Hip Prosthesis Surgery
The hip replacement in Delhi is an operation performed with a 10-12 cm incision and through which makes resection of the femoral head and the acetabular cartilage to allow for its replacement by an implant (prosthesis) of metal.
The hip prosthesis can be fixed to the bone by applying a special cement (cemented prosthesis), which adheres and hardens within a few minutes, allowing the load to patients immediately after hip replacement surgery in Delhi. It is ideal for older patients, with more osteoporotic bone, or who have worse bone stock due to rheumatism pathology.
Cementless prostheses are applied under pressure (press-fit). They are produced with a rough and porous surface, usually coated with hydroxyapatite, to allow a process of incorporation by bone growth into the interior of your pores, allowing a very firm and lasting fixation.
Generally, the application of a total hip prosthesis does not require general anesthesia, but a locoregional block, with the placement of a catheter to control postoperative pain.
Total Hip Arthroplasty
A hip replacement surgery in West Delhi is a surgery that has undergone a major evolution. Its application is possible by mini-invasive techniques, which provide the patient with better and easier recoveries.
Also, in terms of instruments for placing the total hip prosthesis, technical advances have been made in order to make them more precise and versatile with solutions for the different types of hip to be replaced. This evolution was based on a better knowledge of the anatomy and biomechanics of the joint.
Finally, the interfaces between the femoral and acetabular components have also improved. In addition to the classic metal-polyethylene, it is possible to apply ceramic components that show wear rates and production of smaller particles, and therefore, allowing greater durability of the implants.
Partial Hip Arthroplasty
In some situations, in which the acetabulum is spared and a very elderly patient has suffered a fracture of the femoral neck, it is possible that the Orthopaedic in Delhi may choose to perform a partial hip arthroplasty, replacing only the femoral head and thus making a procedure simpler and less invasive for the patient.
This saves operational time and blood loss, which can be important in patients who are very weak and whose general condition needs to be optimized.
Hip Arthroplasty – Risks, Complications
Hip replacement in West Delhi is not without risks and complications.
First of all, there are complications that can occur in any joint replacement surgery in Delhi, regardless of the joint. These are hemorrhages, infections or venous thrombosis.
Then there are the specific complications of hip arthroplasty. At an early stage, during and immediately after surgery, vascular injuries (including injuries to the sciatic nerve), dysmetria and instability may occur, with the occurrence of dislocation of the prosthesis. In a later stage, periprosthetic fractures or even detachments of the prosthesis may occur.
Currently, the technical solutions available to the orthopaedic surgeon in Delhi are increasingly varied and versatile to solve these situations, namely with the use of the so-called hip arthroplasty revision surgery.
Hip Arthroplasty – Recovery
The recovery after performing total hip arthroplasty, is increasingly rapid and simple for the patient, since the surgery is less invasive, more effective control of pain and more accelerated rehabilitation protocols.
The recovery time is thus substantially reduced. Lift and load on the operated limb are allowed on the first day after surgery, with discharge to hospital generally occurring between the 3rd and 4th day. The stitches are removed at 15 days in the outpatient consultation and the patient usually dispenses with the use of external gait supports (Canadian), at around 3-4 weeks.
In our clinical practice, on the 1st postoperative day, the patient undergoing a total hip prosthesis begins a physiotherapy regimen, with a bi-daily visit by a specialized Physiotherapist in Delhi. Immediate mobilization prevents the occurrence of deep venous thrombosis, prevents muscle atrophy and facilitates lifting.
Physiotherapy starts immediately with exercises taught during hospitalization, namely gait training and up and downstairs.
After the first 2 weeks after a total hip replacement in Delhi, the exercises are specifically aimed at strengthening the muscles involved in walking, especially the glutes or swimmers (namely the middle).
Hydrotherapy is also recommended at a more advanced stage of recovery, in order to improve joint tone and proprioceptivity, as well as increase the patient’s general well-being and confidence.
Hip Prosthesis Surgery – Price
The price of a hip surgery can vary according to the type of surgical intervention and the type of prosthesis placed. The amount may also fluctuate if the patient has any health insurance and associated conditions.
Only the orthopedic in Delhi can determine how much the operation costs, through a thorough analysis in the consultation.