Replacement – FAQ

 

Q What are the conditions, for which the hip replacement is advised?
A Hip replacement is advised for many painful hip disorders like fresh or old fractures of either the socket or the ball, failure of previous fixation and arthritis of the hip.

 

Q For which painful hip disorder, hip replacement can not be done?
A If the hip pain is due to ongoing infection in the joint or the bones, hip replacement is contra indicated.But if the infection is burnt out, one may carry out hip replacement is selected case

 

Q At what age can joint replacement be done?
A Joint replacement is ideally done for patient above the age of 60 years. It may be done between ages of 40 and 60. It is rarely done between ages of 20 and 40. It is never done in children.Currently the quality of the artificial joints being very good , young people, even in their 20s & 30s, who suffer from painful arthrits are advised to undergo early surgery to improve the quality of life.

 

Q What are the types of hip replacements?
A There are three types of hip replacements;
Hemi replacement:
In which only ball of the femur is replaced.
Total hip replacement:
In which ball is replaced and the socket is resurfaced.
Surface replacement:
Where the surface of the ball is shaved off and is capped and similary the surface of the socket is scraped off and is resurfaced with metal lining.
Hemi and total replacement may be either cemented or Non-cemented.

 

Q What is the difference between cemented and non cemented hips?
A The parts of the artificial hip may either be fixed to bone with a substance called Methyl Methacrylate (Bone cement), or they are pressfitted to the bone with capacity for the bone to stick to the parts. This Non-cemented hip is used mainly for younger individuals.

 

Q What is the ball and socket made up of?
A The ball is made either of stainless steel, cobalt chrome alloy or ceramic.
The socket is made either of poly ethylene, stainless steel or ceramic.

 

Q What is the average time taken for surgery?
A The average time taken for joint replacement surgery is 1 hour and 30 minutes.

 

Q What is the average hospital stay recommended after joint replacement?
A The hospital stay is approximately for seven days after hip replacement surgery.

 

Q When does the exercise program start after joint replacement?
A Exercises start within a day after joint replacement, while walking starts 2 – 3 days after the surgery

 

Q Does one need some support of walker or stick after joint replacement?
A One may need temporary support of walker or walking stick after joint replacement. Whether one needs permanent support depends on whether other joints are affected.

 

Q Can a person with diabetes, high blood pressure, heart trouble undergo joint replacement?
A Even a person with diabetes, high blood pressure, heart trouble can safely undergo joint replacement surgery under medical supervision.

 

Q What are the precautions to be taken after joint replacement?
A It is advisable to use commode, avoid sitting on floor, jogging, running and fast sports after joint replacement surgery. Moderate speed walking, climbing stairs and swimming are permitted.

 

Q What are the common complications after joint replacement?
A The complications after joint replacement are Deep vein thrombosis, pulmonary embolism and Infection.

 

Q What precautions are taken to prevent these complications?
A To prevent deep vein thrombosis, at our centre we use calf compression device,which gently massages the calf, preventing blood flow stagnation. In some patients blood thinners are administered.
To prevent infection, surgery is carried out in specialised operation theatre, at our centre we use space suits during surgery to prevent wound contamination and use antibiotics pre-operatively.
With our system of Navigation with computer, the chances of fat embolism have reduced considerably.

 

Q How much does the surgery cost?
A The cost depends on the type of Implant, the type of room that you select and your medical condition. Before surgery a budget can be drawn out.

 

Q Is it covered under Mediclaim?
A That will depend on the Mediclaim policy.