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Hip Replacement

Hip Replacement

Hip Replacement Surgery

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Hip Replacement Surgery

Hip replacement surgery is also called as total hip arthroplasty. It is a surgical procedure to replace a worn out or damaged hip joint with an artificial joint or prosthesis.

The aim of hip replacement surgery is to replace the damaged parts of the hip joint in order to relieve hip pain that can’t be controlled by other treatments. It is usually done when all other treatment options have failed to provide adequate relief from pain. The procedure relieves a painful hip joint, making daily activities like walking easier.

Hip Joint

In a healthy hip, ends of femur (thighbone) are covered by smooth cartilage. The cartilage also covers the socket (known as the acetabulum) in the pelvis into which the ball end of the femur fits. This cartilage allows the ball to glide easily inside the socket and acts as a cushion . The surrounding muscles support the joint, allowing it to move freely.

Sometimes, either the socket of the hip or the thighbone is injured or becomes diseased. This may result in pain, difficulty in doing everyday tasks like walking. One may have already tried pain relief methods such as medications, physical therapy, supports, or braces. If the pain is not relieved, doctor may recommend hip replacement surgery for the patient. Hip replacement surgery is used to replace the damaged ball-and-socket with new and durable artificial joint that mimic the ball-and-socket. This artificial joint helps in reducing pain and improve function.

Causes - Why one needs Hip Replacement Surgery?

Hip replacement surgery is a treatment for pain and disability in the hip. This surgery may be an option after a hip fracture or due to severe pain due of arthritis.
Types of arthritis that may affect the hip joint are:-

  • Osteoarthritis: The most common reason for Hip Replacement is osteoarthritis also known as degenerative arthritis. Osteoarthritis causes loss of cartilage in the hip joint. Damage to the bones and cartilage results in limited movement and may cause pain. Such people with severe pain may be unable to do normal activities like bending at the hip, walking or sitting, because of the pain.
  • Rheumatoid Arthritis: It is an autoimmune disease in which the synovial membrane becomes inflamed. The membrane then produces too much synovial fluid, damaging the articular cartilage.
  • Traumatic Arthritis: Traumatic Arthritis may results from a serious hip injury or fracture, that can also lead to damage of hip joint and severe pain during normal activities like walking or even moving the leg.

Other Hip Problems Treated by Hip Replacement Surgery

Other diseases leading to hip replacement surgery include avascular necrosis. It is a condition where the head of the femur loses some of its blood supply and dies. This may be caused by some disease, or a severe trauma, such as a dislocation or break, that may affect the blood supply to the bone. Hip replacement is sometimes used if a tumor grows in the hip joint.

Fractures of hips, broken hips, or some types of hip conditions that appear in childhood such as developmental dysplasia, congenital dislocation of hip and Perthes disease may also lead to degeneration many years after an injury and require the need for hip replacement surgery.

Candidate - Who is offered Hip Replacement Surgery

A hip replacement is a major surgery .If medical treatments like Physiotherapy, Medicines and Steroid Injections are not effectively controlling pain due to arthritis or fracture, hip replacement becomes an option. It is at the discretion of healthcare provider to recommend a hip replacement surgery depending on the medical history of the patient.

  • One is offered hip replacement surgery for following reasons:
    • Severe pain, swelling and stiffness in hip joint
    • Hip pain is so severe that it interferes with quality of life and sleep
    • Mobility is reduced and everyday tasks, such as getting out of the bath and shopping, are difficult or impossible
    • Feeling depressed because of the pain and lack of mobility
    • Not able to have a normal social life

One also needs to be able to cope with a major operation and the rehabilitation afterwards.

The Orthopaedic Evaluation

An evaluation with an orthopaedic surgeon may consists of several components :

  • Medical history - Orthopaedic surgeon gathers information about general health and ask questions about the extent of hip pain and how it affects ones ability to perform everyday activities.
  • Physical examination - Helps in assessing hip mobility, strength, and alignment.
  • X-rays - These images help to determine the extent of damage or deformity in hip.
  • Other tests - Occasionally other tests, like magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of hip.

Types of Hip Replacement Surgery

  • Total Hip Replacement : Surgeons replace both the ball (femoral head) and socket (acetabulum) during total hip replacement surgery because when the femoral head is arthritic, the acetabulum has generally also degenerated and is unstable, making a total hip implant necessary to hold the prosthetic femoral head in place.
  • Partial Hip Replacement : Partial hip replacement is not a treatment for bone disease. Partial hip replacement is a surgical procedure where only the femoral head (the ball) of the damaged hip joint is replaced with artificial joint. The acetabulum (the socket) is not replaced.
    Partial hip replacement and total hip replacement generally treat two different types of issues (injury vs. degenerative arthritis, respectively).


A hip replacement operation can be performed using either local or general anesthesia

The surgery may take up to 2 hours to complete. The steps are as follows:-

  • Surgery begins by making an incision along the side of the hip joint that is to be replaced.
  • The muscles supporting the hip joint are detached and the damaged ball of the hip joint is cut from the top of the femur.
  • The femoral component of the artificial joint (prosthesis) is inserted into the femur and the acetabular component of the artificial joint is inserted into the prepared socket area in the pelvic bone.
  • The artificial ball and socket are then fitted together. The surgeon then reattaches the muscles to the top of the femur.
  • Drainage tubes are inserted to drain any fluid and/or blood from the new joint and the incision is then closed.

Antibiotics are usually given during and after the surgery to prevent the development of infection in the new joint.

Minimally invasive hip replacement appears to be as safe and effective as conventional surgery, with the added benefit of causing less post-operative pain.

Expected Results

Hip replacements generally has high success rates. In fact hip replacement is called as one of the most successful operations in medicine. Most people who have the procedure report significantly less hip pain and a greater ability to perform daily activities. For the majority of people who have hip replacement surgery, the procedure results in :

  • Relief in pain
  • increased mobility
  • Improvements in daily activities
  • Improved quality of life


Hip Replacement Surgery requires about 5-7 days of hospital stay for proper recovery. It is important that one starts moving the new joint after surgery. Physical therapist helps with that and plans for exercise rehabilitation program. At home it is important to keep the surgical area clean and dry and follow the instructions of the healthcare provider.

Continues follow up with surgeon is also required in order to monitor the wear of the artificial joint. For full recovery few months may be required. High-impact activities like running or playing basketball may be o stressful on artificial joint. But in time swimming, hiking or riding a bike gets comfortable.

Techniques for hip replacement are evolving. Surgeons have developed less invasive surgical techniques, which reduce recovery time and pain. During minimally invasive hip replacement surgery, surgeon makes a smaller incision and requires a smaller area for surgery than during a traditional hip replacement surgery. This results in less cutting of the surrounding skin, muscle and other soft tissues. Minimally invasive techniques allow for an easier recovery in the shorter time and provide equal or better results in the long term.

Cost of Hip Replacement Surgery

India is one of the most affordable places for Hip Replacement Surgery across the globe. The cost of Hip Replacement in India is less than a one sixth of what it costs in Western countries to get the same treatment done.

Top Orthopaedic hospitals in India are equipped with the most advanced technology .Cost of Hip Replacement treatment without insurance is extremely high, which prompts people to travel to countries like India for their Hip Replacement Surgery. For people who are covered by insurance, but find the cost very high, also choose to travel to India for their treatment for the quality treatment at most affordable cost.

Sr No Name of Procedure Cost in USD in India
1 Evaluation Cost 500 - 1000
2 Surgery Cost 4500 - 7500

Why MedicoExperts?

At MedicoExperts, we understand the significance of your health and well-being. Our aim is to provide you the best options and outcomes for your Hip Replacement Treatment in India at our top associate hospitals. We understand that while you choose to travel abroad for you Hip Replacement Treatment in India, you would surely look for cost savings and that is why we have special negotiated prices for you and offering you best possible prices for the top quality of facility and services.

We would also provide you end to end assistance for your medical trip to India and shall provide complete solution for your Hip Replacement Surgery - right from assisting you with the visa, hotel arrangements, airport pick up and drop, inland transfers, money exchange or sight-seeing and all other concierge services. We thus assure you hassle-free arrangements for evaluations, surgery, recuperation, stay and travel in India.

For more information and getting a tailor made treatment plan for your Hip Replacement Treatment in India, please mail us your medical history at enquiry@medicoexperts.com

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