

Overview

During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal and very hard plastic. This artificial joint (prosthesis) helps reduce pain and improve function.birmingham-hip-resurfacing-stem-surgery2

Also called total hip arthroplasty, hip replacement surgery may be an option for you if your hip pain interferes with daily activities and more-conservative treatments haven’t helped. Arthritis damage is the most common reason to need hip replacement.

Why it’s done

Conditions that can damage the hip joint, sometimes necessitating hip replacement surgery, include:

  • Osteoarthritis. Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.
  • Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode bone and cartilage and deform joints.
  • Osteonecrosis. If there is inadequate blood supply to the ball portion of the hip joint, the bone may collapse and deform.

Benefits

The hip replacement operation is one of the most reliable operations in orthopaedic surgery and consistently reduces or eliminates the pain of the arthritis in most patients. Some of the important benefits of a Total Hip replacement surgery are, marked reduction in pain and improvement in sleep, most people regain range of motion, physical ability, and quality of life.

Risks

Risks associated with hip replacement surgery may include:

  • Blood clots. Clots can form in your leg veins after surgery. This can be dangerous because a piece of a clot can break off and travel to your lung, heart or rarely your brain. Your doctor may prescribe blood-thinning medications to reduce this risk.
  • Infection. Infections can occur at the site of your incision and in the deeper tissue near your new hip. Most infections are treated with antibiotics, but a major infection near your prosthesis may require surgery to remove and replace the prosthesis.
  • Fracture. During surgery, healthy portions of your hip joint may fracture. Sometimes the fractures are so small that they heal on their own, but larger fractures may need to be corrected with wires, pins and possibly bone grafts.
  • Dislocation. Certain positions can cause the ball of your new joint to become dislodged. To avoid this, it is often recommended that after surgery you don’t bend more than 90 degrees at the hip and don’t let your leg cross the midline of your body. If the hip dislocates, your doctor may fit you with a brace to keep the hip in the correct position. If your hip keeps dislocating, surgery is often required to stabilize it.
  • Change in leg length. Your surgeon takes steps to avoid the problem, but occasionally a new hip makes one leg longer or shorter than the other. Sometimes this is caused by weakness in the muscles surrounding the hip. In this case, progressively strengthening and stretching those muscles may help.
  • Loosening. Although this complication is rare with newer implants, your new joint may not become solidly fixed to your bone or may loosen over time, causing pain in your hip. Surgery might be needed to fix the problem.

Diagnosis
The diagnosis of a hip pain starts with medical history taking by your doctor. Here the doctor tries understanding the cause for pain as well as reviewing any other underlying complaints. Observation of the hip at rest and while standing or walking, palpation (or feeling) of the hip and surrounding structures, testing for range of motion and strength, and checking for sensation and pulses all may be done. Few blood tests may also be ordered.
The most common imaging technique used in the diagnosis of a hip pain is X-ray. Other imaging like CT scan or a MRI scan may also be used.

During the procedure

To perform a hip replacement, your surgeon:

  • Makes an incision over the front or side of your hip, through the layers of tissue
  • Removes diseased and damaged bone and cartilage, leaving healthy bone intact
  • Implants the prosthetic socket into your pelvic bone, to replace the damaged socket
  • Replaces the round top of your femur with the prosthetic ball, which is attached to a stem that fits into your thighbone

Techniques for hip replacement are evolving. As surgeons continue to develop less invasive surgical techniques, Hip Replacement Surgery in Indiathe hope is that these techniques might reduce recovery time and pain compared with standard hip replacements. However, studies comparing the outcomes of standard hip replacement with those of minimally invasive hip replacement have had mixed results.

After the procedure

After surgery, you’ll be moved to a recovery area for a few hours while your anesthesia wears off. Medical staff will monitor your blood pressure, pulse, alertness, pain or comfort level, and your need for medications.

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Most Advanced Total Hip Joint Replacement Surgery at World Best Hospitals in India

Total Hip Joint Replacement and Hip Resurfacing Surgery at World Best Hospitals in Indi

Total hip replacement (THR) is a treatment option for late-stage degenerative hip disease, also known as osteoarthritis or degenerative arthritis. THR is one of the most successful and common surgical procedures in orthopedic surgery. In addition to marked reduction in pain and improvement in sleep, most people regain range of motion, physical ability, and quality of life.

• The hip joint is composed of a ball and socket, with the surface of each covered by cartilage.

• A number of conditions and diseases can cause the cartilage surfaces to degenerate, which in turn leads to pain, stiffness, loss of hip joint range of motion, and disability.

• Surgeons replace both the ball (femoral head) and socket (acetabulum) during total hip replacement surgery

When is it recommended?
Total Hip Replacement is recommended when the patient is suffering from Rheumatoid Arthritis, Osteonecrosis, Injury of the hip joint, or some bone tumors have been diagnosed that are adversely affecting the hip joint. Additionally, if the patient has any of the following conditions then hip replacement is required:

• Hip arthritis (Primary osteoarthritis)

• Secondary osteoarthritis (more common in India)

• Femoral neck fractures with preexisting osteoarthritis

• Femoral neck fracture, Non unions

• Malunited hip socket and ball fractures

• Avascular necrosis(AVN)

• Protrusio acetabuli (deep socket)

• Slipped upper femoral epiphysis

• Perthes disease

• Rheumatoid arthritis

• Ankylosing spondylitis

Types and techniques of Hip Joint Replacement Surgery

There are specifically two types of Hip replacement surgeries, one that is most commonly used is the Total hip replacement surgery and the other one is the semi (half) hip replacement surgery. The surgeons adopt various techniques to do these surgeries.

 

Anterior Hip Replacement Surgery/Operation:
Anterior hip replacement technique is also known as mini anterior approach towards hip replacement. It provides similar results as the traditional hip replacement procedure of replacing worn out bones of the hip joints with prosthetic implants. The only difference in anterior technique is that the method of opening the body to reach for hip joint. It has emerged as a feasible substitute of posterior or traditional approach.

While undergoing the anterior hip replacement operation the orthopedic surgeon uses a small incision that’s approximately 4 inches long; which is located in front of the leg or hip portion, through this approach the surgeon can easily push the muscle aside instead of cutting and making passage through them to reach the hip joint and again reattaching the muscle. This method is considered best because it causes less trauma and damage to the soft tissue, risk of dislocation of new prosthetic implant is lesser and it also allows quick recovery.

Partial Hip replacement surgery
This surgery is also known as semi Arthroplasty. In this procedure the ball that is scientifically called ‘femoral head’ of the worn out or damaged joint is replaced with the prosthetic implant. During this procedure, the socket i.e. the acetabulum is not replaced. Partial hip replacement operations are usually conducted when the patient has fractured or broken his hips or had a traumatic hip injury. This type of hip replacement surgery is not recommended for degenerative arthritis in hip joint. It is also a good technique of semi hip replacement surgery.

Minimally Invasive Hip Replacement surgery
Minimally invasive hip replacement technique is a process through which the orthopedic surgeon can implant the prosthetic components through one or two smaller incisions. Operation using such technique means that there will be a very small scar, less post-operative pain,less loss of blood during surgery and shorter recovery time. Tough the time taken for the surgery may be more. For operation the surgeon may also require some special equipment that may not be available everywhere

Bilateral Hip Replacement Surgery
Bilateral hip joint replacement surgery is a surgery where the surgeons replace and resurfaces both the hips at the same time because of excessive stiffness and arthritic pain. This type of surgery is not common, because arthritis in hips do not usually advances at a same rate. But occasionally, such situations may appear. If there is any major damage along with severe pain because of arthritis in both the hips, then the candidate may be advised to undergo bilateral hip replacement operation

• The best of hip replacement surgeons in India have acquired super specialisation and training in the UK, USA, etc

• The low cost of Total or Partial Hip Replacement surgery in India is offered without any compromise on quality or

• The success rate in India for Total & Partial Hip Joint Replacement surgery at India’s best hospitals is a phenomenal 99%

• Success rate, which is as high as 99% at the best orthopaedic hospitals in India

• The cost of Hip Replacement surgery in India is amongst the lowest anywhere in the world

If your hip has been damaged by arthritis, a fracture, or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Your hip may be stiff, and it may be hard to put on your shoes and socks. You may even feel uncomfortable while resting. If medications, changes in your everyday activities, and the use of walking supports do not adequately help your symptoms, you may consider hip replacement surgery. Hip replacement surgery is a safe and effective procedure that can relieve your pain, increase motion, and help you get back to enjoying normal, everyday activities.

The most common forms of arthritis which affect the hip joint are the following:

Osteoarthritis : This condition is primarily age-related and generally occurs in individuals over the age of 50, who have a family history of this condition. Osteoarthritis causes the cartilage cushion in the hip to wear away, leading to bone friction and hip pain

Rheumatoid arthritis : This condition causes inflammation of the synovial membrane, which produces the lubricating fluid for the hip joint.

Hip disease during childhood : Some hip diseases suffered during infancy or childhood can result in arthritis in adult life even if the diseases were treated and cured during childhood

Arthritis caused by hip fracture/trauma : Fracture of the hip or severe damage to the ligaments in the hip joint can cause degeneration of the cartilage, resulting in hip pain.

There are two major types of artificial hip replacements – Cemented Prosthesis and the Uncemented Prosthesis. Both types of prosthesis are widely used.

Computer assisted surgery (CAS) / Computer aided surgery/Image guided intervention and Surgical Navigation

Orthopedic surgeons may use computer assisted surgery (CAS) technology, also known as surgical navigation, during total hip replacement procedures to help ensure that the implants are properly aligned to the patient’s unique anatomy. Accurate alignment of the hip components is crucial to the overall function of the new hip joint. Proper alignment may also help the new joint feel more natural, and enable it to potentially last longer. Hip replacement surgery involves replacing the femur (head of the thighbone) and the acetabulum (hip socket) with an artificial prosthesis consisting of three parts: a cup (replacing the hip socket), a metal stem (replacing the neck of the thighbone) and a metal or ceramic ball (replacing the damaged head of the thigh bone and linking the cup and stem together).

CAS technology offers a hip replacement patient several benefits including: –

• With CAS technology, surgeons are able to make precise adjustments to ensure the optimal implant fit, range of motion and joint stability. This may help to reduce joint wear and extend the life of the implant.

• CAS may allow for less invasive techniques which have other potential advantages including: smaller incisions with reduced muscle disruption and decreased rehabilitation time.

• Provides your surgeon with comprehensive data about your anatomy which may help determine proper placement of your joint replacement

• Ability to plan for surgery with a computer generated model of your hip .

• Provides the surgeon with feedback and the ability to correct potential misalignment during the surgery

• Allows for better visualization of anatomy, which is particularly important when minimally-invasive techniques are used.

Total Hip Joint Replacement and Hip Resurfacing Surgery at World Best Hospitals in Indi