Total hip replacement

Overview

The hip replacement surgery is a procedure in which the painful joint of the hip is removed surgically and replaced by an artificially made metal, ceramic or a hard plastic material. When it becomes difficult to handle the daily activities due to the pain in the joints of the hips and various minimal invasive therapies failed to help you, the hip joint replacement surgery is suggested by your surgeon. When the pain in your hips prevent you from walking and bending, when severe pain is experienced while resting during the day of the night time or other symptoms such as stiffness in the hips that make it difficult to lift up your leg, then probably you are in need of the hip replacement surgery. The surgery gives you relief from pain and makes walking and other activities easier to do. It also helps to cure diseases such as rheumatoid arthritis, osteoarthritis, osteonecrosis, bone injury and bone tumor which gives severe pain and swelling.

Steps Involved in Hip Replacement Procedure

Depending upon the size of the incision, the total hip replacement surgery procedure is performed traditionally or by minimally invasive technique. But the steps involved in the traditional surgery mainly includes 

  • Anesthesia:-
    A general anesthesia is given to make the patient fall asleep for some time and to relax the muscles for the smooth working of the procedure. This temporary sleep prevents you from feeling any pain. In some of the cases, a spinal anesthesia is given to prevent the pain.
  • Incision:-
    After the anesthesia in the hip joint replacement surgery, the surgeon then makes an incision (cut) along the side of the hip and expose the hip joint by moving the muscles connected to the top of the thigh bone. The ball portion is removed and an artificial joint is attached to the thigh bone with the help of cement or any special material. And after that, the damaged cartilage is removed to prepare the surface to attach the replacement socket. The new ball portion is placed in this socket. Finally, the muscles are reattached and the incision is closed.
Together with this standard surgery procedure, other replacement surgeries are also performed. In which the partial hip replacement surgery is used for the half replacement of the joint. When you have a severe problem with both of your hips then the double hip replacement surgery is performed. In this situation simultaneously both the hips are replaced in the same operation on the same day and are cured within the same recovery period.

One form of replacement is muscle-sparing, mini, modified anterior hip replacement surgery where the surgery is done in front of the hip.

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After the Surgery

You are likely to stay in the hospital for about four to six days. Special care is taken by placing a wedge-shaped cushion between your legs in order to keep the new hip joint in place and to lessen the thigh pain after the hip replacement surgery.

Physical therapy is started the next day after the surgery and in the rest of the days, you are asked to walk using the walker or a crane in the hospital. You should continue the physical therapy for weeks to months as suggested by your surgeon. After the surgery, there are some chances of blood clots which can be avoided by early mobilization and blood thinning medication.

Home Remedies and Follow-ups After the Surgery

You can take a few steps at home to make yourself comfortable after the hip replacement surgery. Which mainly includes the following:
  • Use an elevated toilet seat to avoid too much bending at the hips.
  • Take help of your friends or relatives to prepare food for you to avoid standing activities.
  • Avoid recliners and sit firm on a straight-back chair.
  • Keep all your everyday objects on a height again to avoid bending.
  • Keep pets away until you are completely healed after the surgery.
To make sure your hips are healing properly it is important to keep a follow up to your surgeon for six to twelve weeks after the surgery.

Risks and Complications

There are certain risks and complications involved in the hip replacement surgery, it mainly includes:
  • Infection
  • Inflammation and swelling
  • Hip stiffness
  • Increased pain.
These complications get less along with the healing process and proper medications.

Hip Replacement Surgery Cost

With the variation in the type of procedure the hip replacement surgery cost about 3 lakh rupees. Also, the cost varies depending upon the surgeon and the type and the quality of the implant. With the hospital facilities and other post-surgery and pre-surgery treatment, the surgery can cost a little less or little more.

Recovery Procedure

Almost the patients start walking on the same day or the next day after the surgery. You should get in a healthy exercise routine for a quick hip replacement surgery recovery. Once you are comfortable with light activities you should start including heavy exercises in your recovery program. Have a proper diet and a positive attitude towards the surgery to recover fast. Don’t start everything at a glance, slowly increase your motion towards your daily routine and experience a healthy life.

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