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Overview

Hip Replacement - Treatment, Procedure And Side Effects

What is the treatment?

One of the largest joints in the body, the hip is a ball and socket type joint like the shoulder joint. A number of conditions like Osteoarthritis (wear and tear of the cartilage in the hip joint), Rheumatoid arthritis (autoimmune disorder leading to damaged cartilage) and Avascular necrosis (restriction of blood supply to the hip joint) can cause irreversible damage to the hip joint.

Hip replacement is a surgical procedure where the affected hip joint is replaced with an artificial hip joint. This artificial hip joint is constructed from plastic and metal components. This surgery is used as a last resort only after other treatment methods like oral medications and physiotherapy have not produced the desired results. It can also be recommended if the affected hip joint interferes with your daily activities. The most common reason for people opting to have their hips replaced is Osteoarthritis.

Before a hip replacement surgery, an orthopedic evaluation of the patient is carried out by the surgeon. The evaluation may include a medical history examination, a physical exam, an X-ray test and a MRI test. The surgeon will go through your evaluation results and advise you regarding the surgery. Once you decide to go through with the surgery then the next step is to get prepared for it.

How is the treatment done?

The first step is the administration of anesthesia. A member of the anesthesia team will evaluate you and recommend the type of anesthesia that you need. Usually, general anesthesia is administered to put you in a temporary state of sleep.

The procedure begins with the surgeon making an incision through the side or front portion of the hip to shift the hip muscles and expose the joint. The thighbone is then cut with a saw to remove the ball part of the joint. The artificial joint is then fixed to the thighbone with cement.

The surgeon then removes damaged cartilage from the hipbone and fixes the replacement socket on the hipbone. The last step involves insertion of the new ball into the hip socket. A drain may also be attached to keep the fluid from accumulating. The muscles are then reattached and the incision is closed by the surgeon.

Once the surgery is completed, you will then be taken to a recovery area till the effects of the anesthesia wear off. You vital signs will be monitored on a continuous basis and the necessary medications will be administered.

Who is eligible for the treatment? (When is the treatment done?)

Hip replacement surgery is recommended in the following cases –

  • Continuing stiffness in the hip region which impairs the movement of your legs
  • The pain in the hip interferes with your daily activities
  • Treatments like medications and physical therapy is not effective in providing pain relief
  • Hip pain also occurs during periods of rest

Who is not eligible for the treatment?

Hip replacement surgery is not recommended if –

  • You have high blood pressure
  • Condition of overall health is poor
  • Heart disorders are present
  • There are infections in the urinary tract

Are there any side effects?

Yes hip replacement has side effects, they are –

  • Formation of blood clots Hip surgery may result in a condition called deep vein thrombosis. In this condition, patients experience leg pain which is followed by swelling. These symptoms occur when blood is poorly circulated through the legs. A blood clot can also get detached from the legs and flow to the lungs leading to breathing difficulties.
  • Intense pain A patient may experience intense pain that will interfere with his/her ability to walk or stand. This generally occurs during the first few days post-surgery.
  • Dislocation of the Hip joint The hip implants are usually smaller than the natural size of the hip bone. This can cause the prosthetic ball to fall out of the socket leading to dislocation.

What are the post-treatment guidelines?

The post treatment guidelines for hip replacement are –

  • Avoid climbing stairs for a few months post-surgery. If you have to climb stairs then make sure to keep it to once or twice in a day.
  • Do not sit in reclining chairs, instead opt for straight back chairs.
  • Twisting or pivoting of the affected leg should be avoided.
  • Stay away from enthusiastic pets.
  • Avoid lifting heavy objects that can strain your back and hips.
  • Do not bend for ward from the waist and squat.
  • Eating a balanced diet and drinking plenty of fluids is essential to a speedy recovery.
  • Your physical therapist may prescribe exercises that you need to do a regular basis to speed up the recovery process.

How long does it take to recover?

The recovery period for hip replacement generally ranges between 2 to 6 months. The recovery period varies from patient to patient and is also dependent on external factors like post-surgical care.

What is the price of the treatment in India?

The cost of a hip replacement surgery in India varies from Rs 199,948 to Rs 1,054,207. The average price is Rs 474,429.

Are the results of the treatment permanent?

The replaced hip joints usually last for 10-20 years, provided you take proper care of it. In case of damage to the new joint, surgery is required to repair it.

What are the alternatives to the treatment?

The alternatives to hip replacement surgery are –

  • Non-steroidal anti-inflammatory drugs
  • Painkillers
  • Physical therapy involving muscle strengthening exercises
  • Cortisone injections
Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: High Price Range: Rs. 199,948 - Rs. 1,054,207

Popular Health Tips

All About Hip Replacement

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
All About Hip Replacement

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

2649 people found this helpful

Hip Replacement!

MS - Orthopaedics, DNB (Orthopedics), MNAMS - Orthopaedics, Fellowship in Joint Replacement
Orthopedist, Jaipur

Mobility for a person is very important, and when you look through, the hip is a very important component to this. It connects the upper and lower parts of the body and helps in movement. It is a ball and socket joint, where the hip bone provides a socket, into which the upper part of the thighbone (femur) sits into, allowing for free movement.

Like any other human organ, the hip also is prone to damage. Be it natural ageing, infection, injury, or diseases, hip movement can be affected, leading to limited movement and increased pain and stiffness. For these people, being able to get back a hip which will allow them to be back on their feet is a boon for sure. It helps in relieving pain and improving mobility, almost giving people a second lease of life.

Reasons for hip replacement:

  1. With natural ageing, the hip joint can lose its ability to move, due to normal wear and tear of the hip and thigh bones
  2. Diseases of the hips (infectious or autoimmune) can also lead to hip replacement
  3. Injury or trauma is another major cause that requires hip replacement
  4. Joint problems, leading to repeated dislocations
  5. Tumours of the relevant bones

Understanding the procedure in detail

  1. The affected bones (whether diseases or worn out) are replaced with a prosthesis which is compatible with the normal body tissue.
  2. While some materials fuse to the natural bone, others do not and are simply placed as a separate unit
  3. This is a surgery which requires hospitalisation and stays for up to 5 days depending on patient’s overall health condition
  4. The entire procedure may take a couple of hours and is usually done under general anaesthesia
  5. An incision is made through the side of the hip
  6. Both the hip and the thigh joints are prepared, diseased tissue removed, re-shaped, etc. to make way for the prosthesis
  7. The prosthesis is introduced through the same incision and positioned into place
  8. As noted earlier, there are two types. The ones which fuse to the bone have pores in them into which normal bone eventually grows.
  9. The other variety is the cemented version, and a glue is used to keep it in place
  10. Most doctors now use a combination, that is cement a porous prosthesis, into which bone will grow, and the incisions are closed
  11. The patient stays in the hospital for 1 to 4 days depending on overall health
  12. Once discharged, infection and pain control are continued
  13. Exercise and physiotherapy play a major role in restoring normal function
  14. Weight management is also very important
4 people found this helpful

Benefits of Hip Replacement Surgery

MBBS, MS - Orthopaedics, Fellow In Joint Replacement , Fellow In Arthroscopy
Orthopedist, Hyderabad
Benefits of Hip Replacement Surgery

Human bones are continuously being removed and formed, which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips, which may become worn due to age or other problems within the body. 

Hip replacement surgery
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip, which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.

Benefits of hip replacement surgery:

  1. Lessening hip pain: This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
  2. Correction of bone deformity: When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
  3. Return to normal activities: This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
  4. Ability to have painless sleep: Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
  5. Leg strength increase: Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
  6. In most cases a lifelong solution to hip problems: As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.

Related Tip: "5 Common Causes of Hip Pain in Women"

3612 people found this helpful

Hip Replacement - An Overview!

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Hip Replacement - An Overview!

Damaged hips can cause great distress in carrying out daily activities, such as walking, getting dressed and many more. If you have damaged one or both of your hips, and it causes you great pain, you may require a hip replacement. It is a common form of surgery in which a damaged hip joint gets replaced with an artificial one. This is known as prosthesis.

Conditions which lead to hip replacement

  1. Osteoporosis where the cartilage inside a hip joint gets worn out, and the bones rub with each other as a result
  2. Rheumatoid arthritis, which is caused when the immune system attacks the hip joint lining by mistake
  3. If the hip joint gets damaged severely during an accident or fall

The purpose of a replaced hip joint is to provide pain relief, improve the hip’s function, improve your ability to carry out day-to-day activities and improve your overall quality of life.

Procedure
A hip replacement is usually carried out under general anesthesia. An incision is made in the hip by the surgeon and the damaged hip joint is removed through it. It is replaced with an artificial metal alloy or a ceramic joint. The surgery takes approximately 60 to 90 minutes for completion.

Recovery
After the surgery, a walking aid such as crutches is required for up to four to six weeks. You may enroll for an exercise program, which aims at regaining and improving the new hip joint functions. Regular activities can be restored within two to three months. A year is required for utilizing the new hip joint normally.

Risks of hip replacement
There may be several complications as a result of a hip replacement. They include:

  1. Dislocation of the hips
  2. Infection at the surgery wound
  3. Injury to nerves and blood vessels
  4. Difference between the lengths of two legs
  5. Fractures

Alternative
Hip replacement surgery has an alternative type of surgery, which is called hip resurfacing. During this surgery, the damaged surfaces of the bones within the hip joint are removed and replaced with a metal surface. Less bone is removed in this surgery. However, the metal surface may cause complications and health hazards.

Hip replacement is being improved upon with the advent of technology. Stronger and newer materials are being developed for prosthetics, which will allow enhanced joint mobility and a longer wear. New cement-less implants are also being developed. Also surgery assisted by computer is being used for generating an image of the hip joint. If you wish to discuss about any specific problem, you can consult an Orthopedist.

4475 people found this helpful

What You Need To Know About Hip Replacement Surgery?

MBBS, MS - Orthopaedics
Orthopedist, Chennai
What You Need To Know About Hip Replacement Surgery?

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

2 people found this helpful

Popular Questions & Answers

I have OA in both knees and also need a hip (R) joint replacement for which I need to take off about 26 - 30 Kg. Is there any exercise that will help me walk or injections for cushioning in these areas - I want to avoid surgery - I am 63 years old and female. The metabolism in my body has slowed down and due to pain in hip am unable to walk even 10 mt without stopping. Pl answer. Thank you.

Commonwealth Fellow Joint Replacement, DNB - Orthopedics, MS - Orthopaedics, MBBS
Orthopedist, Delhi
OA in both knees requires surgery but it depends up on how much it is damage so that you have to visit the orthopaedics doctor for clinical examination without clinical examination that can't be determined. So we advised you to visit joint replacement surgeon with x-rays of both knee and hip so that treatment course can be done.
1 person found this helpful

Hello Doctor, This question is for my 53-year-old mother-in-law who has been having rheumatoid arthritis for about 30 years. She has had bilateral hip and knee replacements, and her last operation was done about 5 years ago. Things were going fine until about 2 months ago when she started having severe neck and shoulder pain, sometimes radiating to her arms. We did consult her regular rheumatologist, who has asked her to begin Adalimumab injections, twice a month. We came to know that there are severe sideeffects to the drug and would like to know more about it and the success percentage of Adalimumab injection. It would be great if you could help us find other treatment alternatives that we can look up to.

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Indore
Dear Radha, Namaskar, Adalimubab is a biologic drug,very effective in RA.......Ofcourse all the modern medicines do have some untoward and side effects.......but the treating Doctor has to titrate the dosage and choose the lesser evil out of Pendora of various drugs.... I am sure he will closely monitor the situation...There is no alternative treatment of this disease as for as scientific evidence is concerned.... Have faith and patience.... Take care.
2 people found this helpful

Good afternoon doctor. My husband had right hip replacement surgery on july 7 2010. He is able to walk but complains of severe pain. He also has osteoartritis of right knee please advise. Thank you for your time doctor.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph & x rays of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

Hello doctor. My husband had right hip replacement surgery on july 7 2010. He is able to walk but complains of severe pain. He also has osteo arthritis of right knee please advise. Thank you for your time doctor.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Can you tell me whether he has knee pain or hip pain as a problem? also I will need latest x rays and few blood tests so that I can see and advise accordingly. - x ray pelvis with both hips - ap view - x ray right knee (ap & lateral) views blood tests: cbc, esr and crp levels do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
1 person found this helpful

Hello sir, my husband had hip replacement surgery in dec 2016 .now he is having continuous pain in his leg due to poor blood flow .we are looking for a treatment. What we should do?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Homoeopathic treatment is the best possible solution for it... You may consult and start treatment..

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Total Hip Replacement
Hello,

I am Dr. Hitesh Kubadia, orthopaedic and the joint replacement surgeon in Mumbai and I am here to talk about a common surgery which is done in orthopaedics called the total hip replacement. There are lot of myths and there are lot of questions about this surgery. I thought I will answer a few of them. Like in the knee joint, when the non-surgical methods fail to give relief for knee pain and we think about knee replacement. Similarly, for a hip joint problems, when the non-surgical method like medications, physical therapy and drugs fail to give relief and a person finds it difficult to get on with his day to day activities and activities of daily living, that is when a surgical option can be thought about. First let's understand about the hip joint. Hip joint is a big, large ball and socket joint of the lower limb, which connects the pelvis to the lower limb. And being a large joint and it is a being a weight bearing joint, any problem with the joint can cause pain.

Common most common problem with the hips are seen are osteoarthritis, rheumatoid arthritis, avascular necrosis of the femur, fractures of the neck of femur these are all very common problems about the hip which can make a life very disabling for the patient. These are the few conditions where you know hip joint replacement may become very necessary for the patient to continue with his day to day activities. First let's understand what the hip joint is made up of. Hip joint has a socket which is the acetabulum part of the pelvis and a ball and a ball and a ball on the femoral side which articulates with the acetabulum and has a smooth glistening surface which is called the articular cartilage and which causes friction-less movements. Any problem with this cartilage or any avascular necrosis of the head of the femur causes this cartilage to denude and over a period of time causes a lot of wear and tear and this wear and tear causes a lot of friction friction full movements across the hip joint and causes pain.

This is simply nothing but osteoarthritis of the hip joint. All these common problems are normally first treated non-surgically with medications, with physical therapy, with physical aids like a cane or a walker. But when these modalities stop giving enough relief to the patient in their day to day activities like walking, get going up and down the stairs, getting in and out of the chair or getting in and out of the car even. So, these are very activities of daily living and when these start getting affected in day to day activities, then a surgical option should be thought about. Total hip replacement is one of the most consistent methods of giving you pain relief and has become the gold standard and and almost all these hip problems, it has become the most consistent way of giving patient pain relief and getting him back to routine activities and living. It has now become pretty safe also with the advent of modern-day anaesthesia, with modern day techniques of surgical approaches so it has become very very safe today. So, what is done in a total hip replacement? Total hip replacement is a surgery where the damaged part of the hip joint is replaced by a metallic prosthesis. Okay. So, it is formed of 2 as the hip is formed of 2 components: the socket and the ball. Similarly, the components of the prosthesis are also of 2 things.

One is the socket which has a metal shell and has a plastic or a ceramic liner to it and has a femoral stem which goes into the hollow part of the femur and gets fixed into it. And has a ball, which is either a metal or a ceramic head liner. So, these when they are attached to to each other, and this causes friction less movements. There are various types of prosthesis which are available today. They can be cemented, they can be uncemented. When this that is up to the surgeon's discretion what is best for the patient and looking at the X-rays, looking at the physical examination of the patient, we very often conclude what would be best for the patient. In today's niche, the trend is more towards cementless fixation having a scratch fit into the bone of the patient and they are they seem to be working longer than the cemented versions. And also, there are other things which come into consideration is the liners which we use.

You know nowadays there are enough reports across the world that the liners of ceramic with polyethylene or ceramic on with a with a ceramic liner, they seem to be having much less wear over a longer period of time and probably will last for a very very long time for the patient. There are enough reports which suggest they may even last beyond 20-25 years too. I hope this information was useful to you.
Play video
Total Hip Replacement
Human bones are continuously being removed and formed, which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them.
Play video
Joint Replacement Surgery
Mai Dr Suhas Shah Orthopaedic Surgeon hoon, mera hospital hai Ashwini accident Hospital Mumbai mein. Mere hospital mein sabhi accident patient ko treatment milti hai, aur mai russian surgery specialist bhi hoon. Mai Global Hospital, Jaslok Hospital, aur Raheja Hospital mein attach hoon, meri hospital ki speciality hai ki yeh hospital mein total orthopaedic care under one roof is available. Mai spine surgery karta hoon, joint replacement surgery karta hoon, total knee joint replacement surgery yahan hoti hai and even hip joint replacement surgery is done, arthroscopy is done and all trauma care is available under one roof in one hospital. I am attached to jaslok, Raheja and global hospital also, I am attached to Corporation Bandra Bawa Hospital also and I am head of department there. I am a post graduate teacher and DNB teacher, students are trained under me, I am a examiner for DNB post graduation also, aur mere hospital mein sabhi suvidha deluxe room, semi special room and general ward is available, you can avail all these facilities with a very reasonable rate, you are welcome to our visit to our centre. Aapko agar mujhe contact karna hai toh aap lybrate.com se contact kar sakte hain, ya meri appointment lybrate.com se book kar sakte ho.
Play video
Knee Replacement And Osteoarthritis
Hi,

I am Dr. Neelabh, Orthopedist. Meri speciality joint replacement means knee, hip replacement and spinal surgery me hai. Aaj me apko knee replacement or osteoarthritis ke bare me btaunga. Knee joint pe pure body ka weight aata hai. Problem arises when the articular cartilage starts to wear out in the knee. Isme cracks ate hain and ye tutna shuru ho jata hai or baad me khtm ho jata hai. Meniscus bhi khrab hona shuru ho jata hai. Hadiyon me ragdna shuru hone se pain start ho jata hai. Iske causes hain hereditary or genetic, obesity, knee fracture, hemophilia, knee infection. Knee ki alignment khrab hone se isme arthritis hona shuru ho jata hai. Rheumatoid arthritis me bhi knee khrab ho jate hain. Arthritis ke kayi grades hain. Symptoms hain pain while climbing stairs, walking and standing. Patient ko kuch time baad road pe walk krne se bhi pain shuru ho jata hai.

Ye pain aise stage pe aa jata hai ki pain killer liye bina thik nhi hota hai. Ek time aata hai jab patient so nhi pata hai. Investigation me common test hain x-ray of knee (grade 1, 2, 3 & 4). Hum blood test krate hain dekhne ke lia ki patient ko diabetes, lack of calcium or vitamin D ka problem to nhi hai. Grade 1 & 2 treatable hai. Grade 3 & 4 me operation hi reh jata hai. Grade 1 & 2 me exercise, physiotherapy and medicines di jati hai. Patient ko suggest kia jata hai ki palti maar ke na baithe and zameen pe na baithen. Weight control karen. Patient ko anti-inflammatory drugs dia jate hain. Medicines grade 1 & 2 tak hi successful hoti hain. Knee me injections bhi dia jate hain fluid ko increase krne ke lia.

Grade 3 & 4 me knee replacement ka hi option rehta hai. Ye operation bhut simple hai and uske baad patient ko pain bhi nhi rehta hai. Patient ko operation ka darr bhut hota hai. Agar patient ko chalne me problem aa rhi hai to patient ko jldi se jldi operation kra lena chaiye. WHO ka slogan hai life is moment and moment is life. Iska success rate bhi 90-98% hai. Operation ke darr se agar hum chalna chor denge to hmari body bhi khrab ho jayegi. Hume heart problem hoti hai, lung shrink ho jata hai, overweight ho jata hai patient. Patient ka moment hona jruri hai, chalna jruri hai. Delay krne se patient ko 100% result dene me hume problem aati hai. Hmesha chalte rhen, healthy rhen or agar knee khrab ho rha hai to operation krayein. Aaj ki date me 2 lakhs se jyada operations per day ho rhen hain.

Dhanywad!
Play video
Partial And Total Knee Replacement Surgery
Hi!

This is Dr. Hitesh Kubadia, I m an orthopedic and joint replacement surgeon, specializing in minimally invasion joint replacement surgeries using the muscles sparing approach. I also do a lot of partial knee replacement i.e. called a unicompartmental knee replacement which is the next thing in trying to preserve as much as natural tissue as possible.

I m here to explain something about osteoarthritis of the knee which is a very common problem faced by lot of elderly population and it disabled them in day to day life. These are the small models of the knee here so that I can explain it to you all and you all can understand what is the actual problem here. Now if you look at this is the knee model so if you look at the knee the knee is made up of a lower portion of the femur and upper portion of the tibia, so this is covered by a cartilage here, this blue thing which is marked up here is the cartilage and this is a very smooth glistening surface which allows for frictionless movement across the knee. OK.

As we age as we creates strains in this cartilages, these cartilages develop some bumps in their surfaces. So this surface doesn t become as smooth as it once was. As we age as the friction keeps on increasing with a period of time this gets worn out completely. So much so that the underline bone gets starting visible and this causes tremendous frictions on your movement and causes pain. As people still pull on and then what happen this all the 3 compartments of the knee, the medial compartment, the latter compartment and the front compartment and the inner compartment the outer compartment and the compartment which is in the front all get worn out.

.So this causes pain and disability and pain for the patient and effects the day to day activities of life. Osteoarthritis has various forms of treatments, initially, everything is nonsurgical so when you try all those non-surgical methods to relief so that your life continues with lot of more than ease. But when these non-surgical methods like injections in the knee or physical therapy and injections in the knee start failing to give you enough relief then we need to think about surgical options.

So when we see on the x-ray on the clinically examine the patient and we see only one compartment of the knee which is damaged and the other part of the knee is very healthy it makes sense to do only you know change only that compartment of the knee which is actually causing the problem for the patient. So what is done here, as you look at this model is the friction between only in this compartment of the knee the other compartment of the knee is nice and smooth so what is done is only this compartment is changed. So what is changed with is you just resurface the area which is actually damaged and the resurface the lower portion that is damaged so which we removed this portion of the lower portion of the tibia and what is replaced by a small alloy of cobalt chrome and other cobalt chrome alloy at the plate this plate and medical grey plastic is inserted between the two surfaces and this movement becomes more than glistening over the period of time.

So this gives relief and gives fantastic relief again this is a minimally invasive surgery and since all the ligaments and the part of the knee is preserved and they are natural and they are glistening so the feel of the knee is much more natural and we have now enough reports across the world. These things lasting for even 20 years there is actually slowly passing the results of a traditional total knee replacement. We just spoke about the partial knee replacement but when we see the arthritis is confined to all the three compartments so this is no point in changing only the one part of the knee so that s we come to the total knee replacement. So that s what gives the patient long-term relief.

Again this done through a minimally invasive approach, muscle sparing approach so that the recovery time is much faster and much shorter. Right! So here we look at this model see this the whole knee is damaged the inner compartment the outer compartment the whole knee is damaged. So what is done here? Again resurfacing part so only the damaged portion of the cartilage and bit of bone is removed like this and we changed the whole thing off, and this is replaced with a cobalt chrome allow base plate and a medical grey plastic. Again on the femur side again cobalt chrome alloy which is fitted across. This is fitted to the bone with bone cement and this gives you lasting movements and comfortable movements across life. If you are or your family members face knee pain or hip pain in day to day life and they need a consultation with me they are most welcome to contact us through HKS Clinic or through lybrate.com
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