Types of Bilateral Hip replacement
Simultaneous bilateral Hip replacement -When both the knees are replaced at same time in one surgery its known as simultaneous bilateral knee replacement ,
Staged bilateral Hip replacement - in this both knees are replaced at different time interval it is called staged bilateral knee replacement.
Hip resurfacing- Resurfacing the original socket and the ball of the thigh bone. This type of surgery has a lower risk of dislocation and the patient may be able to return to a higher level of physical activity
Minimally invasive total hip replacement – minimizes the soft tissue damage leading to shorter recovery time , less chances of post operative complications .
Diagnosis for Hip Replacement surgery :
Osteoarthritis, is a degenerative joint disease also known as wear and tear arthritis wherein the normal smooth surface of bone wears off resulting in bone to bone contact producing pain .
Rheumatoid arthritis is an autoimmune disease, in which the synovial membrane becomes inflamed. This membrane then produces excessive synovial fluid, damaging the articular cartilage.
Trauma - serious hip injury or fracture leading to damage of articular cartilage
Necrosis - If there is inadequate blood supply to the ball portion of the hip joint, the bone may collapse and deform.
Developmental dysplasia, congenital dislocation of hip
Tests before Hip Replacement Surgery
Medical history present and past – to know about the extent and duration of pain , past injury , surgeries performed if any
Physical examination done to understand the motion , stability of the joint
X rays and MRI to determine the extent of damage, condition of bones and soft tissue .
Symptoms for Hip Replacement
In spite of taking medication , physical therapy and other conservative methods
Debilitating pain persists
Interferes with routine activities
Makes it difficult to rise from a seated position
Procedure for Hip Replacement
Preoperative evaluation to declare you fit for surgery which includes present past medical history , complete blood count , urine analysis , clotting factor testing , ECG ,
X-ray and MRI scans to understand disease condition and choose treatment option .
The doctor will also check your regular medication and even stop few medications before surgery .
Surgery involves Replacement of femoral head and acetabulum with artificial component or prosthesis .
The procedure can take up to 3-4 hours, Surgery performed under General / Spinal anaesthesia
Skin incision is made over hip ,surgeon carefully separates muscles and ligament to access hip joint
Next step surgeon dislocates the joint and removes the femoral head from acetabulum.
Damaged cartilage within acetabulum removed and discarded, Inner hollow surface of acetabulum is reshaped for acetabular metal prosthesis which is secured with special cement or screws .
Femoral head is replaced with metal stent which consists of distal ball like structure and stem of metal shaft .
The new ball part of the thighbone is then inserted into the socket part of the hip
Once acetabular and femur component are in place , they are checked to see the movement and stability of hip joint , X ray done to verify if joint is properly positioned or not
Subcutaneous tissue closed with staples
Cast put for about 2 weeks
Transferred to recovery area and kept in observation
Antibiotics and pain killer medicine will be administered .
Patient will have to stay in the hospital for 6-8 days. Stitches or staples will be removed approximately 2 weeks after surgery. Patient will be able to resume his normal daily activities within 3 to 6 weeks following surgery.
Physical therapy: within the first six weeks is very important. This is important to help strengthen the hip joint .
Complications of Hip Replacement Surgery :
Hip replacement surgery like any other surgery carries a risk of complications
Infection (Redness, swelling, bleeding, or other drainage from the incision site )
Nerve damage -Numbness and/or tingling in the affected leg
A limp, or problem while walking, Grinding or clunking from the hip
- Unequal leg lengths
Factors Affecting the Cost of Hip Replacement Surgery
Following are the factors which will affect the treatment cost:
The hospital patient is opting for.
Room –Standard single room, deluxe room, super deluxe room for the number of nights specified (including nursing fee, meals, room rate, and room service).
Operating room, ICU
Fee for the team of doctors (Surgeons ,Anesthesist ,Physiotherapist ,Dietician )
Standard test and diagnostic procedures
Depend on the treatment options :
Type of Surgery staged /simultaneous bilateral
Implant being used