Hip Replacement Surgery

Hip Replacement Surgery is the surgical procedure where the diseased/arthritic ball of the joint is replaced with the compatible implant which fits in the socket and provides painless, mobile and stable hip. It can be total or partial depending upon the pathology warranting treatment. Implants are made of metallic alloys and highly dense polythene. Hip replacement relieves pain of the joint and also rectifies any limb shortening, stiffness arising out of the disease of the joint.

Total Hip Replacement (THR) or Total Hip Arthroplasty – is required in the cases where both surface of the joint, the ball and the socket of the joint is damaged due to Avascular Necrosis advanced stages, Osteoarthritis, arthritis secondary to injury/ infection etc. both the joint surface is replaced by the artificial implants.

Hemi replacement of Hip or Partial replacement – is the procedure where only the ball of the hip joint is replaced most commonly after the fracture of neck of the femur bone in elderly. The replaced ball also called head moves inside the natural socket called acetabulum.

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FAQs

What is the recovery time for a hip replacement surgery?

A patient is able to walk with the help of a walker with support within 24 hours of the surgery. Patient will need to continue using first a walker then a stick for support for about a month.

Is a hip replacement a major operation?

Total Hip replacement is a major surgical procedure and best results are produced when it is done by a qualified and experienced team of doctors and paramedical staff at a specialised centre.

How painful is a hip replacement?

With the modern-day technique and advancement in patient care such as multi-modal pain management system, patients rarely experience pain after hip replacement surgery.

How dangerous is hip replacement surgery?

Hip replacement surgery is highly rewarding in the hands of a qualified and experienced surgeon. Success rate of hip replacement is more than 98%. Some complications occur in about 1% of the patients, majority of which are minor such as bleeding, prolonged pain. Very rarely significant complication such as dislocation of the joint or injury to the nerve may occur. Clotting of blood may occur in veins rarely.

Do you need a raised toilet seat after hip surgery?

Yes, a raised or enhanced seat is advised in toilet so that while seated the hip should remain higher than the knees. This precaution is taken to prevent dislocation of the hip joint.

What do you need at home after hip replacement?

One needs to modify his/her toilet seat either raising it or using a enhancer, handle bars in the bathroom, raised bed.

What are the signs of needing a hip replacement?

Pain which is severe enough to limit a person’s activities of daily living and interrupting in his/her livelihood is the most important sign pointing towards a need for hip replacement surgery.

How long does it take to recover from total hip replacement?

Most patients return to their community level activities within 3 months of hip replacement surgery.

What can I expect after hip replacement surgery? Within 24 hours of the surgery physiotherapy is started and the patient is able to stand and take a few steps with the help of a walker and support & encouragement from the nursing staff.

Physiotherapy continues at least twice daily along with post-surgical medications and nursing care for few more days, before patient is discharged.

Stitches from the surgical wound is removed about 2 weeks from surgery in the out patient. Patient is now fit to fly back home.

With the help of home-based physiotherapy and regular exercise patient usually walks and balances gait comfortably by about 6-8 weeks.

What can one never do after hip replacement?

After a hip replacement surgery, one can never do anything which needs bending of the operated hip to more than 90o. These include crossing legs, squatting, sitting on the sofa, sitting on the ground. These restrictions help prevent dislocation of the operated hip.

Can I walk normally after hip replacement?

After hip replacement patient may walk with a waddle for some time but with time the gait improves and is able to walk normally by about 6-8 weeks.

How much does a hip replacement surgery cost?

The cost of semi-replacement of one hip in India starts from USD 3500. The cost of total hip replacement of one hip usually starts USD 6000. The cost of hip replacement surgery depends on multiple factors such as experience & expertise of the operating team, specialization level of the best Hospital, type of implant used apart from the choice of room.

What is the success rate of / How successful is a hip replacement surgery?

A total hip replacement surgery has an immediate success rate of more than 98%. In about 85-90 % of patients the replaced hip continues to work well even after 15-20 years.