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If you are
advised Hip Replacement surgery, you may want to know more details about
it. Here we list the most commonly asked questions about hip replacement
and their answers. If you want any further clarification please do not
hesitate to ask either Dr. Thakkar or one of his associates.
Q: What
are the conditions, for which the hip replacement is advised?
A: Hip replacement is advised for many painful hip disorders. Some of
them are 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 infection in the joint or the bones, hip
replacement is contra indicated
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.
Q: What are
the types of hip replacements?
A: Hip replacement could be either hemi replacement in which only ball
of the femur is replaced, or total hip replacement in which ball is replaced
and even the socket is changed. Both the hemi and total replacement may
either be of cemented variety or non-cemented variety.
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 pressfit
in the bone with capacity for the bone to stick to the parts. This Uncemented
hip is used mainly for younger individuals.
Q: What is
the commonly used material for joint replacement ?
A: Commonly used material for joint replacement is either stainless steel
called Cobalt Chrome alloy or a metal known as Titanium and a Plastic
called Ultra high Molecular Weight High Density Polyethylene.
Q: What is
the average time taken for surgery ?
A: The average time taken for joint replacement surgery is 2 hours.
Q: What is
the average hospital stay recommended after joint replacement?
A: The hospital stay is for seven days after single joint replacement.
For both joints done at the same sitting, one has to stay for about two
weeks.
Q: When does
the exercise program start after joint replacement ?
A: Exercises start within a day after joint replacement, while walking
is started 2 - 3 days after joint replacement.
Q: Does one
need some support of walker or stick after joint replacement?
A: You may need temporary support of walker or walking stick after joint
replacement. Whether you need a 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
and Infection.
Q: What precautions
are taken to prevent these complications ?
A: To prevent deep vein thrombosis, early exercises are started, and in
some patients specialised medication is administered. To prevent infection,
surgery is carried out in specialised operation theatre and antibiotics
are given pre-operatively.
Q: Can these operation
be done in any Nursing home or Hospital ?
A: No, This is a specialised surgery which requires special set up including
proper operation theatre, pre-operative intensive care unit, trained nurses
and technicians and expert physiotherapist to achieve desired results.
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 your Mediclaim policy.
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