When your hip pain begins to interfere with your day to day activities and other treatments have proved to be ineffective, then hip replacement may be an option for you. Chronic hip pain affects people and limits their movements. This is common in the 60-80-year range and because of the hip pain, they are unable to walk, sit, stand up and climb stairs.
Hip replacement is a common orthopedic procedure and India is the right place to get it done. Apart from having hospitals with all the latest technology and experienced orthopedic surgeons, the cost of the procedure is just a fraction of what it costs in other countries. So, medical tourists can also visit India for the surgery with the help of medical facilitators.
“More than half of the patients consulting me with hip pain are men and between the age of 50-60 years. More 90% of success rate is also found in all hip surgeries”
– Dr Ratnav Ratan
Dr Ratnav Ratan is one of the best orthopedic doctors in Gurgaon, India. He practices in Young Bones Clinic and specializes in pediatric orthopedics and sports medicine as well.
What is hip replacement surgery and why is it done?
The hip surgery involves replacing the diseased cartilage and bone of hip with artificial components with materials such as:
- Cobalt chromium
The conditions that make it necessary to undergo hip replacement surgery are:
- Osteoarthritis. Commonly known as wear-and-tear arthritis, osteoarthritis damages the slick cartilage that covers the ends of bones and helps joints move smoothly.
- Rheumatoid arthritis. Caused by an overactive immune system, rheumatoid arthritis produces a type of inflammation that can erode cartilage and occasionally underlying bone, resulting in damaged and deformed joints.
- Osteonecrosis. The bone may deform or collapse if there is no adequate blood supply to the ball portion of the hip joint.
How many people need it?
In India, almost 70,000 cases are reported every year and these included 60% of males and 40% of females whose average age was 52 years (17 to 85 years of age was the range). The average BMI was 25.8 and the indications for a total hip arthroplasty was avascular necrosis in 49%. Total hip arthroplasty is the most widely practiced surgical options for arthritis all over the world and its application is rising in India. In India, there are many Hip replacement surgeons that perform these surgeries in multispecialty hospitals in all small and major metro cities.
Who is a good candidate for a total hip replacement?
- If the patient is suffering hip pain which is affecting daily routine. Pain may be due to any of the reasons described previously. They are recommended to go for a complete hip replacement.
- When physical therapy, medications, change of lifestyle and other methods fail then hip replacement is the only way of cure.
- Age is nowadays not considered as a major factor. Few years’ back hip replacement was only recommended for 60+ age group.
According to Dr Ratnav Ratan , any adult suffering from chronic hip pain and have affected day to day life can opt for a hip replacement. Total hip replacement improves the quality of life with better mobility and eliminating pain.
How to choose the right orthopedic surgeon for your hip replacement in India?
Before choosing a surgeon, consider experience, outcomes (such as infection rates and need for surgical revision), level of specialization and how well patients function soon after surgery as well after years down the road.
Some orthopedic surgeons are generalists, while others specialize in areas like joint replacement. When deciding, do not hesitate to ask these questions to the surgeon you approach:
- How many of these procedures have you done in the past year? Overall?
- What were the complication rates? What post-operative infection rates did you see?
- What if I need revision surgery? How often does that happen?
- After a few months (6-8mnts), how is hip function for most of your patients?
- How are patients doing five years later?
- Have you measured patient satisfaction? How is it?
Dr Ratnav Ratan recommends that the surgeon must be specialized in hip replacement surgeons, other general surgeons may face issues if it is a complicated case. He also suggests to get patients review about the surgeon.
Risks and Complications of Hip Replacement:
The improvements in treatment methods and technologies have made hip replacement surgery better. The complications in the surgery and after surgery has drastically reduced. Still, there are some risks and complications of total hip replacement that a patient may rarely suffer from after the surgery, even though it has a minimal chance.
The following are some of the hip replacement surgery risks and complications:
- Hip Dislocation
- Reaction to Artificial Hip Joint
- Need for Revision Surgery
- Blood Clots
- Heterotopic Bone Formation
- Redness, Swelling and Inflammation
What to expect after the Hip Replacement surgery?
After hip replacement surgery, a patient is expected to stay in the hospital for at least four to five days. Hip replacement recovery time may vary from one patient to another, but it may last anywhere between three to six months. It depends on the overall health of the patient, the success of the surgery and the type of surgery that the patient is made to undergo.
According to Dr Ratnav Ratan, care after surgery is very important for a long-term wellbeing. Enough rest should be given so as to get the best and everlasting result.