Clear & Unbiased Guide to Hip Replacement Surgery

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IndianM edTri p ’s CLEAR UNBIASED GUIDE TO HIP REPLACEMENT SURGERY

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1  OVERVIEW  RISKS COMPLICATIONS  HOW TO PREPARE  MAIN PROCEDURE  POST-OPERATIVE CARE  FINAL OUTCOME  COST OF SURGERY  CONCLUSION

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2 Seeking Affordable Hip Replacement Surgery with IndianMedTrip Orthopedic surgeons generally remove damaged sections of the patient’s hip joint so as to replace them with parts that are usually constructed of metal extremely hard plastic materials during hip replacement surgery. This prosthesis or artificial joint helps the patient reduce pain improve function at the same time. Total hip arthroplasty is hip replacement surgery which is an ideal option for people with hip pain interfering with daily activities in cases where more conservative treatments have not proved to be helpful. Arthritis damage is one of the most common reasons for people to seek total hip replacement surgery. Figure 1. Total Hip Replacement

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3 Why Undergo Total Hip Replacement Surgery There are many conditions which can damage the hip joint sometimes make it necessary for the person to undergo total hip joint replacement surgery.  Osteoarthritis – This is commonly known as ‘wear tear’ arthritis. Osteoarthritis eventually damages slick cartilage which covers the ends of bones thereby enable joints move smoothly.  Rheumatoid Arthritis – Generally caused by an overactive immune system rheumatoid arthritis typically produces a type of inflammation which can erode both bone cartilage so as to deform joints.  Osteonecrosis – Bone may eventually collapse deform in cases where there is inadequate supply of blood to the ball portion of the hip joint. Figure 2. Comparison between Osteoarthritic Rheumatoid Arthritic Knees People may consider hip replacement surgery in case they are experiencing pain with the following symptoms.  Persisting pain despite pain medication.  Pain worsening with walking even with help of a cane or walker.  Pain interfering with sleep.  Pain affecting the patient’s ability to go up or down the stairs.  Pain which is making it difficult to rise from a seated position.

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4 Risks complications which are associated with hip replacement surgery include the following.  Infection – Infections are normally found to occur at the site of incisions within deeper tissue near the new hip joint. Most of these infections are effectively treated with antibiotics but in case there is a major infection near the artificial hip joint will require another surgery in order to remove replace the prosthetic joint.  Blood Clots – These clots can form within leg veins following hip joint replacement surgery. This can sometimes be dangerous when a piece of clot will break off travel to the patient’s lung heart or in rare cases to the brain. Doctors may therefore often prescribe blood-thinning medications in order to reduce this risk.  Dislocation – Certain positions are found to cause ball of the new joint to get dislodged. It is therefore often recommended that people who have undergone total hip replacement surgery should not bend over 90 degrees at hip should not let their legs cross the midline of the body to avoid the problem of dislocation. In case hip dislocates orthopedic surgeons may fit the patient with a brace so as to keep them in correct position. Moreover another surgery is often required to stabilize the joint in case the hip keeps dislocating. Figure 3. X-Ray of Dislocated Hip Replacement  Fracture – Healthy portions of the patient’s hip joint may also sometimes fracture during surgery. At times these fractures are so small that they can

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5 heal on their own but then larger fractures will need to be corrected with pins wires sometimes possibly with grafts.  Loosening – Though this complication is quite rare with new implants it happens only when the new joint may not solidly fix to the bone or may sometimes loosen with time so as to cause pain in the hip. Another surgery might therefore be required to fix this loosening problem.  Change in Leg length – Although orthopedic surgeons take the required steps to avoid this kind of problem it occasionally happens that the new hip joint makes one leg shorter or longer than the other. Sometimes this is found to be caused by weakness in muscles surrounding the hip joint. However progressively stretching strengthening these muscles can effectively help in such cases. Need for a Second Hip Replacement Surgery Prosthetic hip joints may eventually wear-out therefore young active patients undergoing hip replacement surgery may need a second hip replacement procedure in their lifetime. However newer materials utilized nowadays are making these implants last longer so that a second hip replacement surgery may not be necessary for many years. Figure 4. Types of Hip Implants Metal-On-Metal Complications – Most prosthetic hip joints have ceramic or polished metal balls which fit into a cup liner made of extremely hard plastic. Some other types of artificial joints use metal cup liners that although last longer but may cause various other problems. Metal-on-metal artificial joints are likely to release metal ions into the patient’s bloodstream which can cause inflammation bone erosion. Mainly due to these concerns metal-on-metal artificial joints are rarely used nowadays.

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6 Preparing for Hip Replacement Surgery Figure 5. Interacting with the Doctor Patients will meet the orthopedic surgeon for examination prior to undergoing hip replacement surgery. The patient the surgeon are most likely to discuss take the following steps for evaluation.  Orthopedic surgeons would ask about the patient’s medical history list of current medications they are taking.  Surgeon will conduct a brief general physical examination in order to make sure that the patient is healthy enough to undergo surgery.  Doctors will examine the patient’s hip while paying good attention to the range of motion within the hip joint strength of surrounding muscles.  Doctors will order blood tests X-ray also possibly an MRI test. These preoperative evaluation tests are also a good opportunity for patients to ask questions about hip replacement surgery procedure. Patients must make sure to find out from doctors about which medications they should be continuing or avoiding in the week before undergoing hip replacement surgery.

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7 Hip Replacement Surgery Procedure When patients check in for hip replacement surgery they will be asked by the healthcare team to remove clothes put on a hospital gown. Subsequently patients are either given a spinal block or general anesthetic which will either numb the lower half of the body or put him to sleep during the procedure. During Hip Replacement Surgery Procedure Surgeons will take the following steps in order to perform hip replacement surgery.  Make incision over front or side of hip through layers of tissue.  Remove damaged diseased cartilage bone while leaving the healthy bone intact.  Implanting prosthetic socket into pelvic bone so as to replace the damaged socket.  Replace round top of the femur with prosthetic ball which is attached to a stem fitted into the patient’s thighbone. Figure 6. Total Hip Replacement Procedure Techniques which are adopted for hip replacement surgery are still in an evolving stage. Nevertheless orthopedic surgeons continue to develop lesser invasive techniques with a hope that these techniques may reduce time for recovery pain when compared with standard hip replacement procedures. However studies which compared outcomes of standard hip replacement surgery with minimally invasive hip replacement techniques have put forward mixed results. After Hip Replacement Surgery Patient will be moved to a recovery area for a few hours of monitoring until the time anesthesia wears off following hip replacement surgery. Nurses other members of the healthcare team will keep a watch on the patient’s alertness pulse blood pressure pain or level of comfort his/her need for medications.

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8 Preventing Blood Clot Following Hip Replacement Surgery Patients will be at increased risk of developing blood clots in legs following hip replacement surgery. They should therefore take the following preventive measures so as to avoid complications.  Early Mobilization – Patients are encouraged to sit up try walking with crutches or walkers soon after hip replacement surgery. This is most likely to happen on the same day or on the next day following hip replacement surgery. Figure 7. Walking with Crutches/Walker  Pressure Application – This is done both during after hip replacement surgery. Patients may for this purpose have to wear elastic compression stockings or inflatable air sleeves which are similar to blood pressure cuffs on lower legs. Pressure exerted by inflated sleeves will help in keeping blood from pooling within veins in leg thereby reduce chances of formation of blood clots.  Blood Thinning Medications – Orthopedic surgeons often prescribe either an injected or oral blood thinning medication following hip replacement surgery. The choice of the two will however depend upon how soon the patient is able to walk how active he/she is overall risk of blood clots. Patients may also need to take these blood thinning medications for several weeks following hip replacement surgery.

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9 Physical Therapy Following Hip Replacement Surgery Physical therapists can often help hip replacement surgery patients with some exercises they can do in the hospital at home for speedy recovery. Activity exercise must in fact be a regular part of the patient’s daily plan in order to regain the use of muscles the hip joint. Physical therapists will recommend mobility strengthening exercises which eventually can help patients learn how to use walking aids like a cane walker or crutches. As the training progresses patients can gradually increase weight they put on the leg until they are able to walk without any assistance. Figure 8. Exercises Follow Up Care Recovery at Home after Hip Replacement Surgery Before patients leave the hospital both the hip replacement surgery patient the caregiver are given tips on how to care for the new hip for a smooth transition.  Patients must arrange for a friend or a relative to prepare meals for them.  Everyday items at home must be placed at waist level so that they can avoid bending down or reaching up to fetch them.  Patients must essentially consider making modifications at home like getting a raised toilet seat for one. Six to eight weeks following hip replacement surgery patients will have to return to the hospital for a follow-up appointment with the orthopedic surgeon to ensure that the hip is healing properly. In case recovery is progressing well most patients would also be able to resume normal activities by this time even if it were in a limited fashion. However further recovery with improvement in strength will take anywhere between 6 – 12 months of time to complete.

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10 Hip Replacement Surgery Outcome Hip replacement surgery patients can expect the new hip joint to effectively reduce pain they felt before undergoing surgery along with substantial increase in range of motion of the hip joint. However they should not be expecting to do everything including what they could not before hip replacement surgery like running or playing basketball which may be too stressful on the new artificial joint. But then they may be in time able to hike swim play golf or even comfortably ride a bike. Low Cost Hip Total Replacement Surgery in India Figure 9. Medical Tourism in India India has emerged as one of the most popular healthcare tourism destinations providing affordable medical procedures to people from all across the world. Featuring a large pool of highly skilled doctors surgeons who have initially trained experienced in developed western countries before returning to their homeland they are aware of the emerging trends adept in handling latest technologies. Healthcare infrastructure in the country is extensive comprises of nationally internationally accredited hospital facilities managed by English speaking professional staff. Moreover in order to promote tourism Government of India has eased made it easier for international patients obtain medical visas. Wide spectrum of medical procedures that are available in India at reasonable costs cover an extensive range of specialties including cardiac orthopedic oncology gynecology spine surgery urology ophthalmology robotic cosmetic surgery to name a few.

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11 Avail Affordable Hip Replacement Surgery with IndianMedTrip IndianMedTrip is a globally reputed medical tourism company which is based in India. Associated with the top doctors surgeons accredited hospital facilities IndianMedTrip is ideally positioned so as to provide a wide range of affordable healthcare services to international patients. In fact variety of seamless services provided by IndianMedTrip begin with the first telephonic conversation move on to identifying the best doctor ideal hospital facility for the patient as per his requirements. Other list of efficient services offered by IndianMedTrip include assisting the patient his/her accomplice obtain medical visas warm reception at the airport when the patient arrives for treatment convenient arrangements for local travel comfortable accommodation options which include budget hotels luxury hotels or serviced apartments nearby the hospital facility scheduled appointments with doctors surgeons for treatments without any waiting period choice of an exotic recuperative vacation at reasonable costs follow-up evaluation checks with the operating surgeon a successful farewell sendoff when the patient decides to head back home. FOR MORE DETAILS ON DIFFERENT MEDICAL TREATMENTS IN INDIA CONTACT INDIANMEDTRIP ON: https://indianmedtrip.com/contact-us/ OR SEND AN E-MAIL AT: infoindianmedtrip.com OR CALL/WHATSAPP: For Indian/International Caller: +918600855554 U.K. Caller: +44-5603848946 Canada/U.S.A Caller: +1-6314802441 You can also follow us on: Facebook:https://www.facebook.com/indianmedtriphealth Twitter: https://twitter.com/indianmedtrip G+: https://www.google.com/+Indianmedtrip-healthcare-consultants

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