Total Hip Replacement Treatment Cost in India

Hip replacement surgery can be considered by a patient when they have the following problems:

Rheumatoid arthritis:  The synovial membrane grows thick and inflamed in this autoimmune disease. This inflated membrane damages the cartilage and cause stiffness in the hip.

Osteoarthritis: the cartilage acting like cushion in the hip bones wear away because of old age and the bones rub against each other to cause pain and stiffness in the hip.

Avascular necrosis: blood supply gets limited to femoral head because of fracture or dislocation. This results in the bones collapse resulting in arthritis.

Post-traumatic arthritis: The cartilage gets damaged leading to pain in hip and stiffness with time because of some injury.

Childhood hip disease: Some infants can have hip troubles from an early age, even after treating them in childhood may lead to arthritis later in life. This can be a result of the joint surfaces getting affected or hip growth being abnormal.

Symptoms:

•         Pain in hip
•         Stiffness in hip
•        Can lead to pain in the lower body and cause trouble in walking
•         Difficulty in making a motion in various planes
•         Disfigured hip

The patient will be diagnosed thoroughly by the hip replacement surgeon and the following will be considered thereafter:

• Medical history of the patient will be checked to find out how the hip problem affects everyday life activities
• A physical examination will comprise of checking strength, alignment, and mobility
• X-Rays to find out deformity in the hip
• MRI (Magnetic resonance imaging) to test the conditions of bone and soft tissues around the hip

• Usually, general anesthesia is given to the patient for the hip replacement surgery where they will have no sense during the surgery or where anesthesia to the spinal epidural or local nerve block may be selected where the body is numb from the waist down below.
• For the artificial hip joint various kinds of materials with different designs are used. But all these materials have two common basic parts: a ball part made from a highly polished metal or ceramic surface and a socket component which is made from a durable ceramic or metal surfaced cup, this may also have an outer metal shell. The holes around the cup are used as screws for holding the cup in position. The technique used may, in this case, be “press fit” for the prosthetic components and allow the bone to grow around the artificial part or in some cases they can be cemented together in place. The above of the two methods of fixing is chosen based on factors like quality and the bone strength of the patient. The non-cemented portion has a porous surface allowing for bone ingrowth possibility. The femoral component and the acetabular component work together.  In some cases, a combination of cemented stem and non-cemented socket may also be employed. The aptest prosthetic will be chosen based on the needs of the patient.
• A 10 to 12-inch incision is made at the back or side of the hip cutting through muscles and reaching soft tissues and bones to expose the hip joint. In the case of minimally invasive surgery, a smaller cut is made.
• Now the surgeon will remove the head of the femur from the acetabulum socket in the pelvis. It is done with a bone saw.
  
• The socket is formed with a reamer to accept the prosthesis.
• The acetabular cup is placed inside the reshaped hole. Inside the socket is placed a rounded acetabular insert/liner. This implant is made of plastic which will assist the new joint in the action.
• Now the femur bone is ready to receive the femoral prosthetic stem. The femur is narrow, and the shaft fits a few inches down the prothesized ball of the femur.
•  After fitting this ball in the socket, the surgeon will rotate it to check the ease of motion in the joint and no future dislocation trouble. The surgeon will also try to restore the leg length by using several clinical techniques.
• Finally, X-Rays are taken to assure the position and size of the components.
• The soft tissues and muscles that were penetrated are repaired and the skin incision is closed with stitches and staples.
• A wedge pillow is placed between the legs after transferring the patient to bed post-surgery.

Hip joint surgery is not free from complications. Some of the complications include:

• Infection: It can occur near the incision and can cause trouble even years later.
• Blood clots:  This can prove dangerous if it travels all the way to the lungs. Some exercises may be recommended along with a medication list to be followed post-surgery.

Orthopedic surgery requires a thorough check by the primary doctor of the patient.

• The health of the heart will also be checked along with blood and urine samples.
• Skin improvement may be required before surgery to ensure no infection.
• Blood donation may be done before the surgery so that if in case the patient requires blood it should be easily available during the surgery.
• Some patients may even advise weight loss to enhance the recovery process post-surgery.
• Apart from these, have some help at home and ensure proper chairs to sit and improve your chances of suffering a fall at home.

An alternative to hip replacement surgery can be physiotherapy if the condition is not so severe. But if surgery is the only option to explore. then the following modes of treatments are growing common, all thanks to athletes who are more exposed to such things.

• Platelet Rich Plasma and Platelet Lysate Injections: These have a stimulating effect over the stem cells which acts as catalysts in repairing the damaged tissues.
• Adult stem cells:  stem cells are taken from the body of patients and injected into the damaged region to heal the body naturally. The best hip replacement surgery is done in India.