Hip replacement surgery India
Total or Bilateral Hip Replacement is also called a Hip Arthroplasty. It is a surgical procedure that re-forms the hip-joint.
Osteoarthritis of the hip which affects the cartilage surfaces of the ball-and-socket joint of the hip which wears out is caused by wear and tear is the most common diagnosis that leads to hip replacement. This Disease Results are Pain and stiffness. Patients have difficulty walking, climbing stairs and performing routine daily activities.
The conditions causing destruction of the hip joint are:
-- There is a Loss of blood supply to the head of the thighbone of the Patient .
-- Another cause may be Rheumatoid arthritis (an inflammatory autoimmune disease)
-- It is also possible that the Patient has Previous injury or trauma
-- There might be Infection in the Hip
-- Also Developmental abnormalities in the hip
What is a knee replacement surgery ?An artificial material replaces the diseased knee joint through a surgical procedure known as "A total knee replacement surgery". The knee is a hinge joint and it provides motion at the point where the thigh meets the lower leg. The femur that is the thighbone abuts the large bone of the lower leg known as tibia at the knee joint. The end of the femur bone is removed and replaced with a metal shell, during the total knee replacement surgery. The tibia that is the end of the lower leg bone is also removed and replaced with a channelled plastic piece with a metal stem. A plastic "button" can also be added under the kneecap surface, depending on the condition of the kneecap portion of the knee joint. "Prosthesis" is the term given to the artificial components of a total knee replacement.
Normally a tissue that known as the posterior cruciate ligament, stabilizes each side of the knee joint so that the lower leg cannot slide backward in respect to the thighbone. This ligament is either retained, sacrificed, or substituted by a polyethylene post during the total knee replacement surgery. All these procedure of total knee replacement surgery has its benefits and risks.
If due to arthritis or injury, the knee is severely damaged and it is hard for you to do simple activities like walking or climbing stairs. If nonsurgical treatments such as medications and using walking supports are no longer helpful then one may be considered for total knee replacement surgery. This is a safe and effective procedure to relieve pain, correct leg deformity, and help you to get back to daily activities.
The main cause of chronic knee pain and disability is arthritis. Most of the knee pain is caused by three types of arthritis they are osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.
Rheumatoid arthritis. In this type of arthritis the synovial membrane that surrounds the joint becomes inflamed and thickened. This damage of the cartilage caused by the chronic inflammation can lead to cartilage loss, pain, and stiffness. This is also termed as "inflammatory arthritis."
Post-traumatic arthritis.This is due to serious knee injury. Damage the articular cartilage over time due to fractures of the bones surrounding the knee or tears of the knee ligaments can cause knee pain and limit knee function.
When is surgery recommendedReasons why doctor may recommend knee replacement surgery are.
...Due to severe arthritis if the knee become bowed.
...Limit in daily activities due to severe knee pain or stiffness such as walking, climbing stairs, and getting in and out of chairs.
...While resting either in day or in night there is severe or moderate knee pain.
...Inflammation and swelling of the knee that do not improve with rest or medications.
...A bowing in or out of the knee due to knee deformity.
...Failure to substantially improve with other treatments like anti- inflammatory medications, lubricating injections, cortisone injections, physical therapy, or other surgeries.
Recently India has become one of the most important healthcare hubs in Southeast Asia. Its healthcare industry has expanded rapidly. It is evident that the healthcare sector of India has also gained a very significant position in the in the international medical tourism map. Its growth further accelerated after the developed nations realized that they could get high quality health services and facilities at half the prices than in the west.
Hip replacement surgery in India is one of the very popular surgeries that are performed by experts. Hip replacement in India is one of the most common orthopedic surgeries that are done. The Recent developments in the surgery have made the surgeries much safer and reliable than they were in the past. These surgeries are basically performed to treat severe and acute arthritis pain. It is generally performed on patients when osteoarthritis leads to the wearing down of the hip joints. Hip replacement in India is renowned to have high rates of success.
This Surgery is Getting Popular and The number of foreign citizens are coming to India to undergo hip replacement surgeries is Increasing as the healthcare sector in India ensures high quality health services and facilities are available which are half of that in other countries. So it is Quiet Cost effective .
Things to be kept in Mind while going for Total Hip Replacement :
-- Its always better to talk to know procedure and the recovery period by talking to your someone who has undergone similar Surgery .
-- Your doctor evaluates the patient overall health to ensure that he is well enough to safely withstand the surgery. Any unstable medical condition or infections must be carefully contained before surgery.
-- The Patient should take rest during the First few weeks and gradually return to his Normal activities .
-- Just as a precautionary Measure you might be needing blood transfusions during the operation or recovery period, so you can donate some of your own blood before the procedure to be given back to you.
-- It is advised not to eat or drink anything after midnight on the day of your surgery. Follow any other instructions your doctor gives you.
Procedure of Hip replacement Surgery :-- The patient will arrive at the hospital usually on the day of surgery.
-- Then an anesthesiologist will sit with you to discuss various feasible options for anesthesia.
-- He may have a general anesthesia, in which you will be completely unconscious.
-- He may have regional anesthesia that will numb you from the waist down and keep you moderately sedated.
-- The doctor will expose your hip joint and dislocate the ball from the socket.
-- The surgeon removes the head from the femur (thigh bone) and reams away the surface of the socket.
-- The surgeon secures in place a prosthetic cup (socket) made of polyethylene.
-- The doctor then secures a metal head (ball) and stem into the femur either by a press fit or with bone cement.
-- The doctor places the ball into the cup and takes your new hip through a range of motion to ensure proper stability and mobility.
-- The doctor closes your incision, and you are brought to the recovery room.
Problems with Conventional Total Hip Replacement:-- There can be Bone loss
-- There is Increased risk of dislocation
-- You might not able to squat or sit on the floor without the risk of dislocating the hip
-- Range of movement is less
-- The Patient cannot safely indulge in sporting activities
-- It is seen that Revision Surgery difficult
-- It Feels less like a normal natural hip
-- There is also Possibility of change in leg length after surgery
-- Infection can occur in the wound or deep around the prosthesis. This can happen anytime in the hospital or after coming to home or even can happen in the later years.
-- Blood clots. Another common complication of knee replacement surgery is blood clots in the leg veins . This can be life-threatening if this break and travel to the lungs.
--Implant problems. Particularly in patients with limited motion before surgery scarring of the knee can occasionally occur and motion may be more limited.
-- Continued pain. Some patients continue to have pain even after a knee replacement.
-- Neurovascular injury. In some rare cases injury to the nerves or blood vessels around the knee may occur during surgery.
After the Procedure:
-- The patient will stay in the hospital for 4-7 days.
-- The first night after surgery you will be confined to bed with a wedge-shaped pillow between your legs to keep the new hip joint in place.
-- A tube which is placed in the new hip joint during surgery to drain any fluid or blood likely will be removed the next day.
-- If the patient is having trouble urinating, another tube will likely be placed in your bladder.
-- Usually the patient will begin physical therapy the day after surgery, and within days you can walk with a walker, cane, or crutches
Symptoms in which You should Contact the Doctor Immediately after the Surgery :
-- The Patient becomes short of breath or have difficulty breathing.
-- The Patient has pain or a crushing sensation in your chest.
-- The Patient might feel heart is racing or beating irregularly.
-- He develops a fever.
-- There is increasing redness and warmth along the incision site , there ia an Infection or drainage of fluid from the place where the Incision is done .
-- His calf, thigh, or hip becomes unusually swollen, warm, red, or painful.
-- If he develop problems or symptoms and cannot reach your doctor, go to the nearest emergency department for immediate consultation.
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