Hip replacement is advised for many painful hip disorders like fresh or old fractures of either the socket or the ball, failure of previous fixation and arthritis of the hip.
If the hip pain is due to ongoing infection in the joint or the bones, hip replacement is contra indicated.But if the infection is burnt out, one may carry out hip replacement is selected case
Joint replacement is ideally done for patient above the age of 60 years. It may be done between ages of 40 and 60. It is rarely done between ages of 20 and 40. It is never done in children.Currently the quality of the artificial joints being very good , young people, even in their 20s & 30s, who suffer from painful arthrits are advised to undergo early surgery to improve the quality of life.
There are three types of hip replacements:
- Hemi replacement: In which only ball of the femur is replaced.
- Total hip replacement: In which ball is replaced and the socket is resurfaced.
- Surface replacement: Where the surface of the ball is shaved off and is capped and similary the surface of the socket is scraped off and is resurfaced with metal lining.
Hemi and total replacement may be either cemented or Non-cemented.
The parts of the artificial hip may either be fixed to bone with a substance called Methyl Methacrylate (Bone cement), or they are pressfitted to the bone with capacity for the bone to stick to the parts. This Non-cemented hip is used mainly for younger individuals.
The ball is made either of stainless steel, cobalt chrome alloy or ceramic.
The socket is made either of poly ethylene, stainless steel or ceramic.
The average time taken for joint replacement surgery is 1 hour and 30 minutes.
The hospital stay is approximately for seven days after hip replacement surgery.
Exercises start within a day after joint replacement, while walking starts 2 – 3 days after the surgery
One may need temporary support of walker or walking stick after joint replacement. Whether one needs permanent support depends on whether other joints are affected.
Even a person with diabetes, high blood pressure, heart trouble can safely undergo joint replacement surgery under medical supervision.
It is advisable to use commode, avoid sitting on floor, jogging, running and fast sports after joint replacement surgery. Moderate speed walking, climbing stairs and swimming are permitted.
The complications after joint replacement are Deep vein thrombosis, pulmonary embolism and Infection.
To prevent deep vein thrombosis, at our centre we use calf compression device,which gently massages the calf, preventing blood flow stagnation. In some patients blood thinners are administered.
To prevent infection, surgery is carried out in specialised operation theatre, at our centre we use space suits during surgery to prevent wound contamination and use antibiotics pre-operatively.
With our system of Navigation with computer, the chances of fat embolism have reduced considerably.
The cost depends on the type of Implant, the type of room that you select and your medical condition. Before surgery a budget can be drawn out.
That will depend on the Mediclaim policy.