Hip Replacement

Hip replacement is a surgical procedure in which an orthopedic surgeon eliminates severely damaged hip parts and replaces them with artificial implants made from metal or plastic. Normally, hip replacement is the final treatment option for arthritis carried out under anesthesia.

During the procedure, the surgeon prepares the surface of the hip bone by removing the inflamed/diseased cartilage and later on attaching the replacement socket portion to the hipbone.

Total Hip Replacement (THR) is only considered when all conservative treatments have been tried and, yet you continue to have significant pain, stiffness, or problems with the function of your hip. The artificial joint thus created realigns the joint and functions like a normal joint. The pain is relieved and leg length can be restored. Walking becomes much easier. Hip replacement was first done in 1960’s. Since then there has been great technological advances in this field. Total Hip Replacement is one of the most successful surgeries in the whole world!

Types of Hip Replacement Surgery

The ideal approach to the hip depends on the individual patient’s anatomy. Surgical approaches can include:

• Anterior Hip Replacement
• Dual Mobility Hip Replacement
• Partial Hip Replacement surgery
• Hip Resurfacing

Dr. Vinil Shinde focused treatment areas are Joint Replacement, Sports Medicine & all kinds of Trauma. He also does Primary, Revision Joint Replacements (Hip, Knee & Shoulder) and Arthroscopic Ligament Reconstruction in the knees & shoulder.

Provided the patient follows post-operative precautions during seamlessly integrated rehabilitation program, after the operation, he can experience:

• Improved quality of life
• Greater functional mobility
• Significant reduction in pain
• Any deformity of the joint and difference in Limb Length is also addressed at the surgery

• Surgeon should make sure that a patient doesn’t have any source of infection in the body, such as skin boils, dental, urine or chest infection.
• A patient must inform the doctor if he/she is taking any blood-thinning medicines. As a patient must stop taking these medicines a few days before surgery.
• A patient must also inform the doctor about any medical issues like diabetes, asthma, hypertension, hypothyroidism, etc. so that a doctor can take appropriate measures to control the same before surgery.

• A patient is admitted one day before surgery.
• Relevant investigations are done.
• The patient is shifted to preoperative hold area about an hour before being taken to the operation theatre.
• The surgery takes about 50 minutes excluding anaesthesia time.
• After the operation, a patient is kept in the recovery ward for 1 hour and then sent back to the room; the only high-risk case may be sent to ICU if necessary.

Under the proficient guidance of the treating team, a multidisciplinary team including orthopedic surgeons, dieticians, physiotherapists, etc. patients are taught proper physiotherapy exercises, lifestyle changes, ergonomics, etc. To keep them fit and lead a normal life.

• Walking: The center believes in assisting patients in making them walk on the same day of surgery, with full weight-bearing (under the supervision of a Physiotherapist). This can help in preventing complications like thrombosis/oedema (swelling)
• Pain Relief: We provide adequate treatment for pain relief in the form of epidural pump, patient control analgesia (PCA) and a combination of oral and intravenous drugs. The patient should inform when in pain. The pain management team at Chirayu Clinic is there to offer assistance at any given time.
• Deep Vein Thrombosis (DVT) Prevention: Adequate measures are taken for the prevention of thrombosis, such as DVT pump (pressure cuff around the calf), certain drugs, and early mobility.
• Discharge from Hospital: in case of a single hip replacement patient will get discharged from the hospital in 3-4 days after surgery. However, it may take 4-5 days if both hips are operated on.

• After a single hip replacement, a patient can stand with the assistance of a physiotherapist on the same day after surgery and start moving under the supervision of a physiotherapist.
• A toilet seat (raised) can be used after 3-4 days of surgery, independently by the patient.
• In case both hip replacements were done together, the recovery process is a little longer but the same principles would apply in this condition as well.

If you think you are facing similar conditions, or have suffered from them in the past, please contact the Chirayu Clinic team to schedule an appointment at: +91 772 008 0890