Surgical dislocation and Cost in India

The cost of surgical hip dislocation in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.

Surgical hip dislocation is an open hip-preserving operation in which the surgeon safely dislocates the hip to reach the whole ball and socket. It is used to reshape the joint and repair damaged cartilage and labrum. The cost depends on:

• Procedures performed: such as bone reshaping (osteoplasty), labral repair or cartilage treatment.
• Combined operations: sometimes with a pelvic or thigh bone osteotomy.
• Screws: to reattach the bone cut made for access.
• Hospital stay and rehabilitation

This page covers surgical hip dislocation for joint preservation. Confirm the exact planned procedure with your surgeon when requesting a quote.

The technique was described by Ganz and colleagues and is summarised in a 2021 systematic review by Khalifa and colleagues in the World Journal of Orthopedics. The surgeon makes a controlled cut through the bony prominence on the side of the hip (a trochanteric flip osteotomy), moves it forward with its muscles attached, and dislocates the hip to the front.

Protecting the main blood supply to the femoral head, the deep branch of the medial femoral circumflex artery, is central to the technique. This reduces the risk of the bone of the ball losing its blood supply.

Common reasons for the operation include:

• Femoroacetabular impingement (FAI): especially extensive cam or pincer deformities.
• Deformity after childhood hip conditions: such as slipped capital femoral epiphysis or Perthes disease.
• Post-traumatic deformities
• Combined corrections: with a periacetabular or femoral osteotomy.

It is generally considered for hips without advanced arthritis. A specialist hip-preservation surgeon assesses suitability using X-rays, CT and MRI.

Crutches and protected weight-bearing are usually needed for several weeks while the bone cut heals, followed by physiotherapy. Full recovery takes months.

The Khalifa review reports that Ganz's original series of 213 patients had major complications in 3.3%. Failure of the bone cut to heal (trochanteric non-union) was reported in 1.4% and 1.8% in two large series. Other complications include extra bone formation around the hip (heterotopic ossification) and nerve irritation.