Occasionally there are complications where a patient may have degenerative issues within both hips which may lead to pains and limitations on the movements made. If this causes a major impact on your ability to function normally and non-operative management is not helpful, your surgeon may advise you to have a total hip arthroplasty.
This is otherwise referred to as bilateral hip replacement and in simple terms, means the surgical operation which involves total hip replacement on the right and left sides of the body. Sometimes, the testing can be done concurrently in the same operation and other times the system testing is done in phases. The affected areas in the hip joint are then replaced with ceramic, metal, or plastic components that have similar flexibility as the joint.
In the procedure, the ball-shaped top of the thigh bone called the femoral head is cut off and replaced by an artificial ball and stem. The defect area of the socket is also being replaced and a ceramic or plastic spacer is being placed between the ball and socket to allow gliding motion.
Bilateral Hip Replacement Surgery Cost in India
Bilateral hip replacement surgery cost in India typically falls between INR 3.5 Lakhs to INR 10 Lakhs (4200 USD to 12000 USD). Nevertheless, this cost may fluctuate based on several factors, including:
- Hospital: The facility where the procedure is conducted can influence the overall cost.
- Location: The geographical area in which the surgery takes place can impact the pricing.
- Surgeon’s expertise: The qualifications and experience of the surgeon may affect the fee.
- Type of implant: The specific implant selected for the procedure can alter the cost.
- Patient’s health status: The individual health condition of the patient can play a role in determining the price.
- Treatment methodology: The particular treatment strategy adopted by the physician can also influence the overall expense.
Bilateral Hip Replacement Surgery Cost in India vs. Other Countries
| Countries | Starting Price |
| India | 4200 USD |
| UAE | 7000 USD |
| USA | 35000 USD |
| UK | 38000 USD |
It is important to note that the overall cost of bilateral hip replacement surgery in India will be determined by considering all relevant factors that may impact the treatment. Furthermore, the aforementioned price pertains solely to the surgical procedure itself.
Is It Suited for Me?
The decision to go for hip replacement surgery is one of the most important ones in one’s life and should be made in consultation with the doctor always. A bilateral hip replacement is most often done because of the hindrance that severe arthritis brings. This condition can affect the normal functioning of everyday activities since the affected area experiences severe pain, stiffness, and decreased mobility.
The following are the advantages of a simultaneous bilateral hip replacement exercise as well as their corresponding disadvantages. Some benefits may encompass operation, anesthesia, and convalescence, all of which may be done as one procedure. However, there are risks associated with a lengthy surgery, a long stay in the hospital, and quite possibly a long recuperation period. While some of these risks can be avoided by the staged procedure, the latter means that the patient needs to go for two surgeries both with their specific rehabilitation and recovery times. Bilateral hip surgery for patients is mostly preferred if the patient is young, physically active, and healthy enough to tolerate the rigors of the surgery and the subsequent recovery process.
What Conditions Can Be Treated with Bilateral Total Hip Replacement?
Hip replacements are indicated for individuals who have exhausted various treatment alternatives, including physical therapy and other surgical interventions, yet continue to suffer from diminished hip function, with or without accompanying pain.
Bilateral total hip replacement can address the following conditions:
- Arthritis, including osteoarthritis, rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis, among others.
- Osteonecrosis also referred to as avascular necrosis, which involves the death of bone tissue due to impaired blood supply to a specific area of the bone.
- Developmental dysplasia of the hip is a condition where the hip joint’s ball and socket structure fails to develop correctly in infants or during childhood.
- Other pediatric hip disorders, such as Legg-Calvé-Perthes disease.
- Femoroacetabular impingement syndrome (FAI).
How Is the Surgery Performed?
Preparing for a bilateral hip replacement is a crucial phase that contributes to a successful surgical experience and recovery process. Before the operation, it is necessary to participate in a pre-operative assessment, which includes various tests and evaluations. This assessment is vital for confirming your suitability for surgery and identifying any potential risks. Maintaining an active lifestyle is important; strengthening the muscles surrounding your hip will facilitate your recovery after the surgery. Engaging in gentle activities such as walking and swimming is advisable in the weeks leading up to your procedure. Furthermore, you may be referred to a physiotherapist who can recommend specific exercises to enhance your preparation.
helpful:- Hip Replacement Surgery Cost in India
Procedure
Prior to the surgical procedure, anesthesia will be administered to ensure that you do not experience any pain during the operation. The surgeon initiates the process by making an incision in the skin, which may be located on the back (posterior approach), side (lateral approach), or front (anterior approach) of the hip, depending on the specific surgical technique employed.
Following this, the surgeon proceeds to sever the neck of the femur, removes the damaged femoral head, and clears away cartilage from the acetabulum. Subsequently, any diseased or compromised bone within the acetabulum is excised. A prosthetic acetabular cup is then inserted and secured in place through a “press-fit” method. After the cup is positioned, the surgeon places the liner within the cup.
The next step involves the insertion of a metal femoral stem into the thighbone, which may require cementing in certain cases. Ultimately, the artificial ball-shaped head is affixed to the stem and positioned within the newly placed acetabular cup.
The surgeon will assess the leg length and flex the artificial hip joint to evaluate its range of motion and stability. Upon completion of the initial hip procedure, the incision is sutured, and the surgery is subsequently conducted on the opposite hip.
Follow-up
Post-surgery, adhering to a follow-up care regimen is critical for achieving optimal recovery and ensuring the long-term success of your bilateral hip replacement. Generally, your first post-operative appointment will occur within a few weeks after the surgery to evaluate wound healing and check for any immediate complications. During these follow-up visits, your orthopedic surgeon will assess the functionality of the new hip joints, look for any indications of loosening or wear, and may request X-rays or other imaging tests as necessary.
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