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Overview of Hip Replacement in India
Some individuals have excruciating pain and decreased movement due to degenerative issues in both hips. Your doctor may suggest a bilateral hip replacement if this hinders your ability to carry out daily tasks and non-surgical support is no longer enough.
Simply put, surgeons perform this total hip replacement treatment on both sides of the body. They also refer to it as a double hip replacement. They can perform it as a phased process or concurrently in a single operation. Ceramic, metal, or plastic components replicating the hip's natural movement replace the injured hip joint components.
A prosthetic ball and stem replace the ball-shaped femoral head, which is located at the top of the thigh bone. A manufacturer uses a ceramic or plastic spacer to create a smooth gliding motion, besides replacing the damaged socket surface material.
What Is Bilateral Hip Replacement Surgery?
In a bilateral hip replacement, the surgeon replaces both hip joints during one procedure. They use it to treat conditions such as severe injury to the joint or arthritis. The goal for individuals with bilateral issues with their hip joints is to relieve pain, improve mobility, and thus improve their quality of life.
Anatomy Of The Hip
The hip joint, which is the meeting point for the thigh bone (femur) and the pelvis (acetabulum), is one of the significant weight-bearing joints in the body. In this ball-and-socket joint, the pelvic acetabulum makes up the socket, whereas the head of the femur makes up the ball. The smooth articular cartilage covers the joint surface and allows for friction-free movement of the joint. Ligaments are bands of tissue that hold the bones together and keep the joint stable.
Types of Hip Replacement:
Different Types of Bilateral Hip Replacement
Bilateral hip replacement procedures can be carried out in a variety of ways. Among the primary kinds are:
Simultaneous Bilateral Hip Replacement (SBHR):
Both joints are replaced in the same procedure when a simultaneous double hip replacement is performed.
Compared to a staged operation, a simultaneous procedure is thought to have the following benefits:
- Reduced expenses
- Fewer hospital stays
- A quicker recovery time
Staged Bilateral Hip Replacement:
The double hip replacement is done in two separate steps during a staged procedure:
- One hip joint is replaced surgically.
- The second joint is replaced three to six months later.
Anterior-Posterior Approach:
To increase accessibility for bilateral hip replacement, the surgeon combines the anterior and posterior incisions.
Minimally Invasive Bilateral Hip Replacement:
Minimally invasive bilateral hip replacement incorporates less trauma and may shorten the rehabilitation period of both hips with smaller incisions.
Many factors will also weigh into the decision, including the patient's general health, the surgeon's preference, and the details of the hip disease involved.
Procedure:
Why Might You Need Two Procedures In One?
There are many diseases that affect the joint and can need replacement surgery such as rheumatoid arthritis, osteoarthritis, osteonecrosis and developmental dysplasia. For example, in the situation of osteoarthritis, it usually affects both hips. Studies have shown that 42% of patients with osteoarthritis have disease in both hips, and about 25% of those patients will need hip surgery.
Requirements & Evaluation for Bilateral Hip Replacement
Bilateral hip replacement candidates go through a thorough assessment. The criteria include both hips' extreme discomfort, limited range of motion, and poor reaction to conservative therapies. Bone density, general health, and compliance with surgery instructions are all taken into account during preoperative evaluations. Optimising results and making sure patients are physically ready to endure and benefit from simultaneous bilateral hip replacement are the foundations of the choice.
Preparation for Bilateral Total Hip Replacement
Generally speaking, getting ready for a complete bilateral hip replacement could involve:
- A complete medical assessment assessing your overall health and surgical fitness by assessing your medical history, performing a physical exam, and ordering laboratory tests and other relevant testing.
- The medical team makes the decision to have surgery after imaging tests (such as hip MRIs or x-rays) assess the nature of the injury.
- If you have advised your doctor of any latex, anaesthesia, or medication allergies, it is imperative that you tell them.
- Give your doctor a list of the medications or supplements that you take.
- Some medications, in particular medicines that interfere with the blood clotting system, will require you to change your medication or stop it altogether while you treat your injury.
- Quitting smoking will help to avoid complications and can affect response to treatment and healing.
- Do not eat or drink anything for at least eight hours before the procedure.
Procedure for Bilateral Total Hip Replacement
Bilateral complete hip replacement procedures typically involve the following steps:
- To ensure the patient is free from pain during the procedure, the medical team administers spinal block or general anaesthesia.
- The patient is then moved to the operating table, typically either supine or lateral, depending on the operative approach.
- Every hip joint is incised by the surgeon. This can be done sequentially or all at once, depending on the surgical strategy and the patient's condition.
- The hip joint is shown by pushing aside tissues and muscles.
- The injured acetabulum (hip socket) and femoral head are removed by the surgeon.
- Prosthetic component implantation:
- Femoral Component: The femur is fitted with a metal stem. A ceramic or metal ball is used in place of the femoral head.
- Acetabular Component: A metal shell lined with ceramic, metal, or plastic surrounds the hip socket.
- The surgeon makes sure the prosthetic parts fit and coordinate correctly.
- Sterile dressings and sutures or staples are used to seal the incisions.
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Cost of Hip Replacement in India
Cost Of Bilateral Hip Replacement Surgery In India
The cost of bilateral hip replacement surgery in India starts from USD 7,500 and go up to USD 12,000. Price may change based on, the type of implant used, type of hospital, and the experience of the surgeon.
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Indications of Hip Replacement:
Postoperative Care and Recovery
Following a bilateral total hip replacement, postoperative care and recuperation may typically entail the following:
- Until the anaesthetic wears off, you are observed in the recovery area. A hospital stay of three to five days is usually necessary.
- Infection prevention and pain management are achieved by the use of medications.
- guidance for keeping the incision area clean, dry
- you are encouraged to not have vigorous exercise or heavy lifting during the healing phase
- physical rehabilitation starts early after surgery to assist with mobility and to minimize the potential for complications; such as blood clots
- your strength and mobility will be restored through a structured rehabilitation program that will include exercises and recommendations for safe movement strategies.
- most patients resume their normal activities after three to six months, yet full recovery may take several months.
- review appointments are set at regular intervals; to assess the condition of your hip implant, your recovery and to address any concerns.
Recovery And Results
Patients who undergo two hip procedures at the same time would typically stay in the hospital a day or two longer than those who have one hip done, usually four or five days. Regardless, they are mobilized as soon as possible, either on the day of the procedure or the day following. This must be coupled with many interventions to treat and manage pain. One of the greatest risks following a hip replacement is clots, and early mobilization, along with medication, helps reduces this risk.
Physical therapy is needed to achieve optimal results. A licensed physiotherapist will prescribe stretches and exercises to improve joint mobility. Recovery time and outcomes will vary depending on factors such as age and health.
Even though they are beneficial, double hip replacements are not common. Patients should consult a hip expert to discuss their treatment options if they are having discomfort and limited movement in both joints.
Risk Factors:
Risks
Infection: There are risks of postoperative infections with both hips.
Blood clots: There are risks of deep vein thrombosis (DVT).
Implant Dislocation: The prosthetic parts may dislocate.
Nerve or Blood Vessel Injury: It is not common but possible to damage a nerve or blood vessel during surgery.
Anaesthesia Complications: Doctors call adverse reactions to general anaesthesia complications.
How Do I Prepare For A Double Hip Replacement?
You will see your orthopaedic surgeon prior to surgery. At this meeting, they will:
- Examine your past medical records.
- Prior to your procedure, make a note of any drugs you are taking and advise if you should cease.
- Use imaging procedures, such as X-rays, to examine your hip joints.
- Prior to surgery, order laboratory tests including blood and urine to evaluate your general health.
- Address any worries or questions you may have regarding healing, the actual operation, or preparedness.
As you get ready for a double hip replacement, you should also think about the following:
- Smoking. It is possible for smoking to impede the healing process. Try to reduce or stop smoking if you currently do. Consult your physician about smoking cessation strategies.
- Transportation. Make plans for getting to and from the hospital. Make a note of the dates of your follow-up visits as well and make transportation arrangements for them.
- Get moving. Having strong legs, core, and upper body will make recovery from surgery easier. Also, losing weight may also reduce the stress on your joints when they are healing, especially if you are borderline overweight.
- Meals. It might be a good idea to prepare and freeze meals ahead of time, so you are not scrambling around when you return home after surgery.
- Getting ready at home. Make sure your needs are close at hand by designating a space where you will spend most of your recuperation time. Get yourself a cosy chair that supports your arms, back, and legs.
- devices for the disabled. While you recover, consider asking about assistive technology that may benefit you with daily tasks, such as raised toilet seats, safety bars in showers, or stair railings.
- household support. During your recovery, you are likely to need extra support around the house. Talk to a trusted person about ways in which they can help you with cooking, cleaning, and laundry.
Your orthopaedic surgeon will provide your detailed instructions about what you should and should not do before your treatment. Make sure you properly follow their instructions.
Benefits
Pain Relief: Reduction of both hips' persistent pain.
Better Function: Both hip joints are now mobile again.
Improved Quality of Life: Higher ability to perform day to day activities leads to better quality of life.
Correction of Deformities: Correcting deformities or abnormities that exist in both hip joints.
Frequently Asked Questions (FAQ’s)
There live the blind texts separated they right at the coast of the Semantics.
A bilateral hip replacement, sometimes called double hip replacement, uses artificial implants to replace both hip joints during either a single surgical procedure or two procedures. Surgeons typically consider this operation for osteoarthritis, rheumatoid arthritis, and other degenerative joint diseases that severely affect both hip joints.
Despite being more prevalent than it was in the past, doctors do not commonly perform bilateral hip replacement surgery—in which they replace both hip joints simultaneously or sequentially. Bilateral hip disease may be present in a sizable portion of people with osteoarthritis, but fewer will need bilateral replacement.
The majority of patients return to their routine after the three- to six-month period of recovery from surgery to replace both hips. It may take longer to completely recover, which means regaining strength, flexibility and mobility. Personal situations may also alter the time frame. At the three-month mark, most people are doing well, but typically improvements continue for the first year after surgery.