You don't need to live with pain if you can't afford 50,000 US Dollars for you hip surgery at local private hospital or if you don’t have the required facilities in your country. Find out how hundreds of patients from over the globe have availed high Quality and cost effective advanced surgery at Hip Replacement Hospitals in India.

Hip replacement surgery the second most common joint replacement procedure, closely following knee replacements. Total hip replacement is a common orthopedic procedure. As the population ages, it is expected to become even more common. Hip replacement surgery involves removing the head of the thighbone (femur) and replacing the ball-and-socket mechanism of the hip with artificial implants. This relieves pain and improves mobility.Hip replacement is currently the most successful and reliable orthopedic operation with 97% of fast recovery.

A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the improved outcome.

Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis (Hip Arthritis). Other indications include rheumatoid arthritis, a vascular necrosis, traumatic arthritis, protrusion acetabulum, certain hip fractures. Hip replacement is usually considered only once other therapies, such as physical therapy and pain medications, have failed.

Hip pain is common problem. If you have hip pain, some common causes include:

• Osteoarthritis is the most common type of hip arthritis. Also called wear-and-tear arthritis or degenerative joint disease, osteoarthritis is characterized by progressive wearing away of the cartilage of the joint. As the protective cartilage is worn away by hip arthritis, bare bone is exposed within the joint. Hip arthritis typically affects patients over 50 years of age. It is more common in people who are overweight.

• Osteonecrosis
Osteonecrosis is a condition that occurs when blood flow to an area of bone is restricted. If an inadequate amount of blood flow reaches the bone, the cells will die and the bone may collapse. One of the most common places for Osteonecrosis to occur is in the hip joint.

• Hip Fracture
Hip fractures are most common in elderly patients with osteoporosis. Treatment of broken hips requires surgery to either replace the broken portion or repair it with a metal plate and screws.

Other conditions that can cause destruction of the hip joint include:

• Loss of blood supply to the head of the thighbone
• Rheumatoid arthritis (an inflammatory autoimmune disease)
• Previous injury or trauma
• Infection
• Developmental abnormalities in the hip

Type of Hip Replacement Surgeries

Usually there are two types of Hip Replacement Surgeries:

Unilateral and Bilateral Hip Replacement

Bilateral total hip replacement surgery replaces both hips at the same time and in unilateral hip replacement surgery only one hip replacement is done, generally due to arthritic pain and stiffness and in unilateral hip replacement surgery only one hip is replaced at one time. . It is not terribly common for arthritis in both hips to progress at the same rate, such that a bilateral hip replacement is necessary. But it does certainly happen on occasion.

During a hip replacement, the head of the femur (thigh bone) is first removed. Then a metal liner or cup is placed in the socket (acetabulum) which sometimes is fixed into the socket with 2 or 3 screws. Into this is placed a plastic, metal or ceramic liner. The femur has a metal stem inserted then a ball fitted on top. The ball is fitted into the cup and the new joint is created.

Hip Revision Surgery

Hip revision surgery involves the repair of an artificial hip joint that has been damaged or loosened over time or as the result of infection. The use of artificial hip implants has become quite widespread in recent years. They can be extremely effective in improving hip joints that have been severely damaged by injury or some form of arthritis.

In hip replacement surgery the diseased portions of the hip bones are cut away and replaced with a two-part prosthesis, or artificial hip joint. With revision surgery the first prosthesis is removed and replaced with a new one. Sometimes this is a long process involving more than one surgical procedure, and is certainly more taxing than the original replacement surgery.

Total Hip Resurfacing

If you are suffering from hip arthritis in young or middle age, you may prefer a hip resurfacing to total hip replacement. In this hip operation, only the worn out surfaces of the hip joint are resurfaced. Only a few mm of bone is shaved off. Hip resurfacing is a bone preserving operation as most of the head and neck portion of the femur bone is retained. The head portion alone is sculpted to a cylindrical stump and

not chopped off. A metal ball like cap is fixed with cement over this stump. On the socket side, the worn out cartilage lining is scraped out and a metal implant or shell is impacted. Conversion to a total hip replacement after resurfacing is easy as femoral bone is preserved. Since the components match the normal size of the hip bone, full mobility is possible.

Hip resurfacing arthroplasty is not advised in advanced bone loss, altered anatomy, limb length discrepancy, women of child bearing age, kidney disease and metal allergy. Patients younger than 55 years are ideal candidates.

Implants used In Hip Replacement Surgery

One of the most important aspects of hip replacement surgery is determining the proper implant to be used in the operation. However, people disagree on what criteria are most important to selecting the best hip replacement implant.

There are several different choices of hip implants to consider, each using varying materials and having different pros and cons:

Metal Ball and Polyethylene Liners Ceramic Ball and Polyethylene Liner Metal Ball and Metal Liner Ceramic Ball and Ceramic Liner

Depending on the specifics of your situation (age, size, level of activity, surgeon’s experience with particular implants, etc.), your hip replacement implant may be made of metal, polyethylene (plastic) or ceramic.

For example, if you are a very active individual or a relatively young patient, your surgeon may prescribe an all-ceramic hip joint or all metal hip joint.

Procedure of Hip Replacement

Traditional Hip Replacement Surgery

Traditional hip replacement surgery involves making a 10- to 12-inch incision on the side of the hip. The muscles are split or separated from the hip, allowing the hip to be dislocated.

Once the joint has been opened up and the joint surfaces exposed, the surgeon removes the ball at the top of the thighbone, or femur. The hip socket is prepared by removing any remaining cartilage and some of the surrounding bone. A cup-shaped implant is then pressed into the bone of the hip socket. It may be secured with screws. A smooth plastic bearing surface is then inserted into the implant so the joint can move freely.

Next, the femur is prepared. A metal stem is placed into the femur to a depth of about 6 inches. The stem implant is either fixed with bone cement or is implanted without cement. Cement less implants has a rough, porous surface. It allows bone to adhere to the implant to hold it in place. A metallic ball is then placed on the top of the stem. The ball-and-socket joint is recreated.

Minimally Invasive Hip Replacement Surgery

Minimally invasive hip replacement surgery allows the surgeon to perform the hip replacement through one or two smaller incisions.Candidates for minimal incision procedures are typically thinner, younger, healthier, and more motivated to have a quick recovery compared with patients who undergo the traditional surgery.

Before you decide to have a minimally invasive hip replacement, get a thorough evaluation from your surgeon. Discuss with him or her risks and benefits. Both traditional and minimally invasive hip replacement procedures are technically demanding. They require that the surgeon and operating team have considerable experience.

Benefits Reported benefits of less invasive hip replacement include:

• Less pain
• More cosmetic incisions
• Less muscle damage
• Rehabilitation is faster
• Hospital stays are shorter

For traditional hip replacement, hospital stays average 4 to 5 days. Many patients need extensive rehabilitation afterward. With less-invasive procedures, the hospital stay may be as short as 1 or 2 days. Some patients can go home the day of surgery.