Hip Replacement Surgery in India

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• Total Hip Replacement Surgery (THR)
•   
• Total hip replacement (THR) is a treatment option
  for late-stage degenerative hip disease, also
  known as osteoarthritis or degenerative arthritis.
  THR is one of the most successful and common
  surgical procedures in orthopedic surgery. In
  addition to marked reduction in pain and
  improvement in sleep, most people regain range of
  motion, physical ability, and quality of life.
• The hip joint is composed of a ball and socket,
  with the surface of each covered
• by cartilage.
• A number of conditions and diseases can cause
  the cartilage surfaces to
• degenerate, which in turn leads to pain,
  stiffness, loss of hip joint range of
• motion, and disability.
• Surgeons replace both the ball (femoral head)
  and socket (acetabulum) during
• total hip replacement surgery

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• When is it recommended?
• Total Hip Replacement is recommended when the
  patient is suffering from Rheumatoid Arthritis,
  Osteonecrosis, Injury of the hip joint, or some
  bone tumors have been diagnosed that are
  adversely affecting the hip joint. Additionally,
  if the patient has any of the following
  conditions then hip replacement is required
• Hip arthritis (Primary osteoarthritis)
• Secondary osteoarthritis (more common in India)
  
• Femoral neck fractures with preexisting
  osteoarthritis
• Femoral neck fracture, Non unions
• Malunited hip socket and ball fractures
• Avascular necrosis(AVN)
• Protrusio acetabuli (deep socket)
• Slipped upper femoral epiphysis
• Perthes disease
• Rheumatoid arthritis
• Ankylosing spondylitis

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Types and techniques of Hip Joint Replacement
Surgery There are specifically two types of Hip
replacement surgeries, one that is most commonly
used is the Total hip replacement surgery and the
other one is the semi (half) hip replacement
surgery. The surgeons adopt various techniques to
do these surgeries.

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Anterior Hip Replacement Surgery/Operation Anter
ior hip replacement technique is also known as
mini anterior approach towards hip replacement.
It provides similar results as the traditional
hip replacement procedure of replacing worn out
bones of the hip joints with prosthetic implants.
The only difference in anterior technique is that
the method of opening the body to reach for hip
joint. It has emerged as a feasible substitute of
posterior or traditional approach. While
undergoing the anterior hip replacement operation
the orthopedic surgeon uses a small incision
thats approximately 4 inches long which is
located in front of the leg or hip portion,
through this approach the surgeon can easily push
the muscle aside instead of cutting and making
passage through them to reach the hip joint and
again reattaching the muscle. This method is
considered best because it causes less trauma and
damage to the soft tissue, risk of dislocation of
new prosthetic implant is lesser and it also
allows quick recovery.

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Partial Hip replacement surgery This surgery is
also known as semi Arthroplasty. In this
procedure the ball that is scientifically called
femoral head of the worn out or damaged joint
is replaced with the prosthetic implant. During
this procedure, the socket i.e. the acetabulum is
not replaced. Partial hip replacement operations
are usually conducted when the patient has
fractured or broken his hips or had a traumatic
hip injury. This type of hip replacement surgery
is not recommended for degenerative arthritis in
hip joint. It is also a good technique of semi
hip replacement surgery.

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Minimally Invasive Hip Replacement
surgery Minimally invasive hip replacement
technique is a process through which the
orthopedic surgeon can implant the prosthetic
components through one or two smaller incisions.
Operation using such technique means that there
will be a very small scar, less post-operative
pain,less loss of blood during surgery and
shorter recovery time. Tough the time taken for
the surgery may be more. For operation the
surgeon may also require some special equipment
that may not be available everywhere 

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Bilateral Hip Replacement Surgery Bilateral hip
joint replacement surgery is a surgery where the
surgeons replace and resurfaces both the hips at
the same time because of excessive stiffness and
arthritic pain. This type of surgery is not
common, because arthritis in hips do not usually
advances at a same rate. But occasionally, such
situations may appear.  If there is any major
damage along with severe pain because of
arthritis in both the hips, then the candidate
may be advised to undergo bilateral hip
replacement operation.

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• Advantages of Hip Replacement Surgery in India
• The best of hip replacement surgeons in India
  have acquired super specialisation and training
  in the UK, USA, etc
• The low cost of Total or Partial Hip
  Replacement surgery in India is offered without
  any compromise on quality or
• The success rate in India for Total Partial
  Hip Joint Replacement surgery at India's best
  hospitals is a phenomenal 99
• Success rate, which is as high as 99 at the
  best orthopaedic hospitals in India
• The cost of Hip Replacement surgery in India is
  amongst the lowest anywhere in the world.
• If your hip has been damaged by arthritis, a
  fracture, or other conditions, common activities
  such as walking or getting in and out of a chair
  may be painful and difficult. Your hip may be
  stiff, and it may be hard to put on your shoes
  and socks. You may even feel uncomfortable while
  resting. If medications, changes in your everyday
  activities, and the use of walking supports do
  not adequately help your symptoms, you may
  consider hip replacement surgery. Hip replacement
  surgery is a safe and effective procedure that
  can relieve your pain, increase motion, and help
  you get back to enjoying normal, everyday
  activities.

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The most common forms of arthritis which affect
the hip joint are the following Osteoarthritis
 This condition is primarily age-related and
generally occurs in individuals over the age of
50, who have a family history of this condition.
Osteoarthritis causes the cartilage cushion in
the hip to wear away, leading to bone friction
and hip pain Rheumatoid arthritis  This
condition causes inflammation of the synovial
membrane, which produces the lubricating fluid
for the hip joint. Hip disease during childhood
 Some hip diseases suffered during infancy or
childhood can result in arthritis in adult life
even if the diseases were treated and cured
during childhood Arthritis caused by hip
fracture/trauma  Fracture of the hip or severe
damage to the ligaments in the hip joint can
cause degeneration of the cartilage, resulting in
hip pain. There are two major types of artificial
hip replacements - Cemented Prosthesis and the
Uncemented Prosthesis. Both types of prosthesis
are widely used.

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• Each prosthesis is made up of two parts
• The acetabular component, or socket portion,
  which replaces the acetabulum.
• The femoral component or stem portion, which
  replaces to femoral head.
• The femoral component is made of a metal stem
  with a metal ball on the end. Some prosthesis
  have a ceramic ball attached to the metal stem.
  The acetabular component is a metal shell with a
  plastic inner socket liner that acts like a
  bearing. The type of plastic used is highly cross
  linked ultra high molecule weight Polyethylene
  which is wear resistant.
• A cemented prosthesis is held in place by Poly
  Metha Acrylate (PMMA) cement that attaches the
  metal to the bone. An uncemented prosthesis has a
  fine mesh of holes on the surface area that
  touches the bone. The mesh allows the bone to
  grow into the mesh and "become part of" the bone.
  The lofe of uncemented prosthesis is three times
  as that of cemented hip prosthesis.
• Computer assisted surgery (CAS) / Computer aided
  surgery/Image guided intervention and Surgical
  Navigation

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Orthopaedic surgeons may use computer assisted
surgery (CAS) technology, also known as surgical
navigation, during total hip replacement
procedures to help ensure that the implants are
properly aligned to the patients unique anatomy.
Accurate alignment of the hip components is
crucial to the overall function of the new hip
joint. Proper alignment may also help the new
joint feel more natural, and enable it to
potentially last longer. Hip replacement surgery
involves replacing the femur (head of the
thighbone) and the acetabulum (hip socket) with
an artificial prosthesis consisting of three
parts a cup (replacing the hip socket), a metal
stem (replacing the neck of the thighbone) and a
metal or ceramic ball (replacing the damaged head
of the thigh bone and linking the cup and stem
together).  

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• CAS technology offers a hip replacement patient
  several benefits including -
• With CAS technology, surgeons are able to make
  precise adjustments to ensure the optimal implant
  fit, range of motion and joint stability. This
  may help to reduce joint wear and extend the life
  of the implant.
• CAS may allow for less invasive techniques which
  have other potential advantages including
  smaller incisions with reduced muscle disruption
  and decreased rehabilitation time.
• Provides your surgeon with comprehensive data
  about your anatomy which may help determine
  proper placement of your joint replacement
• Ability to plan for surgery with a computer
  generated model of your hip .
• Provides the surgeon with feedback and the
  ability to correct potential misalignment during
  the surgery
• Allows for better visualization of anatomy,
  which is particularly important when
  minimally-invasive techniques are used.

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FAQ Orthopedic (Bone Joints) Surgery in
India How do I make an appointment with Best
Orthopedic Surgeon in India? Send us your medical
reports and after consulting our experts, we
shall inform you the about the scheduled visit
and date on which you can travel for your
Orthopedic Surgery in India.   What are the
Benefits of getting Orthopedic Surgery in
India? Hospitals in India are equipped with the
most advanced medical treatment. They have the
most extensive -diagnostic and imaging facilities
including Asias most advanced technology.
Personalized care and attention is provided with
value added services besides results of world
class standard at a very low cost affordable to
all sections of society.   Which is the Best
Hospital in India for Orthopedic Treatment? India
has not one but many better than the best
hospitals for orthopedic treatment. Mail us your
medical report and we will find the hospital most
suitable to treat your medical condition.

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Is it safe to get Orthopedic Treatment and
Surgery in India? The medical fraternity in India
is famed for excellence, and leads in Orthopedic
surgeries. Thousands of Orthopedic operations
are performed in India each year with maximum
success rate, making the safety obvious.   Any
special facilities and services that you provide
to international patients? We provide a wide
range of services to our international patients,
like visit to rejuvenation centres, arranging
tour to tourist places, special meals, foreign
exchange facility etc. Send us your query and we
shall do our best to fulfill your need.

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