Hip Replacement Surgeon - About Hip Surgery

The hip joint is the largest joint in the human body and one of the most important. It allows us to walk, run and jump. It bears the body’s weight and the force of the strong muscles of the hip and leg.

The hip joint is also one of our most flexible joints and with the exception of the shoulder, the hip joint allows for a greater range of motion than all other joints in the body. The hip joint is a ball-and-socket synovial joint formed between the os coxa (hip bone) and the femur. A round, cup-shaped structure on the os coxa known as the acetabulum forms the socket for the hip joint. The rounded head of the femur forms the ball of the joint.

Hip surgery

A thin tissue called the synovial membrane surrounds the hip joint. In a healthy functioning hip this membrane produces a small amount of fluid that lubricates the cartilage and eliminates almost all friction during movement of the joint. Problems and hip pain occur when the joint surface wears out which causes the bone ends to rub painfully on each other.
Due to the structure of the hip joint the articular cartilage is prone to degeneration through injury, overuse and ageing.

Other common hip problems involve dislocation, tears and injury to the ligaments that surround and support the joint.

Common surgical procedures are available to repair the joint, restore function and reduce pain. Dr.Aditya Khemka specialises in Hip Replacement (hip arthroplasty) in which he utilises the Direct Anterior Approach as well as the Posterior Approach, Hip Arthroscopy and Minimally Invasive Hip Surgery. Get the hip replacement surgery done from dr aditya khemka, who is known as best hip replacement surgeon in mumbai.

Other common hip problems involve dislocation, tears and injury to the ligaments that surround and support the joint.

Common surgical procedures are available to repair the joint, restore function and reduce pain. Dr.Aditya Khemka is known as best hip replacement surgeon in mumbai. He utilises the Direct Anterior Approach as well as the Posterior Approach, Hip Arthroscopy and Minimally Invasive Hip Surgery.

Frequently Asked Questions

Why Would Someone Need Total Hip Replacement?

Total hip replacement is often necessary after the cartilage between a patients femur and pelvis wears out. Osteoarthritis often results from the lack of cartilage and leaves patients with severe achy pain and immobility. Typically, a hip replacement is not performed unless nonsurgical methods fail to relieve hip pain. 

 

The commonest cause in India is Avascular necrosis resulting in arthritis. Sometimes there is no known cause for AVN to happen but more often than not its indiscriminate steroid use. 

What Happens During a Total Hip Replacement?

While the patient is under anesthesia, the hip is cut open and the arthritic bone in the socket of the joint is cleaned out. The surgeon also removes arthritic bone from the femoral head, then inserts an artificial femoral head down into the femur. The joint is then complete and the surgeon shaves arthritic bone from the knee cap before replacing it and closing the incision.

What implants are used in Surgery?

Dr. Khemka will evaluate you and your X-rays thoroughly before deciding what implants to be used.  

The implants normally used can be divided into two categories as cemented and  uncemented implants. One is not necessarily better than the other, just depends what suited for your bone structure. 

Implants are also categorised on the basis of bearing surfaces. Ceramic on ceramic being the newer technology compared to Metal on Polyethylene. Ceramic tends to last longer than polyethylene bearings but ends up costing slightly more. Dual Mobility cups are quite often used when the sift tissues are not very good around the hip. The use of wither would be based on the surgeons discretion and your choice. 

Will I Be Pain-Free After My Surgery?

Although patients are sore after surgery, most hip replacement patients report being completely pain-free after 1-2 weeks. Additionally, 95% of hip replacement patients reported having less pain one year after their surgery than before it, according to Total Knee Replacements. 

Can I sit on the floor/squat/crossed legged?

One can sit on the floor now normally six months after the surgery. This clearly depends on how one does the surgery and the use of certain implants. 

But it isn’t advisable to do so after a hip replacement keeping in mind the chances of a dislocation provided in an artificial joint. 

How Long Will I Have to Stay in the Hospital?

Under the care of Dr. Khemka stay for just 2-3 days, and then are back in the comfort of their own home to recover.  

Before you are discharged from care, you will need to accomplish several goals, such as: 

  • Getting in and out of bed by yourself. 
  • Having acceptable pain control. 
  • Being able to eat, drink, and use the bathroom. 
  • Walking with an assistive device (a cane, walker, or crutches) on a level surface and being able to climb up and down two or three stairs. 
  • Being able to perform the prescribed home exercises. 
  • Understanding any hip precautions you may have been given to prevent injury and ensure proper healing.

How Long Will I Have to Take Off Work?

It is recommended that patients take 2-6 weeks off of work depending on their occupation. Patients who have a desk job can typically go back to work sooner than patients who have manual labor jobs or have to be on their feet often. 

 

How Long Will Full Recovery Take?

Patients should be able to move around the house after 4-6 weeks without experiencing pain or using walking aids. After that point, the amount of time that is necessary for a full recovery varies between patients. Some patients recover extremely quickly—within a month or two—while others require a full six months before returning to their pre-surgery levels of activity. 

Will I Need Physiotherapy?

Yes. Physical therapy is an essential part of your total hip replacement recovery process. Physical therapy begins the following day of your surgery and will take place over the course of several weeks. At first, you will do some simple exercises like contracting and relaxing your muscles in order to strengthen your hip. You will also learn new techniques for movements such as sitting, standing, and bending, in order to prevent any possible damage to your hip replacement. Typically patients are in physical therapy for 6-8 weeks and have sessions twice/week. 

How Long Before I Can Drive After Surgery?

Some patients may drive as soon as 2 weeks after surgery, while others may need as long as 8 weeks. During this period, simply getting in and out of a car can be challenging, especially if the cars seats are low to the ground. In order to drive a car safely, patients must meet the following requirements: 

  • The patient must be off of narcotic pain medication while driving. If the patient takes pain medication at night only and not during the day while driving, that is acceptable. 
  • The patient must be able to hit the brake quickly. 
  • The patient must be able to get in and out of the car comfortably and safely. 

In addition, reflexes and muscle strength should have returned to their pre-surgical levels. 

What Are the Risks of Hip Replacement?

Here is a list of potential post-surgery complications: 

  • Blood clots 
  • Infection 
  • Fracture 
  • Dislocation 
  • Loosening 
  • Need for second hip replacement 

Dr. Khemka and your physical therapists will evaluate your risk for complications and provide specific treatments to avoid these risks. 

How Likely is it That My Hip Implant Will Dislocate?

While hip dislocation is the most common complication after hip replacement surgery, this only happens to less than 3% of all patients. Dr. Khemka uses the minimally invasive methods which drastically reduces the risk of dislocation post-surgery.

What is the cost of the Total Hip Replacement Surgery?

The cost of the surgery is normally divided in two parts. One of which includes the hospital stay, operating room charges, use of consumables, pharmacy, surgeon charges etc and the latter which includes implants depending on what is to be used. 

All these costs are normally covered by the insurance company, and we can organise packages with the hospitals where he operates to minimise your burden in the absence of insurance.  

Dr. Khemka would be happy to provide all the information to you during consultation. 

 

Know About Different Hip Surgeries

Hip Arthroplasty, otherwise known as Total Hip Replacement is a surgical procedure to replace the articular part of the hip joint with an artificial joint. The aim is to take away pain, restore function, preserve anatomy and improve quality of life.

Hip Arthroplasty

Hip arthroscopy is an excellent minimally invasive surgical procedure that allows thorough visualization of the hip joint for diagnosing and addressing various pathology inside and outside the hip joint.

Hip Arthroscopy

Hip Dysplasia is a congenital or developmental deformation misalignment of the hip joint.The hip is a ball and socket joint. In a healthy hip the ball (the femoral head), which is the upper end of the femur, fits firmly in to the socket which is formed by the acetabulum.

Hip Dysplasia

The key defining feature of minimally invasive hip surgery compared with traditional hip surgery is the surgical approach taken. In minimally invasive hip surgery the surgeon does not have to cut muscles to access the hip.

Minimally Invasive Hip Surgery

The majority of elderly patients who receive a hip replacement retain the prosthesis for 15 to 20 years, sometimes for life. However, some patients may need one or more revisions of a hip replacement particularly if the initial hip replacement surgery is performed at a young age and the patient chooses to have a very active physical lifestyle.

Hip Revision Arthroplasty

A tumour is a lump or mass of tissue that is formed when cells divide uncontrollably. A tumour replaces healthy tissue with abnormal tissue and can weaken the bone causing it to break or fracture.

Tumour