A healthy hip joint is must to perform everyday movement, failure to which, can lead to pain and limit your movement. We at the Centre for Hip Replacement at Nanavati Max Super Speciality Hospital, Mumbai, provide affordable, accessible, and quality healthcare services to patients requiring a hip replacement. We have a team of highly- trained orthopaedic surgeons who hold expertise in providing personalised care to patients suffering from hip-related conditions.
We offer compassionate care, technical expertise, and a wide range of treatment solutions using state-of-the-art diagnostic and therapeutic facilities.
The hip is a ball-and-socket joint formed by the thigh bone (femur) with hip bone (pelvis). A healthy hip joint has a layer of smooth cartilage that covers the bony surfaces forming the joint, to allow the ball of the femur to glide smoothly in the pelvic socket. Muscles around the joint help move the joint mechanically, and you can walk without friction between the bony ends of the bones.
When the smooth cartilage layer wears down or degenerates, the rough underlying bone gets exposed. Instead of gliding smoothly during movement, the ball grinds in the socket causing pain due to friction, affecting daily activities like walking and leading to a limp, sitting and getting up from chair or stair-climbing. The debris resulting from wear and tear of the hip joint may be responsible for pain at rest too. The surfaces forming the joint become increasingly damaged and the pace of repair cannot keep up. The joint may even become deformed, leading to an unsightly appearance. This process of joint destruction is termed as Hip Arthritis.
In the early stages of hip arthritis, intermittently occurring pain can be controlled with medications, weight reduction, physiotherapy, and mild medication.
During the latter stage of arthritis, when the degeneration is near complete, there’s a more continuous type of pain and daily activities and mobility become severely limited. A patient may become dependent on pain relief medications, risking damage to the stomach and kidneys from overuse. The patient may also become dependent on others for basic care, leading to poor quality of life.
Termed as “the Operation of the Century,” total hip replacement is a procedure that replaces the worn out or damaged bony ends of the joint socket and the ball of the femur with a Prosthetic Hip (artificial joint) made from biocompatible proven materials which do not react (in situ) in body (tissue) materials.
These materials used in the hip replacement surgery are inert and have proven excellent results. At Nanavati Max Super Speciality Hospital, Mumbai we offer compassionate care which involves choosing the right type of prosthesis (depending on various factors like age, sex, bone mineral density, and femoral anatomy etc.). Our surgeons always prefer the best cement-less implant which is made of proven titanium metal. The ball of the implant is made of 4th generation modern implants with longevity against tearing up to 3 decades. The other biocompatible materials are also used like metal - Cobalt-Chromium, Titanium, Oxinium; the previous plastic sockets have been outdated & presently highly cross-linked polythene (plastic) sockets are being used for patients which have longevity against wear up to 15 to 20 years.
The hip replacement surgeries can be done for unilateral or bilateral involvement in the same sitting of surgery.
We are one of the rarest centres in the country who perform bilateral hip replacement in the same sitting. The centre is also well known for the revision hip arthroplasties – revision hip replacements (the indications are failure surgeries, fracture of hip joints etc). The expert consultants perform revision hip replacements with excellent results.
The centre believes in quick ambulation and all the patients are made to walk on the same day of surgery, with full weight-bearing (under supervision of physiotherapist).
Provided the patient follows post-operative precautions during seamlessly integrated rehabilitation program, after the operation, he can experience:
Under the proficient guidance of the treating team of a multidisciplinary team including orthopaedic surgeons, dieticians, physiotherapists, etc. patients are taught proper physiotherapy exercises, lifestyle changes, ergonomics etc to keep them fit and lead a normal life.
The following movements must be avoided for the first 12 weeks to reduce the risk of hip dislocation:
All types of surgical and anaesthetic procedures carry some risks, particularly if there are other medical problems that a patient may be suffering from. However, our healthcare team has been trained to make sure that these are minimised and the treatment is carried out safely. Patients must be aware of some specific risks related to hip surgery. However, chances of immediate complications are less than 2 %
Persistent Pain: The operation may not relieve a patient of all pain, and he or she may continue to experience some mild discomfort. Complex regional pain syndrome, although rare, can cause pain, stiffness, swelling, and skin changes. Other recognised risks of hip surgery include bone fracture, urinary retention, bruising, anaesthesia, and blood transfusion.
The decision for hip replacement is based upon the difficulty in walking and the extent of pain. Advice is given after analysing X-ray findings. A doctor creates a patient-centric treatment plan in consent with the patient and his/her family.
It depends on how badly both hips are affected. Both hips can be replaced in one sitting if a patient is young. Generally, in case of an elderly, hips are replaced one at a time. Nanavati Max Super Speciality Hospital is known for bilateral hip replacement, revision arthroplasties.
There are a few modern methods available that can effectively control pain such as patient-controlled anaesthesia (PCA), continuous epidural anaesthesia, and a combination of certain drugs.
Although a patient may have sufficient mobility for sitting cross-legged, it is generally not recommended as sometimes the hip can dislocate. Also, it puts abnormal stress on the bonding of the bone implant.
For achieving early mobility and good hip movement physiotherapy is must and should be started immediately after surgery. You may need physiotherapy for 4-6 weeks and can be performed at our centre or home.
It is good to use a raised toilet seat for at least 3 months and even longer.
Post-surgery your first visit will be after 10 days for stitch removal. After that, you may be asked to return in 2-4 weeks to monitor your progress and following visits will be after 3 months and 1 year of surgery. However, you can visit your doctor in any emergency condition.
Yes, you should collect a “metal implant” photo id card from the orthopaedic office certifying that you’ve had a hip joint replacement. This can be shown to the security staff.
If you are facing any similar signs or symptoms please contact the Nanavati Max team to schedule an appointment at : +91 22 6836 0000