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International Patient CareCementless Total Hip Arthroplasty Surgery at Medicover Hospitals
Cementless Total Hip Arthroplasty at Medicover Hospitals is performed using an open surgical approach. Our team of MS and DNB-qualified orthopaedic surgeons specialise in joint replacement surgeries. This procedure often results in shorter hospital stays and reduced recovery time for patients.
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What is Cementless Total Hip Arthroplasty?
Cementless Total Hip Arthroplasty is a surgical procedure to replace a damaged hip joint (the ball-and-socket joint of the hip) without using bone cement. In this procedure, the artificial components are designed to allow bone growth onto the implant for stability. This method is often preferred for younger, more active patients as it allows for natural bone integration.
This surgery is needed for conditions like Degenerative arthritis, rheumatoid arthritis, or hip fractures. These conditions cause pain and limit mobility. If untreated, they can lead to severe disability. Modern surgical approaches for Cementless Total Hip Arthroplasty include the direct anterior approach and the posterior approach. These methods aim to minimise tissue damage and promote faster recovery.
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Complete Guide To Cementless Total Hip Arthroplasty
Everything you need to know about the procedure, preparation, and recovery
Cementless Total Hip Arthroplasty Surgery Indications
Cementless Total Hip Arthroplasty is recommended when hip joint issues severely affect daily life. It is often considered when non-surgical treatments no longer provide relief.
Severe Osteoarthritis
Patients experience persistent hip pain and stiffness, limiting movement. X-rays show joint space narrowing and bone spurs. When medications and physical therapy fail, surgery is advised.
Rheumatoid Arthritis
Chronic inflammation causes joint pain and swelling. Blood tests reveal elevated inflammatory markers. Surgery is considered when disease-modifying drugs and lifestyle changes are ineffective.
Hip Fractures
Sudden hip pain and inability to bear weight occur after a fall. X-rays confirm a fracture. Surgery is needed when fractures do not heal with conservative methods like casting.
Avascular Necrosis
Patients report hip pain and reduced range of motion. MRI scans show bone death due to lack of blood supply. Surgery is recommended when core decompression and medications do not help.
Developmental Dysplasia of the Hip
Patients have hip instability and limping. Imaging reveals misalignment of the hip joint. Surgery is considered when bracing and physical therapy do not correct the alignment.
How to Prepare for Cementless Total Hip Arthroplasty?
Proper preparation for Cementless Total Hip Arthroplasty is crucial for a smooth surgery and recovery. It helps reduce complications and ensures a quicker return to daily activities.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor to reduce bleeding risk.
- Fasting: Do not eat or drink anything for at least 8 hours before the surgery to prepare for anaesthesia.
- Exercise: Engage in pelvic floor exercises to strengthen muscles around the hip joint, aiding recovery.
- Clothing: Wear loose, comfortable clothing on the day of the surgery for easy dressing post-operation.
- Transportation: Arrange for someone to drive you home after the procedure as you will not be able to drive yourself.
- Medication List: Bring a list of all medications with dosages to the hospital for accurate medical records.
- Home Preparation: Set up a recovery area at home with essentials within reach to minimise movement post-surgery.
- Pre-Surgery Bathing: Follow any specific instructions given for bathing or using antiseptic wipes to reduce infection risk.
Cementless Total Hip Arthroplasty Surgery (Step-by-Step)
Overview: This procedure is performed by orthopaedic surgeons. It typically lasts 1.5 to 3 hours. General or regional anaesthesia is used.
- Incision: A 10-15 cm incision is made over the hip joint. The skin and underlying tissues are carefully separated.
- Joint Exposure: The surgeon uses retractors to expose the hip joint. Muscles and tendons are moved aside for clear access.
- Femoral Head Removal: The femoral head is dislocated and removed using a bone saw. This step prepares the joint for the implant.
- Acetabulum Preparation: A reamer is used to shape the acetabulum. This ensures a snug fit for the new socket.
- Implant Placement: The new acetabular component is inserted. A press-fit technique secures it without cement.
- Femoral Component Insertion: The femoral canal is prepared with a broach. The femoral stem is then inserted and secured.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
Who Performs Cementless Total Hip Arthroplasty Surgery?
Orthopaedic surgeons perform this surgery. They specialise in musculoskeletal conditions. Their expertise ensures precise implant placement and joint function restoration.
Recovery After Cementless Total Hip Arthroplasty Surgery
Recovery from cementless total hip arthroplasty involves gradual healing and rehabilitation. It's important to follow your doctor's advice to ensure a smooth recovery process.
Day 1-3:
- Hospital stay is common. Pain management and initial physiotherapy start.
- Begin with light exercises as guided by the physiotherapist.
- Diet: Soft foods like curd, dal-rice, and soups are recommended.
Day 4-7:
- Continue physiotherapy exercises to improve mobility.
- Gradually increase activity levels while avoiding strenuous tasks.
- Include easily digestible foods like khichdi and moong dal in your diet.
Day 8-14:
- Focus on walking with support. Follow the physiotherapist's guidance.
- Resume light household activities but avoid bending or lifting heavy objects.
- Maintain a balanced diet with plenty of fluids.
Phase 3-6 Weeks:
- Increase walking distance gradually. Use a cane if needed.
- Driving and returning to work or school may be possible, depending on recovery.
- Continue with a nutritious diet to support healing.
Phase 6-12 Weeks:
- Most patients can resume normal activities with some limitations.
- Engage in low-impact exercises like swimming or cycling.
- Regular follow-ups with your doctor are essential.
When to Seek Urgent Help:
- Severe pain or swelling in the hip area.
- Fever or chills indicating possible infection.
- Sudden inability to move the hip or leg.
Benefits of Cementless Total Hip Arthroplasty Surgery
Cementless total hip arthroplasty is a popular choice for many patients due to its unique advantages.
- Bone Growth Stimulation: Encourages natural bone growth around the implant, enhancing stability.
- Longevity: Generally offers a longer lifespan for the implant compared to cemented options.
- Reduced Risk of Loosening: Less chance of the implant loosening over time as it integrates with the bone.
- Improved Mobility: Often results in better joint movement and function post-surgery.
Risks and Complications of Cementless Total Hip Arthroplasty Surgery
While generally safe, cementless total hip arthroplasty does carry some risks and potential complications.
Common Risks
- Initial Pain: Patients may experience pain as the bone adapts to the implant.
- Longer Recovery Time: Recovery may take longer compared to cemented procedures.
Rare Risks
- Implant Loosening: Though rare, the implant may not integrate well, leading to loosening.
- Bone Fracture: There is a small risk of bone fracture during or after the procedure.
- Infection: As with any surgery, there is a risk of infection at the surgical site.
Cost of Cementless Total Hip Arthroplasty Surgery
The cost of Cementless Total Hip Arthroplasty Surgery at Medicover Hospitals varies depending on the ward category chosen. Prices range from ₹2,50,000 to ₹6,50,000, across different ward types. We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facilities are available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Cementless Total Hip Arthroplasty surgery cost at Medicover Hospitals?
The cost of Cementless Total Hip Arthroplasty surgery at Medicover Hospitals ranges from ₹2,50,000 to ₹6,50,000, depending on the type of room and care.
2. Is Cementless Total Hip Arthroplasty surgery covered under health insurance at Medicover?
Cementless Total Hip Arthroplasty surgery may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I need a walker after hip arthroplasty?
Yes, you may need a walker initially to aid mobility after surgery. Your doctor will guide you on when to transition to a cane.
4. Can I sit cross-legged after hip replacement?
Sitting cross-legged is usually discouraged after hip replacement. Consult your surgeon for personalised advice on safe sitting positions.
5. Will I set off metal detectors after hip surgery?
Cementless hip implants are less likely to set off metal detectors. However, carrying a medical card can help clarify any security checks.
6. Can I climb stairs after hip arthroplasty?
Yes, you can climb stairs after recovery, but initially with caution. Your physiotherapist will provide specific instructions for safe stair use.
7. What foods should I eat post-hip surgery?
Post-surgery, a diet including curd, dal-rice, and khichdi is recommended. These foods aid in recovery and provide essential nutrients.
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