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Hip arthroplasty surgery, also known as hip replacement surgery, is a surgical procedure to replace all or part of the hip joint with artificial components. The hip joint is a ball-and-socket joint that connects the thigh bone (femur) to the pelvis. Hip arthroplasty surgery is typically performed to relieve pain and stiffness caused by arthritis, but it may also be used to treat other conditions, such as fractures, infections, and tumors.
There are three major types of hip replacement surgery:
Total hip replacement (THR): In THR, the entire hip joint is replaced with a metal stem, including the ball (femoral head) and socket (acetabulum). THR is the most common type of hip replacement surgery and is typically performed for patients with severe arthritis or other conditions that have damaged the entire hip joint.
Partial hip replacement (PHR): In PHR, only the ball, head of the femur, or socket of the hip joint is replaced, depending on which part is damaged. PHR is less common than THR and is typically performed for patients with less severe arthritis or other conditions that have only damaged part of the hip joint.
Hip resurfacing: Another type of hip replacement. In hip resurfacing, the ball and socket of the hip joint are capped with metal implants, rather than being completely replaced. Hip resurfacing is less invasive than THR, but it is not suitable for everyone.
Other types of hip replacement surgery include:
Anterior approach: The surgeon makes an incision in the front of the hip. This approach is less invasive and may result in less pain and faster recovery.
Posterior approach: The surgeon makes an incision in the back of the hip. This is the traditional approach and is still widely used.
Lateral approach: The lateral approach is a less common surgical approach for hip arthroplasty surgery. In the lateral approach, the surgeon makes an incision on the side of the hip joint.
Cemented replacements: Artificial parts are fastened to healthy bone with a special glue or cement.
In a total hip replacement, the damaged or diseased bone is replaced with a metal or plastic implant, which is designed to replicate a healthy hip joint. The most commonly utilized total hip replacement is the posterior approach, which is through the back of the hip.
Full Hip Replacement surgery is typically performed under general anesthesia. The surgeon will make an incision over the hip and then remove the damaged bone and cartilage. The artificial joint components are then inserted into the hip joint and secured in place with cement or screws.
Here is a step-by-step procedure for THR surgery:
The patient is placed under general anesthesia. This means that the patient will be asleep and will not feel any pain during the surgery.
The surgeon makes an incision over the hip joint. The incision is typically 6-8 inches long and is made on the front, side, or back of the hip, depending on the surgeon's preference.
The surgeon removes the damaged bone and cartilage from the ball of the thigh bone (femur) and the socket of the pelvis (acetabulum). This is done using a variety of surgical instruments, including saws, chisels, and drills.
The surgeon inserts a metal stem into the femur and a metal or ceramic ball onto the stem. The stem is cemented or screwed into the femur, depending on the type of implant being used. The ball is then attached to the top of the stem.
The surgeon inserts a metal cup into the acetabulum. The cup is also cemented or screwed into place, depending on the type of implant being used.
The surgeon tests the new hip joint to make sure it moves smoothly. The surgeon will also make sure that the leg length is correct and that the hip joint is properly aligned.
The surgeon closes the incision with stitches or staples.
The most common risks for hip replacement patients include:
Loosening of the artificial joint
Other risks of hip replacement surgery include:
Leg length discrepancy
Complications from anesthesia
Hip replacement surgery can have many benefits, including:
Better quality of life
High success rate
Lower risk of muscle damage
Quicker and easier recovery
Shorter hospital stay
Hip replacement surgery is usually very successful. About 95% of patients experience relief from hip pain. 90% to 95% of implants remain viable 10 years after surgery, while 80% to 85% remain so after 20 years.
The recovery time after hip replacement surgery varies from person to person, but most people are able to walk without assistance within 6-8 weeks of surgery. However, it may take several months or even longer for you to fully recover and return to your normal activities.
The following is a general overview of the hip replacement surgery recovery timeline:
You will be in the hospital for 2-3 days after surgery. During this time, you will be monitored for complications and will begin physical therapy to help you regain range of motion and strength in your hip.
You will be discharged from the hospital with a walker or crutches to help you move around. You will also need to wear a compression stocking on the affected leg to help reduce the risk of blood clots.
You will continue physical therapy at home or at a rehabilitation center. You will also need to continue using your walker or crutches and wearing your compression stocking.
You will be able to start doing some light activities, such as walking around the house and cooking. However, you should avoid strenuous activities, such as lifting heavy objects and running.
You should be able to discontinue using your walker or crutches. You may still need to wear your compression stocking for a few more weeks.
You will be able to start doing more strenuous activities, such as swimming and biking. However, you should still avoid high-impact activities, such as running and playing contact sports.
You should be able to return to most of your normal activities. However, you should still avoid high-impact activities.
You will need to continue to do physical therapy exercises to maintain your range of motion and strength.
You should be fully recovered from hip replacement surgery and able to return to all of your normal activities.
It is important to note that this is just a general overview of the hip replacement surgery recovery timeline. Your actual recovery time may vary depending on your individual circumstances. Be sure to follow your doctor's instructions carefully and talk to them about any concerns you have.
Here are some tips for a successful hip replacement surgery recovery:
Get plenty of rest.
Follow your doctor's instructions carefully.
Do your physical therapy exercises regularly.
Avoid strenuous activities.
Eat a healthy diet.
Maintain a healthy weight.
By following these tips, you can help to ensure a successful hip replacement surgery recovery.
The cost of hip replacement surgery in Delhi varies depending on a number of factors, including the type of surgery, the hospital, the surgeon's fees, and the patient's insurance coverage. However, the average cost of hip replacement surgery in Delhi is around ₹400,000.
Here is a breakdown of the estimated cost of hip replacement surgery in Delhi:
Surgeon's fees: ₹100,000-₹200,000
Hospital charges: ₹200,000-₹300,000
Implant cost: ₹100,000-₹200,000
It is important to note that these are just estimates and the actual cost of surgery may vary. If you are considering hip replacement surgery, it is important to talk to your doctor about the cost of the procedure and your insurance coverage.