Hip Resurfacing Surgery in India.

Hip Resurfacing Surgery:

Hip resurfacing is a surgical procedure (a form of arthroplasty) which has been developed as an intervention alternative to total hip replacement (THR). The potential advantages of hip resurfacing include less bone removal (bone preservation), a potentially lower number of hip dislocations due to a relatively larger femoral head size, and possibly easier revision surgery for a subsequent total hip replacement device because a surgeon will have more bone stock available to work with. The potential disadvantages of hip resurfacing are femoral neck fractures (rate of 0-4%), aseptic loosening, and metal wear.

Hip Resurfacing Surgery Success Rate:

Hip Resurfacing surgery has a 99% success rate. Many adolescent patients have had the Hip Resurfacing procedure with excellent results. Procedure can be done soon after skeletal maturity. Following Hip Resurfacing, there is faster rehabilitation and early discharge from hospital.

Indications for Hip Resurfacing Surgery:

The indications for Hip Resurfacingsurgery include avascular necrosis of hip bone, primary or secondary osteo-arthritis, arthritis following hip fractures, ankylosing spondylitis, long standing perthes disease or a dysplastic hip.

Candidates for Hip Resurfacing Surgery:

• The Hip Resurfacing surgery is ideal for younger or active patients considering hip replacement surgery as a treatment for hip pain or hip arthritis. Hip resurfacing is especially relevant to patients concerned about bone conservation.
• Many hip pain sufferers under the age of 60 will outlive a traditional hip replacement and require a second, more difficult hip replacement surgery. For such patients, hip resurfacing surgery might be the best route. Many active patients over 60 years old are also good Hip resurfacing candidates, following review by a physician.
• Inactive or elderly men and women are not ideal candidates for hip resurfacing surgery. Also, some chronic forms of arthritis severely deform the hip bones. Hip resurfacing may not be the best option for such patients.
• As always talk to your doctor about what choices are right for you. Surgeons will evaluate you to see if you are a candidate.

Preparation for Hip Resurfacing Surgery:

• You and your orthopedic surgeon may participate in an initial surgical consultation. This appointment may include pre-operative X-rays, a complete medical and surgical history, physical examination, and a comprehensive list of medications and allergies. During this visit, your orthopedic surgeon will likely review the procedure and answer any questions.
• Your orthopedic surgeon may require that you have a complete physical examination by your internist or family physician, as you will need to be cleared medically before undergoing this procedure. Your surgeon may suggest that you consider donating your own blood to save in case you require it during surgery or in the event of a post-operative blood transfusion.
• You should follow your regular diet on the day before your surgery.
• Do not eat or drink after midnight the night before surgery. On the morning of surgery, you may brush your teeth and rinse your mouth, but do not swallow any water.
• Follow your doctor's instructions regarding use of medication in the days leading to surgery. In some cases, a blood thinner may be ordered a few days before surgery.
• Generally, aspirin and non-steroidal anti-inflammatory medications should not be taken seven days prior to surgery.
• Try to get long, restful nights of sleep. A sleeping medication may be ordered the evening before surgery.

Hip Resurfacing Surgery Procedure:

• An incision is made over the hip to expose the hip join The acetabulum (socket) is prepared using a special instrument called a reamer.
• The acetabular component is then inserted into the socket. This is sometimes reinforced with screws or occasionally cemented.
• A liner which can be made of plastic, metal or ceramic material is then placed inside the acetabular component
• The femur (thigh bone) is then prepared. The femoral head which is arthritic is cut off and the bone prepared using special instruments, to exactly fit the new metal femoral component.
• The femoral component is then inserted into the femur. This may be press fit relying on bone to grow into it or cemented depending on a number of factors such as bone quality and surgeon's preference.
• A trial reduction (putting the hip back into place) is performed to make sure everything fits well.
• The real femoral head component is then placed on the femoral stem. This can be made of metal or ceramic.
• The hip is then reduced again, for the last time. The muscles and soft tissues are then closed carefully.

Recovery after Hip Resurfacing Surgery:

• If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information that comes with your medicine and if you have any questions, ask your pharmacist for advice.
• The exercises recommended by your physiotherapist are a crucial part of your recovery, so it's essential that you continue to do them.
• There are certain movements that you shouldn't do in the first eight weeks. For example, you shouldn't cross your legs or twist your hip inwards and outwards. Your physiotherapist will give you further advice and tips to protect your hip.
• You should be able to move around your home and manage stairs. You will find some routine activities, such as shopping, difficult for a few weeks and will need to ask for help. You will need to use crutches for about four to six weeks.
• You may be asked to continue wearing your compression stockings for a few weeks at home.
• You can usually return to light work after about six weeks. But if your work involves a lot of standing or lifting, you may need to stay off for longer.
• Follow your surgeon's advice about driving, as the length of time before you are fit to drive will depend on several factors, including which leg has been operated on and whether your car is automatic.

Advantages of Hip Resurfacing Surgery:

• Femoral head is preserved.
• Femoral canal is preserved and no associated femoral bone loss with future revision. Also, the risk of microfracture of femur with uncemented stem implantation is eliminated.
• Larger size of implant "ball" reduces the risk of dislocation significantly.
• Resurfacing patients are more likely than total hip replacement patients to recover a natural gait.
• Stress is transferred in a natural way along the femoral canal and through the head and neck of the femur. With the standard THR, some patients experience thigh pain as the bone has to respond and reform to less natural stress loading.
• Use of metal rather than plastic reduces osteolysis and associated early loosening risk.
• Use of metal has low wear rate with expected long implant lifetime.

Risks of Hip Resurfacing Surgery:

• There is some risk of the femoral neck breaking. This risk can be nearly eliminated by proper patient selection, correct angle of implantation of the device and avoiding notching the neck when preparing the femoral head in surgery.
• Despite known low wear rate, longevity and long-term effects of wear debris are unknown.

Alternatives to Hip Resurfacing Surgery:

Other surgical alternatives to Hip Resurfacing surgery are used to relieve the symptoms of arthritis of hip joint. These include:

• Arthrodesis - In this procedure the femur is fused to the pelvis. This procedure is mainly used as an alternative to Hip Resurfacing in children who have unilateral degenerative disease of the hip and are unresponsive to non-operative measures.
• Arthroscopy - This is a minimally invasive surgical procedure which is used to investigate and treat traumatic and non-traumatic disorders of the hip joint.
• Osteotomy - The aim of osteotomy in dysplastic or osteonecrotic hips is to restore and realign the position of the joint by means of a fixation device. If you are affected by osteonecrosis, the major goal of surgery is to move the necrotic segment away from the weight bearing area and restore blood supply to the necrotic zone.

Hip Resurfacing Surgery India:

• India’s highly-rated efficient education system is churning out some 20,000 to 30,000 doctors and nurses each year, and its healthcare system has the capacity to extend its services much further, that attracts the people both in terms of cost and services.
• A recent survey has proven that the Indian healthcare industry is seen to be growing at a rapid pace and is expected to become a US$280 billion industry by 2022.
• India has become one of the best medical care destinations, with its increasing number of health care centers, hospitals, and renowned surgeons, diagnostic centers, served by thousands of qualified doctors. The hospitals in India maintain high quality standards and are internationally recognized by Joint Commission International or are ISO 9002 certified.
• India stands unique for its hospitality, a simple gesture “Namaste” which means “I bow to you “reflects Indian minds and their respect for others. When it comes to health care Indians are meant for their personalized touch and their efforts to make the outsiders feel home. Their warm and concerned behavior relieves the patient and their companions from worries and also provides emotional support for patients to aid their well-being and fast recovery.

Hip resurfacing surgery in India is available in the following cities:

Cost of Hip Resurfacing Surgery in India:

• Emerging Medical Treatments are getting more and more expensive for the people. India offers low cost medical treatment which is a prominent reason for tourists to seek medical treatments in India.
• Medical bill statistics reveal that Indian treatments cost low in comparison to other countries in the world.
• Tourists seeking treatments can get the best high quality medical and nursing care at a low cost. Getting a best possible cure without spending huge amount of money and without waiting too long is only possible in India.

Hip Resurfacing Surgery in India- Plan with Tour2india4health Group:

• Tour2india4health Group is a leading medical tourism service provider for hip resurfacing surgery in India.
• We are affiliated with reputed hospitals capable of offering specialized treatments, overseen by prominent and renowned medical teams. We provide treatment for a vast range of illnesses and surgery including Cardiac, Orthopedic, Paediatrics, Cosmetic Surgery, Ayurveda, and Interventional procedures.
• Tour2india4health Group specializes in providing affordable medical care and treatment packages to patients in the other countries. We improve lives by offering people, alternative options in healthcare treatment. Every client is given individual attention to every single minor detail and extensive efforts to ensure his/her satisfaction. We have our clients from USA, Canada, UK, Australia, Europe, Middle East etc.
• Our primary concern is our client’s safety and well-being. We offer best treatment packages with extensive customized luxuries at the best possible rates. Our staff perfectly coordinates and ensures to make your journey towards wellness, safe and enjoyable.

Some of the common countries from which patients travel to India for surgery are:

About The Author

Dr. Dheeraj Bojwani

Medical Content Writer & Reviewer
Medical Travel Advisor & International Patient Counsellor
24+ Years of Experience • 5,000+ International Patients Assisted

“

Dr. Dheeraj Bojwani is a Medical Travel Advisor with over 24 years of experience assisting international patients seeking treatment in India. He has helped more than 5,000 patients from Africa, the Middle East, Europe, the USA, Asia, and other regions access treatment in leading hospitals across India. ”

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