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Total Hip Replacement
Surgery in India
Total Hip Replacement (THR)
Total Hip Replacement (THR) surgery or Total Hip Arthroplasty is a surgical procedure to help people suffering from chronic hip pain. The procedure involves replacing the total hip joint with prostheses (implants). THR can be a blessing for people suffering from debilitating hip pain that miserably affects the quality of their lives. At Wockhardt Hospitals, Total Hip Replacement Surgery has a very high success rate, with most patients experiencing significant pain relief and improved mobility after the procedure.
Renowned Total Hip Replacement Surgeons
at Wockhardt Hospitals
- Mumbai Central
- Mira Road
- Nagpur
- Rajkot
Surgery of total hip arthroplasty is usually recommended for patients who are not benefiting from medications, lifestyle recommendations, and other forms of treatment. It is a major surgery that involves removing a damaged or diseased hip joint and replacing it with an artificial joint or prosthesis.
Surgery can be performed using traditional, minimally invasive, or robot-assisted methods. The choice of surgical procedure for replacement will depend on several factors and is decided by the surgeon on a case-to-case basis.
The surgery aims to relieve pain, restore joint function, & improve the quality of life for individuals with severe hip joint damage or disease by removing the diseased or damaged hip and replacing it with hip implants or hip prostheses made of metal, plastic, or ceramic materials.
Before Procedure
If you are about to undergo a procedure, here are a few important things to know:
- Your medical history and current health status will be evaluated to assess your eligibility for surgery. For this, you may need to undergo physical examinations, Imaging tests, blood tests, urine tests, ECG, pulmonary function tests, etc.
- You may also be advised to stop or reduce taking certain medications, such as blood thinners, before the surgery to reduce the risk of bleeding during the procedure.
- You will receive detailed pre-operative instructions, such as fasting before the surgery and stopping smoking, as smoking can delay the healing process and increase the risk of complications.
- You may also be required to undergo physical therapy or exercise programs to improve your joint function and strength before the surgery.
- Before going in for surgery, you will be required to sign a consent form and complete other formalities for the procedure.
- You are advised to have someone close to you to provide physical and emotional support and be there during your hospital stay and recovery.
During Procedure
Here is what a typical straightforward replacement procedure may look like:
- An intravenous (IV) line in the operating room will be inserted in your hand or arm, and a urinary catheter may also be placed.
- Anesthesia will be administered based on the recommendation of the Anesthesiologist and Orthopedic surgeon, either general or epidural.
- Depending on the chosen surgical approach, the surgeon will position the patient appropriately and make an incision to access the hip joint.
- The damaged femoral head will be removed, and the femur will be prepared for inserting the stem and ceramic ball prosthesis with or without cement.
- The damaged acetabular cartilage will be removed, and the new cup will be attached.
- The surgeon will test the functionality of the joint by moving the patient's leg.
- The incision layers will be closed with dissolvable stitches, and the outermost skin layer will be sealed with surgical glue.
After Procedure
After the procedure, you will be shifted to a recovery room, where you will be carefully monitored. A few hours later, you will be shifted to your hospital room until doctors deem you fit for discharge. Here is what to expect during your postoperative hospital stay:
- You will receive pain medication and antibiotics to manage pain and prevent infections.
- You will be encouraged to begin physical therapy as soon as possible to improve mobility and regain strength in the hip joint.
- A physical therapist will work with you to develop an exercise plan tailored to your needs.
- The surgeon will provide specific instructions on wound care, medication, and follow-up appointments. Following all post-operative care instructions is essential to ensure a successful recovery and a return to normal activities.
How to Prepare for a Quick Recovery?
Recovery may look different for every patient after receiving hip implants in a hip surgery procedure. To ensure that you recover efficiently and quickly, it is imperative you follow the surgeon’s pre-operative instructions, such as stopping medications that may increase the risk of bleeding or other complications. Before surgery, you must engage in pre-operative exercises recommended by the surgeon or physical therapist to improve joint strength and flexibility. Once the surgery is done, it is vital to arrange for post-operative care, such as transportation home, help with daily activities, and follow-up appointments with the surgeon and physical therapist.
Overall, it is crucial to adhere to post-operative care instructions, including medication management, wound care, and physical therapy, to ensure a successful recovery.
What are the Risks Associated
With Hip Replacement Surgery?
The surgery has high success rates with minimal complications reported. However, it is major surgery and may carry a certain risk of complications, including the following:
- Allergic reactions to anesthesia or prosthetic materials
- Anesthesia-related complications such as pneumonia or stroke
- Bleeding or hematoma formation
- Blood clots
- Dislocation of the joint
- Failure of the surgery to relieve pain or improve mobility.
- Fracture
- Infection
- Leg length discrepancy
- Limited mobility or weakness in the leg
- Loosening or wearing out of the prosthesis
- Loosening or wearing out of the prosthetic joint over time
- Nerve damage
- Pain or stiffness in the joint after surgery
FAQs
Q. How long will I have to perform physical therapy exercises after replacement?
Physical therapy exercises are typically recommended for at least 3-6 months following the surgery. This may vary for each patient.
Q. How long will the artificial hip joint last?
Hip implants or hip prostheses can last a lifetime for patients. In general, most artificial hip joints can last 10 to 20 years or more. However, this may be affected by factors such as the patient’s age, activity level, and the type of implant used.
Q. Will I have to limit my movement following the hip operation?
Yes, you may be required to limit your movement as instructed by the physical therapist for some time after surgery. The therapist will instruct you on regaining mobility and using the joint correctly during recovery.
Q. Can I resume normal activities after total surgery?
Most patients can resume normal activities shortly after total surgery. However, following your doctor’s instructions and avoiding high-impact activities that could damage the hip implant is important.
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