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Total Hip Replacement Surgery (THR)



Totalhipreplacement(THR)isatreatmentoptionforlate-stagedegenerativehip
disease, also known asosteoarthritisor degenerativearthritis. THR is one of the
mostsuccessfulandcommonsurgicalproceduresinorthopedicsurgery.Inaddition
tomarkedreductioninpainandimprovementinsleep,mostpeopleregainrangeof
motion,physicalability,andqualityoflife.

Thehipjointiscomposedofaballandsocket,withthesurfaceofeachcovered
bycartilage.
Anumberofconditionsanddiseasescancausethecartilagesurfacesto
degenerate,whichinturnleadstopain,stiffness,lossofhipjointrangeof
motion,anddisability.
Surgeonsreplaceboththeball(femoralhead)andsocket(acetabulum)during
totalhipreplacementsurgery

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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
replacementisrequired:
Hiparthritis(Primaryosteoarthritis)
Secondaryosteoarthritis(morecommoninIndia)
Femoralneckfractureswithpreexistingosteoarthritis
Femoralneckfracture,Nonunions
Malunitedhipsocketandballfractures
Avascularnecrosis(AVN)
Protrusioacetabuli(deepsocket)
Slippedupperfemoralepiphysis
Perthesdisease
Rheumatoidarthritis
Ankylosingspondylitis

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Types and techniques of Hip Joint Replacement Surgery

TherearespecificallytwotypesofHipreplacementsurgeries,onethatis
mostcommonlyusedistheTotalhipreplacementsurgeryandtheother
one is the semi (half) hip replacement surgery. The surgeons adopt
varioustechniquestodothesesurgeries.

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Anterior Hip Replacement Surgery/Operation:

Anteriorhipreplacementtechniqueisalsoknownasminianteriorapproach
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
feasiblesubstituteofposteriorortraditionalapproach.

While undergoing the anterior hip replacement operation the orthopedic


surgeon uses a small incision thats approximately 4 inches long; which is
locatedinfrontofthelegorhipportion,throughthisapproachthesurgeon
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
methodisconsideredbestbecauseitcauseslesstraumaanddamagetothe
softtissue,riskofdislocationofnewprostheticimplantislesseranditalso
allowsquickrecovery.

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Partial Hip replacement surgery

This surgery is also known as semiArthroplasty. 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
fracturedorbrokenhishipsorhadatraumatichipinjury.Thistypeof
hip replacement surgery is not recommended for degenerative arthritis
inhipjoint.Itisalsoagoodtechniqueofsemihipreplacementsurgery.

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Minimally Invasive Hip Replacement surgery

Minimally invasive hip replacement technique is a process


throughwhichtheorthopedicsurgeoncanimplanttheprosthetic
components through one or two smaller incisions. Operation
usingsuchtechniquemeansthattherewillbeaverysmallscar,
less post-operative pain,less loss of blood during surgery and
shorterrecoverytime.Toughthetimetakenforthesurgerymay
be more. For operation the surgeon may also require some
specialequipmentthatmaynotbeavailableeverywhere

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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
advisedtoundergobilateralhipreplacementoperation.

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Advantages of Hip Replacement Surgery in India
The best of hip replacement surgeons in India have acquired super specialisation and
trainingintheUK,USA,etc
ThelowcostofTotalorPartialHipReplacementsurgeryinIndiaisofferedwithoutany
compromiseonqualityor
ThesuccessrateinIndiaforTotal&PartialHipJointReplacementsurgeryatIndia'sbest
hospitalsisaphenomenal99%
Successrate,whichisashighas99%atthebestorthopaedichospitalsinIndia
ThecostofHipReplacementsurgeryinIndiaisamongstthelowestanywhereintheworld.
Ifyourhiphasbeendamagedbyarthritis,afracture,orotherconditions,commonactivities
suchaswalkingorgettinginandoutofachairmaybepainfulanddifficult.Yourhipmaybe
stiff,anditmaybe hard to put onyourshoesandsocks.You mayeven feeluncomfortable
while resting. If medications, changes in your everyday activities, and the use of walking
supportsdonotadequatelyhelpyoursymptoms,youmayconsiderhipreplacementsurgery.
Hipreplacementsurgeryisasafeandeffectiveprocedurethatcanrelieveyourpain,increase
motion,andhelpyougetbacktoenjoyingnormal,everydayactivities.
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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


individualsovertheageof50,whohaveafamilyhistoryofthiscondition.Osteoarthritis
causes the cartilage cushion in the hip to wear away, leading to bone friction and hip
pain

Rheumatoid arthritis :Thisconditioncausesinflammationofthesynovialmembrane,


whichproducesthelubricatingfluidforthehipjoint.

Hip disease during childhood :Somehipdiseasessufferedduringinfancyorchildhood


can result in arthritis in adult life even if the diseases were treated and cured during
childhood

Arthritis caused by hip fracture/trauma :Fractureofthehiporseveredamagetothe


ligamentsinthehipjointcancausedegenerationofthecartilage,resultinginhippain.
Therearetwomajortypesofartificialhipreplacements-CementedProsthesisandthe
UncementedProsthesis.Bothtypesofprosthesisarewidelyused.
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Each prosthesis is made up of two parts :

Theacetabularcomponent,orsocketportion,whichreplacestheacetabulum.
Thefemoralcomponentorstemportion,whichreplacestofemoralhead.
Thefemoralcomponentismadeofametalstemwithametalballontheend.
Someprosthesishaveaceramicballattachedtothemetalstem.Theacetabular
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
weightPolyethylenewhichiswearresistant.
A cemented prosthesis is held in place by Poly Metha Acrylate (PMMA)
cementthatattachesthemetaltothebone.Anuncementedprosthesishasafine
meshof holesonthesurfaceareathattouchesthebone.Themeshallowsthe
bone to grow into the mesh and "become part of" the bone. The lofe of
uncementedprosthesisisthreetimesasthatofcementedhipprosthesis.
Computer assisted surgery (CAS) / Computer aided surgery/Image guided
intervention andSurgicalNavigation
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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
componentsiscrucialtotheoverallfunctionofthenewhipjoint.Proper
alignmentmayalsohelpthenewjointfeelmorenatural,andenableitto
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),ametalstem(replacingtheneckofthethighbone)andametalor
ceramicball(replacingthedamagedheadofthethighboneandlinkingthe
cupandstemtogether).

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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
wearandextendthelifeoftheimplant.
CAS may allow for less invasive techniques which have other potential advantages
including:smallerincisionswithreducedmuscledisruptionanddecreasedrehabilitation
time.
Providesyoursurgeonwithcomprehensivedataaboutyouranatomywhichmayhelp
determineproperplacementofyourjointreplacement
Abilitytoplanforsurgerywithacomputergeneratedmodelofyourhip.
Providesthesurgeonwithfeedbackandtheabilitytocorrectpotentialmisalignment
duringthesurgery
Allows for better visualization of anatomy, which is particularly important when
minimally-invasivetechniquesareused.

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FAQ Orthopedic (Bone & Joints) Surgery in India

How do I make an appointment with Best Orthopedic Surgeon in India?


Sendusyourmedicalreportsandafterconsultingourexperts,weshallinformyouthe
about the scheduled visit and date on which you can travel for your Orthopedic
SurgeryinIndia.

What are the Benefits of getting Orthopedic Surgery in India?
HospitalsinIndiaareequippedwiththemostadvancedmedicaltreatment.Theyhave
themostextensive-diagnosticandimagingfacilitiesincludingAsiasmostadvanced
technology. Personalized care and attention is provided with value added services
besidesresultsofworldclassstandardataverylowcostaffordabletoallsectionsof
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.
Mailusyourmedicalreportandwewillfindthehospitalmostsuitabletotreatyour
medicalcondition.
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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
maximumsuccessrate,makingthesafetyobvious.

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
exchangefacilityetc.Sendusyourqueryandweshalldoourbesttofulfillyour
need.

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