Hip Replacement
July 10, 2024What is Hip Replacement Surgery?
Hip replacement surgery, also known as total hip arthroplasty, involves replacing a damaged or diseased hip joint with an artificial implant. The aim of the surgery is to relieve pain, improve mobility, and restore normal function to the hip joint.
During the procedure, the surgeon removes the damaged parts of the hip joint and replaces them with a prosthetic ball and socket joint made of metal, ceramic, or plastic components.
How Do You Know If You Need One?
You may be a candidate for hip replacement surgery if you experience the following:
- Persistent pain in the hip that limits your daily activities and does not improve with conservative treatments,
- A feeling of rigidness in the hip that restricts movement and makes it difficult to lift or move the leg,
- Pain that continues while resting or at night, often interrupting sleep,
- Difficulty walking, climbing stairs, or getting in and out of chairs due to hip pain
- No proper pain relief from anti-inflammatory medications, physical therapy, or even walking support.
What Are the Different Types?
There are many types of hip replacement surgery. The common ones are discussed as follows:
- Total Hip Replacement: This is the most common type, in which both the ball and socket of the hip joint are replaced with prosthetic components.
- Partial Hip Replacement: This procedure is also known as hemiarthroplasty. In this type, only the ball of the hip joint is replaced, typically in cases of hip fracture.
- Minimally Invasive Hip Replacement: In this type of hip replacement, smaller incisions are made with the help of specialized instruments to reduce muscle damage and speed up recovery time.
- Anterior Hip Replacement: In this technique, the surgeon accesses the hip joint from the front of the hip, which can lead to faster recovery and less pain compared to traditional approaches.
- Revision Hip Replacement: In this type of surgery, a previously implanted artificial hip joint is replaced. The reason could be a worn, loosened, or infected implant.
How Should I Prepare?
You can follow these steps to prepare for a hip replacement surgery:
- You have to schedule a pre-operative examination with your surgeon to discuss your medical history, medications, and any necessary tests or exams.
- You then need to follow your surgeon's instructions on managing medications, especially blood thinners or anti-inflammatory drugs, prior to surgery.
- You will have to arrange for someone to drive you home and assist you during your initial recovery period after surgery.
- You will need to prepare your home for your return by installing safety features like handrails and placing frequently used items within easy reach.
- You must pack a hospital bag with comfortable clothing, toiletries, and any personal items you may need during your stay.
Can I Have Both Hips Replaced?
Yes, it is possible to have both hips replaced, either simultaneously (bilateral hip replacement) or in separate surgeries (staged hip replacement). The decision to replace both hips at once or in stages depends on certain factors, such as:
- The severity of arthritis or damage in each hip,
- Your overall health and ability to tolerate a longer surgery and recovery,
- Your age and activity level,
- Your surgeon's recommendation and experience.
In some cases, replacing both hips together can offer benefits such as a single surgery and recovery period and improved symmetry and balance. However, it also carries a higher risk of complications compared to single hip replacement.
What Are the Risks?
As with any major surgery, hip replacement surgery carries certain risks:
- Infection at the surgical site or in the bloodstream,
- Blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism),
- Dislocation of the new hip joint,
- Unequal leg length,
- Nerve or blood vessel damage,
- Fracture of the bone around the implant,
- Loosening or wear of the prosthetic components over time,
- Persistent pain or stiffness in the hip.
What Are the Advantages?
Hip replacement surgery offers several potential benefits:
- Significant reduction in hip pain and stiffness,
- Improved mobility and range of motion in the hip joint,
- Enhanced ability to perform daily activities and enjoy hobbies,
- Better quality of life and overall well-being,
- Long-lasting results, with most hip implants lasting 15-20 years or more,
- Reduced risk of complications associated with prolonged hip arthritis, such as muscle weakness and joint deformity.
For many patients, the advantages of hip replacement surgery far outweigh the risks, and the procedure can help restore their independence and active lifestyle.
Cost
The cost of hip replacement surgery in India depends on:
- The type of implant and surgical technique used,
- The hospital and location,
- The experience and charges of the surgeon
- Pre- and post-operative care plan.
The average cost of hip replacement surgery in India can fall in the range of Rs. 2,50,000 to Rs. 5,00,000. However, the actual cost may be more or less based on your specific case and the hospital you choose.
At Apollo Spectra, our team of skilled orthopedic surgeons is dedicated to providing exceptional care for patients undergoing hip replacement surgery. With advanced surgical techniques and personalized rehabilitation programs, we can help you regain your mobility and enjoy a pain-free, active lifestyle. Schedule a consultation with our experts today to discuss your options and take the first step towards a better quality of life.
Most patients can begin walking with assistance within a day after surgery and return to light activities within 3-6 weeks. Full recovery, including a return to more strenuous activities, can take upto 3-6 months or longer.
Hip replacement surgery has a high success rate, with over 95% of patients experiencing significant pain relief and improved mobility. However, individual results may vary depending on factors such as age, overall health, and adherence to post-operative instructions.
Modern hip implants are designed to last 15-20 years or more. The lasting period also depends on the age and activity level of the patient. However, in some cases, revision surgery may be necessary to replace a worn or loosened implant.
In general, you should avoid high-impact activities like running or jumping, as well as activities that involve excessive bending or twisting of the hip. Low-impact exercises like walking, swimming, and cycling are often recommended to maintain strength and flexibility.
You can reduce your risk of complications by: Following your surgeon's post-operative instructions, Attending follow-up appointments, Taking medications as prescribed, Participating in a comprehensive rehabilitation program. Maintaining a healthy weight, avoiding falls, and using assistive devices as needed.