Hip Replacement Surgery: Everything You Need to Know
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Hip Replacement Surgery: Everything You Need to Know

Introduction

If symptoms (severe hip pain, stiffness, and loss of range of motion) in your hip make it hard or unsafe to perform your daily activities. This indicates that it's time to consult a specialist like Dr. Ishwar (MBBS, M.Ch. (Ortho), MS (Ortho), MAMS) to know the right treatment for you.

According to your condition, your orthopaedic surgeon will probably suggest other treatments like medication, physical therapy, or using a cane or walker before hip joint replacement surgery.

What is Hip Replacement Surgery

Hip replacement surgery is also known as hip arthroplasty, where your surgeon removes damaged sections of the hip joint and replaces them with an artificial implant (prosthesis). Replacement parts are generally made of metal, ceramic, and hard plastic. This artificial joint lowers pain and improves function.

Like many people, if you have general questions like “Is hip replacement surgery safe?” then the answer is simple: “Hip replacements are extremely safe, effective, and successful surgeries.”

Conditions That Can Damage the Hip Joint

  • Osteoarthritis is commonly known as wear-and-tear arthritis.
  • Rheumatoid arthritis due to an overactive immune system.
  • Osteonecrosis is also known as avascular necrosis (bone death). It happens when there isn't enough blood supplied to the ball portion of the hip joint.

What Doctors Recommend Before Surgery

Replacing the hip joint with a prosthesis is not directly advised; a doctor's approach is noninvasive at first, such as:

  • Maintaining a healthy weight.
  • Performing low-impact joint-friendly exercises.
  • Assistive devices, such as using a cane, crutch, or walker.
  • Non-steroidal anti-inflammatory drugs (NSAIDs).
  • Cortisone injections.
  • PRP/stem cell therapy

It is when these nonsurgical fails to show effectiveness that the surgical options are considered.

When Experts Like Dr. Ishwar May Recommend Hip Replacement Prosthesis

Not everyone needs the surgery; however, your doctor may recommend it in the following situations:

  • Constant pain during walking, climbing stairs, or bending.
  • Pain that makes it difficult to rise from a seated position and interferes with sleep.
  • Limited range of motion.
  • The X-ray shows severe arthritis and osteonecrosis.
  • Severe hip fractures

Types of Hip Replacement Surgery

Here are the main types:

1.Total Hip Replacement (Arthroplasty)

The entire hip (femoral head/ball and acetabulum/socket) with a prosthetic joint.

2.Partial Hip Replacement (Hemiarthroplasty) Like Bipolar Hip Replacement

Remove only the damaged femoral head (ball).

3.Hip Resurfacing

The damaged surfaces of the femoral head and socket are capped with metal. Generally recommended for younger and active patients.

4.Revision Hip Replacement

It is done to replace a previously implanted prosthetic hip that has worn out.

Techniques Used for the Surgery

Approach or Technique Description
Minimally invasive hip replacement Uses smaller incisions on the side or back of the hip, cutting less muscle.
Anterior approach Incision at the front of the hip.
Posterior approach Enters the joint from behind.
Lateral / anterolateral approach Incision at the side of the hip.

Tests Before a Hip Replacement Includes

  • Blood tests (like a basic metabolic panel)
  • Hip X-rays
  • Urinalysis (testing your pee)
  • Imaging tests like CT scan, MRIs, and EKG

What Happens During Replacement of Hip Surgery?

Here are the following steps that you may generally go through:

  1. Regional anesthesia.
  2. The surgeon makes an incision over the hip through a suitable technique.
  3. Removes diseased and damaged bone and cartilage.
  4. They’ll insert the hip implants in place.
  5. Close your surgical site with stitches.
  6. After the anesthetic wears off, the medical staff monitors your blood pressure, pulse, alertness, pain or comfort level, and requirements for medicines.
  7. Based on the assessment, many people can go home that same day.

Common Implant Materials

  • Metal-on-Polyethylene (MoP)
  • Ceramic-on-Polyethylene (CoP)
  • Ceramic-on-Ceramic (CoC)
  • Metal-on-Metal (MoM)
  • Hybrid Implants to balance durability

Risks Associated With Hip Replacement

This orthopedic surgery is generally considered safe and highly effective for alleviating severe hip pain and promoting mobility.

However, like any other medical procedure, it can lead to the following risks:

  • Clots can form in the leg veins.
  • Infections can occur at the site of the incision.
  • Healthy portions of the hip joint may fracture.
  • A ball of the new joint may come out of the socket due to certain positions.
  • Change in leg length.
  • Loosening of the replacement joint.
  • Nerve damage.

Tips to Recover Faster After Surgery

Here are the helpful tips that you can follow:

  • Perform prescribed exercises.
  • If allowed, start walking immediately.
  • Take pain medication on time.
  • Keep the surgical site clean and dry.
  • Eat a high-iron and protein diet.
  • Avoid high-impact sports until your doctor allows.

When to Immediately Consult Your Hip Surgeon After Surgery

If you notice any of the following:

  • Redness, swelling, bleeding, or other drainage from the incision site that persist for few days
  • Fever
  • Increased pain around the incision site
  • Pain in the lower leg that is not related to the incision
  • New or increased swelling of the lower leg

Conclusion

Whether you require hip arthroplasty or not, the decision will be made by your doctor. All you need is the best joint replacement surgeon if your symptoms are making everyday activities difficult.

Want expert advice on persistent severe hip pain, stiffness, and loss of range of motion?

Meet Our Expert: Dr. Ishwar Bohra

Dr. Bohra at BLK-Max Super Speciality Hospital is a well-renowned joint replacement surgeon. He has over 23 years of global experience in carrying out knee and hip replacement surgeries, arthroscopy surgeries, and surgeries related to sports injuries.

His Previous Experience:

  • Spine Consultant - Jaipur Golden Hospital, New Delhi
  • Attending Consultant - Dr B.L. Kapur Memorial Hospital, New Delhi
  • Senior Resident - Deen Dayal Upadhyay Hospital, New Delhi
  • Associate Orthopaedic Surgeon - Apollo Life Line Hospital, Alwar, Rajasthan, India
  • Senior Resident - Bombay Hospital, Mumbai

His expertise includes:

You can explore the stories of happy patients here.

What People Say About Dr. Ishwar Bohra

My brother Dhruv ACL surgery was a great success, thanks to Dr. Ishwar Bohra. His expertise and care were truly impressive.

The entire team was very supportive and helpful throughout. We're grateful for Dr. Bohra's skill and kindness. Highly recommend him for orthopedic care. The facilities were top-notch and the staff was very friendly.

Dr. Bohra explained everything clearly and answered all our questions. Post-surgery care was excellent, and Dhruv is recovering well. Thanks to the entire team for their dedication and care. We'll definitely come back if needed"_ Tanish Panwar

FAQs

1.What is hip replacement surgery cost in India?

The cost can typically range from ₹1,50,000 to ₹6,00,000 per hip.

2.What is hip replacement surgery recovery time?

You can walk within 24 hours; however, full recovery may take up to 12 months.

3.What is the success rate of hip replacement surgery?

Around 95% of patients experience relief from hip pain and 98.8% can improve their ability to move.

4.How painful is hip replacement?

There is no pain during the procedure; however, you can experience mild to moderate pain and discomfort after the surgery. Hence, take your medicine on time.

5.How many days of bed rest after hip replacement surgery?

There is generally no bed rest after the surgery. Patients are encouraged to take their first steps on the same day. However, avoid high-impact activities.

6.Can I live a normal life after hip replacement?

Yes, by adhering to recovery guidelines, many people return to  normal life and even improve their quality of life.


 

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