Hip resurfacing is a conservative artificial joint replacement, where the hip joint is relined, instead of being completely replaced as in total hip replacement procedure. The goal of hip resurfacing is to provide a more active and improved quality of life. This is done by restoring functionality to the hip through replacing damaged bone and cartilage in the socket while preserving as much natural bone as possible. In hip resurfacing, the femoral head is not removed but is instead trimmed and resurfaced with a smooth metal dome.

Candidates for Hip Resurfacing

•  Many candidates for hip resurfacing tend to be under 60, with strong, healthy bones as it leaves more bone intact.
•  Hip resurfacing surgery (HRS) can address pain from mild to moderate osteoarthritis before major bone damage has occurred. Referred pain from the back, poor circulation or damaged nerves may not be resolved with an HRS.
•  This type of joint surgery should be considered if:
‣  All conservative treatments have already been tried and unsuccessful.
‣  There is debilitating and severe pain with loss of function.

Preparing for surgery

‣  Surgeon will send you for routine blood tests and any other investigations required prior to your surgery.
‣  You will be asked to undertake a general medical check-up with a physician.
‣  You should have any other medical, surgical or dental problems attended to prior to your surgery.
‣  Make arrangements for help around the house prior to surgery.
‣  Cease aspirin or anti-inflammatory medications 10 days prior to surgery as they can cause bleeding.
‣  Cease any naturopathic or herbal medications 10 days before surgery.
‣  Stop smoking as long as possible prior to surgery.

Surgical Procedure

An incision is made over the hip to expose the hip joint. The acetabulum (socket) is prepared using a special instrument called a reamer. The acetabular component is then inserted into the socket. This is sometimes reinforced with screws or occasionally cemented. A liner which can be made of plastic, metal or ceramic material is then placed inside the acetabular component. The femoral head which is arthritic is cut off and the bone prepared using special instruments to exactly fit the new metal femoral component. The femoral component is then inserted into the femur. This may be press fit relying on the bone to grow into it or cemented depending on a number of factors such as bone quality and surgeons preference. A trial reduction (putting the hip back into place) is performed to make sure everything fits well. The real femoral head component is then placed on the femoral stem. This can be made of metal or ceramic. The hip is then reduced again for the last time The muscles and soft tissues are then closed carefully

Post-Operative care

You will wake up in the recovery room with a number of monitors to record your vitals(Blood pressure, Pulse, Oxygen saturation, temperature, etc.) You will have a dressing on your hip and drains coming out of your wound. Post-operative X-rays will be performed in recovery. Once you are stable and awake you will be taken back to the ward. You will have one or two IVs in your arm for fluid and pain relief. This will be explained to you by your anesthetist. On the day following surgery, your drains will usually be removed and you will be allowed to sit out of bed or walk depending on your surgeons preference. It is normal but if you are in a lot of pain, inform your nurse. You will be able to put all your weight on your hip and your physical therapist will help you with the post-op hip exercises. You will be discharged home or to a rehabilitation hospital approximately 5-7 days depending on your pain and help at home. Sutures are usually dissolvable but if not are removed at about 10 days. A post-operative visit will be arranged prior to your discharge. You will be instructed to with crutches for two weeks following surgery and to use a cane from then on until 6 weeks post-op.

Recovery and Rehabilitation

Wound Care
It is important to keep your wound as dry as possible. Most patients are discharged home with a waterproof dressing, which can be left on for showering. During the first 24 hours, it is normal to have some minor bleeding. After being discharged home, there should be no discharge, redness or bleeding around the wound.
There are usually no specific diet or extra vitamins / nutrients needed to recover from a total hip operation. It is important to have a normal healthy balanced diet and plenty of nonalcoholic fluids.
Physiotherapy and the exercises that you perform at home are extremely important to achieve the best results after a hip replacement. After returning home, you should gradually be able to do more and more. It is important to look after your new hip and follow your surgeons and physiotherapy instructions. Your program may include exercises that work on your:
• walking
• sitting
• stair climbing
• muscle strength

About Medinovita

Medinovita is an online medical travel service provider for international patients, where patients can find best hospitals and doctors in India. We bridge the gap between hospitals and patients for the medical treatments in India, bringing in all the resources you need in order to choose the right hospital for your treatment.

18/295A Kangarappady Trikkakara North Kochi,
Kerala India

Why India?

Medical tourism is a growing sector in India which is projected to grow to $7-8 billion by 2020.Advantages of medical treatment in India include reduced costs, the availability of latest medical technologies and a growing compliance on international quality standards, doctors trained in western countries including US and UK as well as English speaking personnel due to which foreigners are less likely to face language barrier in India.

With this in focus, Government of India have implemented visa-on-arrival scheme or e-Visa for tourists from select countries which allows foreign nationals to stay in India for 30 days for medical reasons.