Total Hip replacement Surgery
The main purpose of total hip replacement or arthroplasty is to give patients suffering from arthritis or any other disabling orthopedic hip problem, relief from the discomfort and pain; enhance stability and improve the function. The total hip replacement surgery was first initiated in the 1960s and since then it has received continuous improvement over the past decades.
Total hip replacement surgery is a very common procedure in India that enjoys a very high success rate. Here the damaged ball and socket joint in arthritic hip is replaced by a ceramic or metallic ball and plastic or ceramic socket. The ball has a metal stem as attachment to be fitted with the femur and the socket is implanted in the pelvis.
The candidates for total hip replacement
In case of severe arthritic conditions the total hip replacement surgery is usually carried out. It may be done in other circumstances, such as fractures in hip or a condition known as a vascular necrosis where the hip ball dies. Usually patients requiring a total hip replacement surgery are over the age of 55 years, but sometimes younger patients may require it as well.
A patient is considered for a candidate of total hip replacement surgery for the following conditions:
- You are experiencing severe pain that hampers your daily routine of work, normal activities and recreation
- Anti-inflammatory medicines fail to control your pain and you have to take the help of a walker or cane thus restricting your daily activities
- Your hip became significantly stiff
- Advanced stage of arthritis or related problems are visualized on x-ray analysis
Different types of hip replacement surgery
Two main types of hip replacement surgeries are there, total hip replacement and hip resurfacing.
Total hip replacement
The portion of femur i.e. the thigh bone that includes the ball or head of the femur is removed in total hip replacement surgery and is replaced by an artificial smaller ball which is fixed to the remaining femur. Further, an artificial socket is attached to the pelvis and roughened so that the new socket components can accept each other. The components are usually fixed using acrylic cement. But, for younger patient where the bones are still young, one part (mostly the socket and called the hybrid hip replacement) or both the parts are incorporated without using cement as the growth of the bone will provide the necessary bonding. For that the surface is roughened or specially treated to encourage bone growth. The artificial ball and socket can be made of plastics (polyethylene), metals (alloys of cobalt or titanium) or ceramics in various combinations.
During resurfacing surgery the total ball and socket are not replaced, rather resurfaced by attaching a hollow metallic cap to the original ball part and metallic components to the socket region. Hip resurfacing surgery is less prone to dislocation and people can return to a greater degree of physical activity compared to total hip replacement. But, the metal caps can release metallic particles in the joints causing inflammation. This may result in health complications which may vary from person to person. Thus, total hip replacement surgery has fewer complications compared to hip resurfacing surgery and works better for long term solution.
Total hip replacement surgery methods
Primarily, there are two methods for modern total hip replacement surgery. In case of elder patients it is usually reasonable to use bone cements for fixation of the total hip in the softer bone. The major advantage of this method is that from the very first day the prosthesis clutch the bone and tends not to get loose in the bone of elderly patients that are usually softer. Thus, it makes a reasonably stable construction for an elderly patient. Nowadays, a prosthesis made of stainless steel is inserted in the upper leg bone with the help of a small amount of bone cement and the system gets stable immediately. Similarly, a synthetic material with the shape inverse of the hip bone can be fixed into a stable connection immediately using bone cement. This is a worldwide approved method for over 40 years now and still highly recommended. The minimum lifespan of the prosthesis used in total hip replacement surgery is 10 years, but normally they last for 15 to 20 years.
The second method is also quite well established and used in the case of younger patients where no bone cement is used. Instead the prosthesis is fixed into the femur using exact insertion. This process requires a couple of weeks to get fixed to the femur and the patient is recommended to use crutches for the initial 6 to 8 weeks.
India as a destination for total hip replacement surgery?
The total hip replacement surgery can be done in India at only one fifth or one sixth of the total cost of the surgery in the western world. India, over the years has truly become the worldwide center of excellence in different forms of orthopedic surgeries that includes the total hip replacement surgery through promotion of the notion of care that can be bought at the lowest cost in the world along with the medical services. This unique concept really possesses a broader appeal as the medical facilities and advanced technologies offered by the private hospitals in India are already of high qualities and at par with its western counterpart or in any other countries with major industrial advancements, while the cost is only a fraction of that in other countries.
The care concept in health, has a more emotional and human-touch in the industry that otherwise highlighted by advanced technology and privatization. This drives more and more patients from western world towards India for various medical needs that also include orthopedic procedures such as the total hip replacement. You can be totally assured that in India you will get the right diagnosis and medication along with surgery packages within your reach, if situation demands. Treatments in India are one of the best in the world that is facilitated by some of the most skilled doctors in the world and hospitals with advanced technologies.
Hospital for Hip Replacement Surgery in Goa, India
The beauty of Goa as a place for treatments of a range of diseases is that it offers a rejuvenating holiday stay as well along with the advanced medical facilities. The highly skilled and professional surgeons in Goa can perform your total hip replacement surgery with pin point perfection. On the other hand Goa is very well known for an excellent holiday destination all around the world, thus considered as one of the best destination for medical tourism. The super specialty medical facilities in Goa are now attracting many patients from western world in Goa to seek medical services at extremely low cost. The exotic beaches and other tourist attraction in Goa is indeed an added attraction that also facilitates speedy recovery post total hip replacement surgery or other forms of treatments.
The best Hospitals in Goa for a total hip replacement surgery are:
- Manipal Hospitals
- Wokhardt Hospitals
- Apollo Victor Hospitals
- Sehat Hospitals
- Campal Clinic
- Galaxy Hospitals
The Cost of Total Hip replacement Surgery
The cost comparison of total hip replacement surgery in India, USA and UK are as follows:
|Country||Cost in $|
|India, Goa||4000 – 6000|
|India, other big cities||8500|
There are 150,000 hip replacement surgeries performed each year in the USA alone and the top hospitals in India advanced hip replacement or resurfacing surgeries can be done extremely efficiently that can be compared with the surgeries performed in the USA or UK.
Recovery after a successful Hip Replacement Surgery
Recovery after hip replacement surgery is fast and usually hassles free. If bone cement is applied (for the elderly patient) the recovery is even faster. The hospital stay should not be more than three to a maximum of five days. Physiotherapy will start immediately after the surgery and you may go home directly after being discharged from the hospitals or seek additional help as an outpatient (for physiotherapy, rehabilitation facility or skilled nursing for additional days). It usually takes three to six months for total recovery and the total hip replacement usually last for a minimum of 10 years and even up to 15 – 20 years. It totally depends on the activity level of the patient with high impact activities, lowering the lifespan of the artificial replacements. In that you may need a second hip replacement done.