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WHAT IS TOTAL HIP REPLACEMENT SURGERY ?

Hip replacement is highly successful surgery in which portions of the hip joints are replaced with prosthesis (implants).

Hip replacement is the removal and replacement of portions of the pelvis and femur (thighbone) that form your hip joint. The ball is made of metal or ceramic and the socket is made up of plastic (polyethylene) or has plastic lining. In short, the hip joint used can be Metal-on-Polyethylene and Ceramic-on-Polyethylene. It is conducted primarily to relieve hip pain and stiffness caused by hip arthritis.

HIP REPLACEMENT SURGERY IS INDICATED IN

  • Osteonecrosis
  • Osteoarthritis
  • Rheumatoid arthritis
  • Post Traumatic Arthritis
  • Congenital Disorders

HOW DO YOU KNOW IF YOU NEED A HIP REPLACEMENT?

  • Severe hip pain that is not relieved by medications and that obstructs your daily work activities
  • Hip stiffness that restricts motion as well as reduced mobility
  • Inadequate pain relief from anti-inflammatory drugs or physical therapy
  • Hip pain continues while resting

 

SYMPTOMS OF HIP REPLACEMENT

PAIN IN HIPS
DIFFICULTY WHILE SITTING & STANDING

DIFFERENT TYPES OF HIP REPLACEMENT SURGERIES

There are three major types of hip replacement

SURGICAL OPTIONS FOR HIP REPLACEMENT

In this procedure, only the ball is replaced whereas the socket is retained.

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The femoral head is not removed, but is instead trimmed and capped with a smooth metal covering. Men younger than 60 are the best candidates for hip resurfacing

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In this, the ball and socket are replaced with prosthesis which can be: Metal-on-Polyethylene Ceramic-on-Polyethylene

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RECENT ADVANCES IN HIP REPLACEMENT

  • Robotics
  • Computer navigation
  • Anterior approach
  • Newer designs of prosthesis

HOW CAN I AVOID HIP REPLACEMENT SURGERY?

  • Participate in a regular light exercise program to maintain proper strength and mobility of your hip.
  • Take special precautions to avoid falls and injuries. 
  • Avoid prolonged use of steroids 
  • Avoid Osteoporosis 

HIP REPLACEMENT COST

The cost of Hip Replacement Surgery is based on:

  1. Type of surgery recommended by the Expert Doctors
  2. Type of Surgeon and Hospital
  3. Type of implants opted for
  4. Co-morbidities associated 

RISK AND COMPLICATIONS

  • Nerve, Ligament Injury
  • Bleeding 
  • Embolism
  • Infections
  • Loose implants 
  • Leg length inequality
  • Pain or Stiffness

HOW CAN I GET THE BEST OUTCOME AFTER SURGERY?

  • Immediate post-operative exercises
  • Use of walker for initial period 
  • Regular follow-up with the surgeon
  • Avoid high contact sports
  • Avoid driving for long distances

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Frequently Asked Questions

Do not bend the hips or knees further than 90 degrees, do not cross legs, and do not lift the leg to wear socks.

You need to take complete bed rest till first 4-6 weeks.

Here is a list of potential post-surgery complications:

  • Blood clots
  • Infection
  • Fracture
  • Dislocation
  • Loosening
  • Need for second hip replacement

Use pillows between your knees. Avoid sleeping on stomach, sleep on firm mattresses

Most hip replacement patients report being completely pain-free after 3-4 weeks,
additionally, 95% of hip replacement patients reported having less pain one year after
their surgery.

There are some complications during and after a hip replacement, which may include
infection at the incision site, bone fractures and hip dislocations. If you notice a fever,
drainage from the incision site, difficulty moving your hip or severe pain that is not
relieved by your medication, contact your doctor immediately.

Yes, healthy patients younger than 75 years old who have no history of cardiopulmonary
disease may be able to have both hips replaced at once.

Many insurance companies provide coverage for hip replacement surgeries after a period of few years. Our HospiOne Team can guide you perfectly in this scenario.

  • Osteoporosis
  • Osteoarthritis
  • Osteonecrosis
  • Rheumatoid Arthritis
  • Post Traumatic Arthritis
  • Congenital Disorders

After hip replacement, try to sit in a straight back chair, avoid sofa, recliners or zero gravity chairs for first 6 weeks. Do not sit or sleep in recliners as it may cause hip stiffness. Also do not extend your hip or leg backwards for few weeks till recovery.

Most probably, your surgeon, your doctor, and therapist will evaluate the need of
assistive devices. To reduce falls, you might need a walker.

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