Solutions to Your Hip Problems from Bumrungrad International
Arthritis of the hip is a disease that wears away the cartilage in the ball-and-socket joint at the top of your leg bone (femur) and pelvis. This wear causes the two bones to scrape against each other, raw bone on raw bone. When this happens, the joint becomes pitted, eroded, and uneven resulting in pain, stiffness, and instability. In some cases, motion of the leg may be greatly restricted.
What is a Hip Replacement?
Conventional Total Hip Replacement (Hip Arthroplasty) is a long-established procedure for the treatment of Hip Arthritis. The purpose of total hip replacement is to remove the two damaged and worn parts of the hip joint- the hip socket (acetabulum) and the ball (femoral head) – and replace them with smooth, artificial implants called prostheses, which help make the hip strong, stable, and flexible again.
For younger, more active people needing a hip replacement there is a high chance that a traditional hip replacement will wear out during their lifetime and need to be replaced again.
A second replacement (called a revision) is much more difficult.
How is it done?
Hip replacement generally takes one to two hours. It may be performed under a general or spinal anesthesia. During the procedure the surgeon will remove the damaged or diseased portion of the hipbone replacing it with an artificial hip joint). You will return from surgery with a large dressing on the hip area. You may be required to wear “anti-embolism” stockings to reduce the risk of developing blood clots. A small drainage tube will be placed during surgery to help drain excess fluids from the joint area. Rehabilitation and physical therapy are started immediately following surgery and continue throughout hospitalization and at home for one year after surgery.
Why is it done?
Relief from pain is the greatest benefit and the major reason for hip replacement surgery. Reasons for replacing all or part of the hip joint include: severe pain from arthritis or injury in the hip that limits an individual’s ability to do the things they want to do, fractures in the elderly of the neck of the femur, and the occurrence of hip joint tumors.
Risks & complications
There are possible risks and complications associated with anesthesia, including respiratory or cardiac malfunction.
Other complications include:
- Infection requiring antibiotics and in some cases hospitalization. Infection can sometimes occur around the hip joint years after the surgery.
- Blood clots in the legs (deep vein thrombosis), which can dislodge and move to the lungs (pulmonary embolism).
- Injury to nerves or blood vessels.
- Fracture or dislocation of the new hip joint may necessitate additional surgeries.
- Stiffness or instability of the joint caused by extra bone growth.
- Retention of urine and bladder infection.
With time - sometimes as long as 20 years - the artificial joint will loosen and revision surgery will become necessary.
Risks can be reduced by following the surgeon's instructions before and after surgery.
You will receive an extensive pre-operative evaluation to determine if you are a good candidate for hip replacement. Candidates for Hip Arthroplasty will be valuated to assess the degree of disability, impact on your lifestyle and pre-existing medical conditions. The surgeon will make the final determination of each patient’s eligibility for the procedure after an examination and consultation with the patient. Commitment to a rehabilitation program is important since improvement of the new hip joint is largely determined by the patient’s effort.
Why hip replacement surgery at Bumrungrad International?
- Bumrungrad is a recognized center of excellence for orthopaedic surgery.
- The Orthopaedic Surgeons at Bumrungrad have performed several hundred hip replacement surgeries during the past 25 years.
How much will it cost?
The estimated cost* for hip replacement is approximately 350,000-450,000 baht or about US$10,000-12,860 for one hip, including hospital charges of 260,000 baht (US$7,400) for 7 days hospitalization in a single room and doctors’ fees, and the prosthesis cost estimate* 90,000-190,000 baht (US$2,600-5,500). See inclusions and exclusions for the cost estimates.
*Actual costs depend on the prosthesis used and the exchange rate. This estimate is based on recent averages for actual cases. Prices are subject to change without notice.
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