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