Shape and condition of the bone as well as age of the patient will affect these variables.

If hip joint is deformed or damaged, it may be a good idea to consider hip replacement surgery. Damaged joints can get worse over time. The orthopedic surgeon in Nagpur will decide the exact treatment for the hip. Sometimes hip pain or other symptoms can be caused by other health issues. These include Back pain & Knee pain.

What is a Degenerative Hip Joint?

When the smooth cartilage layer wears down or degenerates, the rough underlying bone gets exposed. Instead of gliding smoothly during movement, the ball grinds in the socket causing pain due to friction, affecting daily activities like walking and leading to a limp, sitting and getting up from chair or stair-climbing. The debris resulting from wear and tear of the hip joint may be responsible for pain at rest too. The surfaces forming the joint become increasingly damaged and the pace of repair cannot keep up. The joint may even become deformed, leading to an unsightly appearance. This process of joint destruction is termed as Hip Arthritis.

What is Total Hip Replacement?

Total hip arthroplasty, called the “surgery of the century,” replaces the socket and worn or damaged end of the femur with a non-reactive material that is proven to be biocompatible. This is a surgery to replace the hip joint with an artificial hip joint (artificial joint) made of. in situ) included in body materials (tissue materials).

These materials used in hip replacement surgery are inert and have been proven to produce excellent results. At Nanavati Max Super Specialty Hospital in Mumbai, we provide compassionate care that includes selecting the right type of prosthesis (depending on various factors such as age, gender, bone density, femoral bone structure, etc.). Our surgeons always prefer the best cement less implants made from the proven titanium metal. The implant ball is constructed from the latest 4th generation implant with up to 30 years of tear resistance. Other biocompatible materials are also used as well as metals – cobalt chromium, titanium, oxinium. Previous plastic sockets are obsolete and highly cross-linked polyethylene (plastic) sockets are now used in patients, with a wear resistance of up to 15-20 years. Hip replacement surgery can be performed unilaterally or bilaterally in the same surgical session.

How is Hip Pain Treated?

In the early stages of hip arthritis, intermittent pain can be controlled with medication, weight loss, physical therapy, and mild medication.

In later stages of arthritis, when degeneration is nearly complete, a more persistent type of pain occurs, severely limiting activities of daily living and mobility. Patients become dependent on pain medication and risk damage to the stomach and kidneys from overuse. Patients may also become dependent on others for basic care, leading to a decreased quality of life.

Termed as “the Operation of the Century,” total hip replacement is a procedure that replaces the worn out or damaged bony ends of the joint socket and the ball of the femur with a Prosthetic Hip (artificial joint) made from biocompatible proven materials which do not react (in situ) in body (tissue) materials.

These materials used in the hip replacement surgery are inert and have proven excellent results. At Nanavati Max Super Speciality Hospital, Mumbai we offer compassionate care which involves choosing the right type of prosthesis (depending on various factors like age, sex, bone mineral density, and femoral anatomy etc.). Our surgeons always prefer the best cement-less implant which is made of proven titanium metal. The ball of the implant is made of 4th generation modern implants with longevity against tearing up to 3 decades. The other biocompatible materials are also used like metal – Cobalt-Chromium, Titanium, Oxinium; the previous plastic sockets have been outdated & presently highly cross-linked polythene (plastic) sockets are being used for patients which have longevity against wear up to 15 to 20 years

The hip replacement surgeries can be done for unilateral or bilateral involvement in the same sitting of surgery.

Why choose Dr. Sanjay Barik Hospital for Total Hip Replacement Surgery in Nagpur?

 State-of-the-art modular operation theatres

Dedicate Operation Theatre for Arthroplasty surgeries

Continuous sterile airflow with HEPA-filter

Spacesuits for surgeons

We are one of the rarest centers in the country to perform bilateral hip replacements in the same session. The center is also known for hip revision surgery, or hip revision surgery (indications include failed surgery, hip fracture, etc.). Our expert consultants perform hip revision surgery with excellent results.

Our center emphasizes rapid ambulation, and all patients are required to walk with full weight (under the supervision of a physical therapist) on the day of surgery.

What are the Benefits of Total Hip Replacement Surgery?

1. If patients follow postoperative precautions as part of a seamlessly integrated rehabilitation program, patients may experience the following symptoms after surgery:

2. Improved Quality of Life

3. Increased Functional Mobility

4. Significantly Reduced Pain

5. Joint Deformities and Differences

Requirements for Surgery: The surgeon must ensure that the patient has no sources of infection in the body, such as: you need to check. Examples: skin ulcers, teeth, urine, chest infections.

Patients should inform their doctor if they are taking blood thinning medications. This is because patients need to stop taking these medications a few days before surgery.

Patients should also inform their doctors about medical problems such as diabetes, asthma, hypertension, and hypothyroidism so that the doctor can take appropriate steps to manage them before surgery .

Prerequisites for Surgery:

Surgeon should make sure that a patient doesn’t have any source of infection in the body, such as skin boils, dental, urine or chest infection.

A patient must inform the doctor if he/she is taking any blood-thinning medicines. As a patient must stop taking these medicines a few days before surgery.

A patient must also inform the doctor about any medical issues like diabetes, asthma, hypertension, hypothyroidism, etc. so that a doctor can take appropriate measures to control the same before surgery.

What precautions should be taken at Home After Surgery?

Short-term precautions

• The temperature should be monitored. Informed to the Doctor, if it goes above 100.5 degrees Fahrenheit.
• Doctor to be informed if there is an excessive pain.
• Inform the doctor if there is excessive swelling, redness around the operated area or discharge from the wound.
• Use of walking aid is recommended until advised otherwise.
• Low chairs or commodes should not be used.
• After the hip replacement surgery, it may take some time by the surrounding muscles and tissue to heal. After this, a patient may be able to resume normal activities.

The following movements must be avoided for the first 12 weeks to reduce the risk of hip dislocation:

Bending the hip beyond an ‘L’ shape ( 90 degrees)

Sitting in cross leg position

Make sure there is no movement of the operated leg across/over the midline of the body

wisting the operated leg / turning leg inside

Long-term precautions

• Make sure to inform your treating doctor if you are undergoing any surgical/ dental procedures requiring antibiotic cover.
• High impact exercise such as jumping, running should be avoided.
• Inform your doctor if you experience any pain, swelling or instability.

It is advisable to use a toilet seat with a high commode attachment or a high commode chair at home.

Physiotherapy should be done regularly to facilitate walking and strengthening of muscles.

The patient should be mobilised as much as comfortably possible.

What are the Risks/Complications of the procedure?

All types of surgical and anaesthetic procedures carry some risks, particularly if there are other medical problems that a patient may be suffering from. However, our healthcare team has been trained to make sure that these are minimised and the treatment is carried out safely. Patients must be aware of some specific risks related to hip surgery. However, chances of immediate complications are less than 2 %

Infection: Sometimes despite strict precautions, infection can occur. Superficial infection may occur at the wound site.

Deep Infection: May occur in the early postoperative period or sometimes, later. Therefore, a patient must immediately see a doctor if he/she experiences an infection that may develop in any part of the body.

Deep Vein Thrombosis (DVT): Despite taking precautions to prevent blood clot (thrombosis) formation in veins of the leg post-surgery, it remains a common risk after hip replacement surgery. Rarely, these clots can dislodge and travel through the heart to the lungs. This is known as pulmonary embolism which can cause serious complications in rare cases.

Loosening of the Prosthesis (Without Infection): This is a risk common to all artificial joints. It weakens the bond between new joints and bones. Although it is expected that the new hip will last for many years, it can become loose earlier than anticipated, particularly if a patient is obese, or have damaged joint following an injury, or start performing daily activities without taking proper rest. If the joint becomes loose then it can generally be replaced by another. This is a more complex procedure that involves greater risks. With newer implants, it is common to see hip replacements last more than 15 years

Persistent Pain: The operation may not relieve a patient of all pain, and he or she may continue to experience some mild discomfort. Complex regional pain syndrome, although rare, can cause pain, stiffness, swelling, and skin changes. Other recognised risks of hip surgery include bone fracture, urinary retention, bruising, anaesthesia, and blood transfusion