| A total hip replacement is a surgical procedure | | | | remains the gold standard. Depending upon their |
| whereby the diseased cartilage and bone of the | | | | health and bone density, people over the age of |
| hip joint is surgically replaced with artificial | | | | 60 will receive this type of joint fixation. |
| materials. A total hip replacement (THR) - also | | | | 2. Noncemented Procedure: |
| called a hip arthroplasty. | | | | Despite its common use, not all individuals are |
| A standard hip replacement operation takes 2-3 | | | | candidates for a cemented hip. A tight bond of |
| hours. The patient may be given a choice of | | | | scar tissue if formed, which anchors the metal to |
| general, spinal, or epidural anesthesia. | | | | the bone. This is called a cementless total hip |
| An incision is made of 8-12 in (20-30 cm) long | | | | replacement. This type surgery is technically more |
| down the side of the patient's upper thigh. The | | | | sensitive, requiring a more exact fit of the metal |
| surgeon may then choose to enter the joint itself | | | | component to the femur. The surgeon then |
| from the side, back, or front. The back approach | | | | secures a metal head (ball) and stem into the |
| is the most common. The ligaments and muscles | | | | femur either by a press fit or with bone cement. |
| under the skin are then separated. | | | | The doctor places the ball into the cup and takes |
| Once inside the joint, the surgeon separates the | | | | your new hip through a range of motion to |
| head of the femur from the acetabulum and | | | | ensure proper stability and mobility. |
| removes the head. The doctor removes the head | | | | You will then be sent to the recovery room |
| from the femur (thigh bone) and reams away the | | | | where your health care team will monitor your |
| surface of the socket. | | | | heart rate, blood pressure, and respiration. |
| The modular prosthetic hip replacement system | | | | The cost of a total hip implant varies, depending |
| used today has three components - the femoral | | | | on the type of implant used. Typically, a total hip |
| stem, the femoral head, and the acetabulum. Each | | | | procedure includes four major implant |
| component has multiple available sizes which allow | | | | components and the total implant price ranges |
| for a custom fit. The components are made of | | | | from $4000 to $6000 (USD). Standard total hip |
| cobalt chrome stainless steel and ultra high | | | | replacement surgery is generally covered by |
| molecular weight polyethylene. Prosthesis | | | | most insurance plans. |
| implantation may be cemented or cementless | | | | In wockhartdt hospital, Mumbai for hip resurfacing |
| (press-fit). | | | | cost will be approximately as under: |
| After selecting the correct size for the patient, | | | | In India ($) 8,500 or USA ($) 55,000 or UK (GBP) |
| the surgeon inserts the acetabular component. | | | | 15,000 |
| The acetabulum is then reamed to accept a | | | | There are approximately 150,000 artificial hip |
| plastic cup. The ball and socket are then replaced | | | | joints implanted annually in the United States, with |
| into normal position. Both of these implants can be | | | | the success rate over 90%. New materials used |
| fastened into the bone with or without special | | | | in total hip replacement are very durable and are |
| cement. | | | | expected to last more than 10 years in 90% of |
| Today, both cementless (also called uncemented | | | | individuals receiving total hips. |
| and porous-coated) and cemented hip | | | | Total hip replacement, hip resurfing and other |
| replacements offer patients effective, long-term | | | | most advanced computer navigated joint |
| relief. | | | | replacement surgery is done at well know and JCI |
| 1. Cemented Procedure: | | | | accreditation hospitals in India such as Apollo |
| The cemented procedure utilizes a doughy | | | | Hospital in Mumbai, Wockhardt Hospital in Mumbai, |
| substance mixed at the time of surgery that is | | | | Apollo Speciality Hospital in Chennai, MOIT hospital, |
| introduced between the artificial component and | | | | Chennai etc. which compares with the USA |
| the bone. This type of fixation in total hips | | | | & U.K. |