Orthopedic surgeons during hip replacement surgery remove damaged sections of the hip joint so as to replace them with artificial parts which are usually constructed from materials like metal & extremely hard plastic. This prosthesis (artificial) joint eventually is meant to help reduce pain while improving function in the hip joint. Total Hip Replacement Surgery is also known as Total Hip Arthroplasty. This surgical intervention is an ideal option for people with hip pain that is interfering with their daily activities especially when conservative treatments have failed to yield results. Damage from arthritis is one of the most common reasons as to why people seek hip replacement surgery.
Why Undergo Total Hip Replacement Surgery
Conditions which most often damage the hip joint & necessitate total hip replacement surgery include the following.
- Osteoarthritis – More commonly known as wear & tear arthritis, osteoarthritis is found to damage the slick cartilage which covers the ends of bones so as to help smooth movement of joints.
- Rheumatoid Arthritis – Typically caused by an overactive immune system, Rheumatoid Arthritis produces a kind of inflammation which can erode both cartilage & bone while deforming joints.
- Osteonecrosis – This is caused because there is inadequate amount of blood supply to the ball portion of the hip joint. Eventually this causes the bone to collapse & deform. People considering total hip replacement surgery generally experience the following signs & symptoms.
- Persisting pain despite pain medication
- Pain which worsens with walking, even with a walker or cane
- Pain which is interfering with sleep
- Pain affecting the ability to climb or get down stairs
- Pain which is making it difficult to rise from seated position
Risks & Complications of Total Hip Replacement Surgery
Risks & complications which are associated with total hip replacement surgery include the following.
- Blood Clots – These clots can sometimes form in leg veins following total hip replacement surgery. It is dangerous when a piece of this clot would break off & travel to the heart, lung or to the brain in rare cases. For this reason orthopedic surgeons usually prescribe blood-thinning medications in order to reduce this specific risk.
- Infection – Infections are sometimes found to occur at the site of incision & within deeper tissue near the new hip. Most of these infections are treated with antibiotics, but major infections located near prosthesis may require surgery for removal & replacement of the hip joint implant.
- Fracture – Healthy portions of the hip joint may sometimes fracture during the surgical intervention. These fractures are so small at times that they heal on their own, but larger fractures may however require correction with pins, wires & sometimes bone grafts.
- Dislocation – There are certain positions which the total hip replacement surgery patient must avoid & which can cause the ball of the new hip joint to dislodge. It is therefore often recommended that patients should refrain from bending more than 90 degrees at the hip & should not also cross their legs along the midline of the body. Orthopedists would usually fit a brace to keep the hip in correct position in case the hip dislocates. However, in care there are frequent dislocations revision hip surgery is most often required to stabilize the hip joint.
- Change in Leg Length – Although orthopedic surgeons take steps to avoid this problem, but occasionally it is found that the new hip makes one leg shorter or longer than the other. Sometimes, this problem is caused by weakness in muscles surrounding the hip joint. However, progressive strengthening & stretching of these muscles is usually found to be helpful.
- Loosening of Implant Components – Tough this complication is quite rare with the new generation of hip joint implants, sometimes the artificial hip implant may not solidly fix to bone & may therefore loosen over time so as to cause pain in hip of the patient. A revision surgery may often be required to fix this kind of a problem.
Requirement of Second Hip Replacement Surgery
Prosthetic hip joint may eventually wear out, so if the patient was relatively young an active when he/she underwent Hip Replacement Surgery may eventually require a second hip replacement surgery. However, newer materials making the newer generation of the prosthetic hip joint are found to last longer & therefore a second hip replacement surgery may not be required for many years to come.
Metal-on-Metal Complications of Total Hip Replacement Surgery
Most prosthetic hip joints contain ceramic or polished metal ball which fit into the cup liner made of very hard plastic. However, some type of prostheses also use a metal cup liner & which may although last longer but are found to cause other problems. Most metal-on-metal prostheses are likely to release metal ions which find their way into the bloodstream & can end up causing inflammation & bone erosion. Metal-on-metal prostheses are therefore rarely used nowadays.
Total Hip Replacement Surgery Outcomes
Hip replacement surgery patients can expect their hip joint to reduce pain which they felt prior to undergoing surgery while increasing range of motion within their hip joint. However, it would be sensible that they do not expect to do everything like they could before having damaged the hip joint. Post surgery, high impact activities like running & basketball may be too stressful upon the artificial hip joint. Nevertheless, they time they will be able to enjoy swimming, hike, play golf or comfortably ride a bike. Total hip replacement surgery patients must however bear in mind that precautions before & after surgery must be taken in order to avail better outcomes.
Affordable Total Hip Replacement Surgery with IndianMedTrip
Cost of total hip replacement surgery in India is comparatively very low when compared to other medical tourism destinations across the world. IndianMedTrip is one of the best globally reputed medical tourism companies based in South Asia & engaged in providing affordable medical procedures including total hip replacement surgery to international patients. Associated with top orthopedists, orthopedic surgeons & the best nationally & internationally accredited hospital facilities in the country they are ideally placed to provide the most competitive treatment packages without any waiting period, for people from all around the world.