Hip replacement is a life-changing procedure that restores mobility and relieves pain for thousands of patients in Delhi every year. This comprehensive guide, written from the perspective of an experienced orthopaedic surgeon, covers everything you need to know about hip replacement surgery, types, benefits, materials, recovery, and choosing the right care in Delhi.
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Hip replacement surgery (hip arthroplasty) is a procedure where damaged or diseased parts of the hip joint are removed and replaced with artificial components called prostheses. This artificial joint mimics the function of a healthy hip, allowing patients to walk, move, and live without chronic pain.
Hip replacement is recommended when patients experience:
Type of Surgery Description Who It's For Total Hip Replacement (THR) Both the ball (femoral head) and socket (acetabulum) are replaced with artificial parts Most common, for widespread joint damage Partial Hip Replacement Only the ball of the femur is replaced Usually, for certain fractures or limited damage Bipolar Hip Replacement A type of partial replacement with a two-part prosthesis for the femoral head Often for older patients with a neck of femur fracture Revision Hip Replacement Replacing or repairing a previous hip implant For failed or worn-out previous replacements
The choice of procedure depends on the patient’s age, diagnosis, bone quality, and lifestyle.
The hip is a ball-and-socket joint. The ball (femoral head) at the top of the thigh bone fits into the socket (acetabulum) in the pelvis. Healthy cartilage covers the surfaces, allowing smooth, pain-free movement. When this cartilage wears away or the bone is damaged, movement becomes painful and difficult.
Modern hip prostheses are made from combinations of:
These materials are chosen for their durability, strength, and compatibility with the human body. The choice of material may vary based on age, activity level, and the surgeon’s recommendation.
Modern techniques utilize smaller incisions, minimize muscle damage, and enable faster recovery and reduced pain compared to traditional surgery.
Hip ball replacement refers to partial hip replacement, where only the femoral head (the ball) is replaced with an artificial component, usually for specific types of hip fractures or damage.
MBBS, Diploma in Anesthesiology, MS - Orthopaedics, Orthopaedic surgeon, Joint Replacement Surgeon
MBBS, MS - Orthopaedics, DNB - Orthopedics, Orthopedic surgeon, Joint Replacement Surgeon
Bipolar hip replacement is a form of partial hip replacement where the artificial femoral head has two articulating surfaces—one within the prosthesis and one with the natural socket. It is commonly used for elderly patients with certain types of fractures.
Patients often report they can walk, climb stairs, and perform daily tasks without the pain that limited them before surgery.
Modern minimally invasive techniques allow for quicker recovery and less pain.
The cost of hip replacement surgery in Delhi varies depending on:
A personalized estimate is provided after consultation, ensuring transparency. Most hospitals offer packages and assist with insurance claims to make treatment accessible.
Hip replacement is considered the definitive treatment for advanced avascular necrosis (AVN) of the hip. The procedure removes the damaged bone and replaces it with an artificial joint, effectively relieving pain and restoring mobility in most cases.
Hip replacement surgery is widely regarded as a safe and highly successful procedure, especially when performed by experienced surgeons in modern hospitals. The risk of serious complications is low, with a 95–98% success rate in the first year after surgery and most patients experience significant pain relief and improved mobility. As with any major surgery, there are risks such as infection, blood clots, or implant issues, but these are uncommon and can be managed with proper care.
After hip replacement, high-impact activities such as running, jumping, and contact sports should generally be avoided to protect the artificial joint. Deep squats, twisting movements, and exercises that put excessive strain on the hip are also discouraged. The rehabilitation team will provide a personalized exercise plan and guidance on safe activities.
Total hip replacement surgery involves replacing both the ball (femoral head) and socket (acetabulum) of the hip joint with artificial components. This procedure is most commonly performed for severe arthritis, fractures, or avascular necrosis, and is designed to relieve pain and restore function.
Hip replacement is recommended for severe hip pain, stiffness, or loss of movement that limits daily activities and does not improve with conservative treatments. Common causes include osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fractures, and other degenerative joint diseases.
Hip replacement surgery typically takes between 1 and 2 hours, depending on the complexity of the case and whether it is a primary or revision procedure.
In a posterior hip replacement, the surgeon typically detaches and later reattaches the short external rotator muscles and the posterior capsule of the hip. The gluteus maximus muscle is split along its fibers, but not cut, to access the joint.
Bilateral hip replacement, where both hips are replaced either during the same surgical session or in separate procedures, is less common than single hip replacement. It may be recommended for patients with severe disease in both hips and who are healthy enough to tolerate a longer surgery and rehabilitation.
Most patients are able to walk with support within a day or two after surgery. Return to daily activities typically occurs within 6–12 weeks. Full recovery, including regaining strength and flexibility, may take up to a year, with continued improvement over time.
The cost of hip replacement surgery varies widely based on the type of procedure, implant used, hospital facilities, and individual patient factors. A personalized estimate is provided after consultation, and most hospitals in Delhi assist with insurance and payment options.
Symptoms of hip replacement dislocation include sudden, severe pain in the hip or groin, inability to move the leg, visible deformity, and sometimes a popping sensation. Immediate medical attention is required if dislocation is suspected.
Yes, if a hip replacement wears out, becomes loose, or develops complications, a revision (second) hip replacement can be performed. Modern implants typically last 15–20 years or longer, but revision surgery may be needed in some cases.
Hip replacement surgery can be performed under general anesthesia (where the patient is completely asleep) or regional anesthesia (such as spinal or epidural anesthesia, where the patient is awake but numb from the waist down). The choice depends on the patient’s health and preferences.
Modern hip replacements last 15–20 years or longer for most patients, with 80–85% of implants still functioning well after 20 years.
Hip replacement is performed to treat severe joint damage from osteoarthritis, rheumatoid arthritis, avascular necrosis, fractures, and other degenerative or traumatic conditions that cause pain and limit mobility.
A bipolar hip replacement is a type of partial hip replacement in which the artificial femoral head has two articulating surfaces: one within the prosthesis itself and one with the natural socket. This design is often used for elderly patients with certain types of hip fractures, aiming to reduce wear and improve movement.
Most patients walk with support within a day, return to daily activities in 6–12 weeks, and continue to improve for up to a year.
Most health insurance policies in India cover hip replacement surgery, but coverage details should be confirmed with the hospital and insurer.
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With a career spanning over three decades, Dr Rajesh Bawari has established himself as a trusted and skilled Orthopaedic surgeon renowned for his expertise in Complex Trauma Surgeries and Reconstructive procedures, including Joint Replacement. His commitment to exceptional patient care is evident in his excellent track record. Dr. Bawari's academic journey began with a focus on gaining a solid medical foundation at the University College of Medical Sciences, Delhi University, where he earned his Medical Degree (MBBS) in 1990.
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