Total hip replacement: Relieve pain, improve mobility

Having your hip replaced is major surgery. When other therapies fail to provide relief from the pain of a damaged hip, hip replacement may be the answer. Hip replacement — called total hip arthroplasty — can relieve pain and give you back the range of motion you need to go about your daily tasks.

Who is hip replacement for?

Hip replacement is usually considered once other therapies, such as pain medications, have failed. Most people undergo hip replacement as a result of osteoarthritis of the hip joint. But you might also consider hip replacement if you experience severe pain, loss of motion or deformity of your hip joint. Hip replacement is also used in people with hip injuries, rheumatoid arthritis and other medical conditions, such as a bone tumor or bone loss due to insufficient blood supply (avascular necrosis).

You might want to ask your doctor about the possibility of hip replacement if you frequently experience any of the following:

• Pain that keeps you awake at night
• Little or no relief from pain medications
• Difficulty walking up or down stairs
• Trouble standing from a seated position
• Having to quit activities you enjoy, such as walking, because you're in too much pain

Hip replacement used to be an option primarily for adults age 60 and above. But improved technology has made strong and longer-lasting artificial joints that are feasible for more active people, including younger people. However, active people face the possibility of another surgery to replace worn out artificial hip joints after 15 or 20 years.

A traditional Hip joint replacement costs about US$ 5,900 to US$ 7300 in India whereas in the UK, a similar surgery using the same implants and medical consumables costs around GB Sterling 9,000 to 13,000 pounds and in USA around US$ 16,000 to US$ 18,000.

Landmark INNOVATION in Hip Joint arthritis treatment

Hip Resurfacing Surgery – a far superior alternative to Hip Replacement. Arthritis of the hip joint is a common problem in India and the Western world.

A striking advance has been made in the field of surgery for Hip Arthritis. “Don’t get a Hip Replacement, just reline or resurface your arthritic hip!” it is called Birmingham Hip Resurfacing technique with Implant. This is what hundreds of satisfied Hip resurfacing patients are now urging other arthritis patients to do.

What do you do if you need a new hip but you cannot face the daunting prospect of a conventional total hip replacement (THR)? The answer lies in a revolutionary surgery to reline the arthritic hip joint called Hip Resurfacing (BHR or ASR). A similar procedure can also be done on the Shoulder.

Patients who have undergone this pioneering Hip Resurfacing operation are able to walk as much as 5 miles a day, as early as 6 weeks after the operation. They can jog, swim, dance, run and even play high-impact sports, and the resurfaced hip does not dislocate or slip out of joint! Patients are also able to sit cross-legged or squat on the floor and can even use an Indian toilet after this surgery.

This Hip Resurfacing procedure was pioneered by one of the world’s leading hip surgeons Dr Derek McMinn in Birmingham, U.K. and has given a fresh breath of life to hundreds of people in several parts of the world. Both Dr. Vijay C. Bose as well as Dr. Ameet Pispati are first persons who have learned the Birmingham Hip Resurfacing technique under Dr. Derek McMinn.

Advantage of Hip Resurfacing:

~ Ball used in the system is similar to the natural ball and this confers
   biomechanical advantages to the hip.

~ Improved durability due to reduced wearing out of prosthesis hence
   decreased chances of loosening.

~  Improved function and quicker recovery.

~ Patients can sit, squat and even participate in sports activities.

~ Allows normal range of movements of the hip.

~ Does not change the leg length.

~ Femoral head is preserved.

~ Femoral canal is preserved and no associated femoral bone loss with future
   revision. Also, the risk of micro fracture of femur with uncemented stem
   implantation is eliminated.

~ Larger size of implant "ball" reduces the risk of dislocation significantly.

~ Stress is transferred in a natural way along the femoral canal and through the
   head and neck of the femur. With the standard THR, some patients
   experience thigh pain as the bone has to respond and reform to less natural
   stress loading.

~ Use of metal rather than plastic reduces osteolysis and associated early
   loosening risk.

~  Use of metal has low wear and tear rate with expected lifelong implant.

~ Restores normal structure of the hip joint, and the bigger size of the ball
   reduces chances of dislocation.

Hip resurfacing is the real solution for the young arthritic hip where survival rate and durability of hip joint is long, and hence it can be called the ideal hip surgery for young and highly active patients.

Comparative cost of Birmingham Hip Resurfacing surgery;
 
 In USA a Hip Resurfacing costs US$ 26,000 (recently FDA approved) !
 In UK a similar Hip Resurfacing Costs GB Pound Sterling 10,000 to 14,000
 In Belgium a Hip Resurfacing Costs US$ 14,000
 
Whereas in India similar Hip Resurfacing procedure with implants, single room for patient stay at the hospital and all inclusive procedure costs some where around US$ 7,900 - US$ 8,700 with 10 - 15 days stay at the Hospital. {Price subject to change based on patient medical conditions}

Mediescapes India could arrange the following low cost medical procedures for you.

Hip Procedures routinely done in India

- Hip Replacement Surgery
- Birmingham Hip Resurfacing
- Hip Revision Replacement Surgery
- Management of Congenital Dislocation of Hip (Open reduction / Femoral Osteotomy / Pelvic Osteotomy)
- Lengthening of Bones
- Correction of deformity around Hip

P.S.: If the procedure you require is not listed here or if you require further information's then please send medical records with doctors diagnosis reports to mktg@mediescapes.com and we assure you that we will quickly get back to you.

Please read the Joint Replacement FAQ's section which probably answers most of your Joint replacement questions.

----------------------------------------------------------------------------------------------Knee replacement: Surgery can relieve pain

Knee replacement surgery — also known as total knee arthroplasty (ARTH-ro-plas-tee) — can help relieve pain and restore function in severely diseased knee joints. During knee replacement, a surgeon cuts away damaged bone and cartilage from your thighbone, shinbone and kneecap and replaces it with an artificial joint (prosthesis) made of metal alloys, high-grade plastics and polymers.

In the 1950s, the first artificial knees were little more than crude hinges. Now that more than 300,000 knee replacement surgeries are performed each year, you and your doctor can choose from a wide variety of designs that take into account your age, weight, activity level and overall health. Most knee replacement joints attempt to replicate your knee's natural ability to roll and glide as it bends.

Who is knee replacement for?

Knee replacement can improve knee problems associated with osteoarthritis, rheumatoid arthritis and other degenerative conditions, such as avascular necrosis — a condition in which obstructed blood flow causes your bone tissue to die.

Knee replacement may help you if:

• You have pain that limits activities such as walking, climbing stairs and getting in and out of chairs, or you experience moderate or severe knee pain at rest.
• You have limited function or mobility, such as chronic knee stiffness and swelling that prevent you from bending and straightening your knee.
• You've tried other methods to improve symptoms, for example resting, weight loss, physical therapy, medications, braces and surgery, but they've failed.
• You have a knee deformity, such as a joint that bows in or out.
• You're age 55 or older. Knee replacement is typically performed in older adults, but it may be considered for adults of all ages. Young, physically active people are more likely to wear out their new knee prematurely. For those people, a doctor may recommend a nonsurgical treatment program or suggest an alternative surgery such as arthroscopy, leg straightening (osteotomy), or a partial knee replacement, which replaces fewer components than total knee replacement.
• You're generally healthy. Good candidates for knee replacement are typically healthy, without conditions such as restricted blood flow, diabetes, or infections that can complicate surgery and recovery. Obesity alone won't disqualify you from surgery, but it may slow healing and increase your risk of infection after surgery.

Mediescapes India could arrange the following low cost medical procedures for you.

Knee Procedures routinely done in India

- Knee Replacement Surgery
- Knee revision Replacement Surgery
P.S.: If the procedure you require is not listed here or if you require further information's then please send medical records with doctors diagnosis reports to mktg@mediescapes.com and we assure you that we will quickly get back to you.

Some recommended Joint Replacement Surgery Centers
in India:

MIOT Hospitals, Chennai  (located in South of India)
The Madras Institute of Orthopaedics and Traumatology (MIOT), had its genesis as an independent wing of Vijaya Hospital, where Padmashree Prof. Dr. P. V. A. Mohandas and his team performed many a surgical impossibility in the field of Orthopaedics. Subsequently, his international travel exposed him to the highly impressive standards of hygiene and competence of medical services in the West He grew obsessed with an overpowering desire to provide similar standards of professional health care in India. He left no stone unturned, no expense spared until in February 1999 MIOT opened its doors to the public. Thus, the seed of desire sown with dedication and nurtured with concerted effort, sprouted and now stands before us as the imposing structure of MIOT - the virtual brainchild of Dr. Mohandas.

Computer Navigated Surgery
The Department of Orthopaedics at MIOT was the first to practice Computer Navigated Joint Replacement Surgery in the Asia - Pacific region. In this type of surgery, the computer monitors every step of he surgeon, ensuring a zero error performance. Just as every person's fingerprint is different, every person's anatomical knee axis too is different. Through a camera attached to the computer, the shape and movement of the patient's hip, knee and ankle are registered in 3 dimensions. This helps us fine-tune the surgical instruments and cutting jigs to zero error before the bone is cut. The computer also reveal the accuracy of the cut. Once the cut is perfect the knee is 'balanced'. The computer shows all the important data before implanting the components of the knee. It shows the alignment, flexibility, extension gap etc. At the end of the operation the procedure can be stored on a CD.
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Apollo Hospital, Chennai (located in South of India)
Apollo is the largest healthcare group in Asia. Their commitment to quality and care has lead to prestigious honors and an expanding client base of foreign patients. They offer their patients a unique environment in which patients and doctors work together towards wellness.

Apollo Hospital Chennai was established in 1983 by Dr. Prathap C Reddy. It was the first hospital in the Apollo group, and has been declared a “Centre of Excellence” by the Indian government. It also hosts the only comprehensive Wellness Centre in the world where doctors combine Eastern and Western medical philosophies into tailored treatments designed to care for patients holistically. Apollo Chennai focuses on healing the entire patient, not just the specific ailment. They sponsor out reach and educational programs designed to inform patients and their families. With over 60 departments and 1000 beds, Apollo Chennai can offer a quality of care unheard of to most people. They currently hold JCI Accreditation as well as 1SO certification 9002 and 14001. Apollo Chennai holds the honor of being the first Hospital in India to perform Total Knee Replacement surgery as well as Birmingham Hip Resurfacing, Liver Transplant, Coronary Angioplasty, and Radiosurgeries. Their Cardiology and Cardiothoracic Surgery Center has performed 27,000 open heart surgeries with a success rate of 99.6%. Equipped with the most modern of equipment and staffed by only the most experienced of surgeons the center supports continued research and education efforts to ensure that the center offers the best treatment options to its patients.
----------------------------------------------------------------------------------------------The Jaslok Hospital & Research Centre, Mumbai (located in Western coastal India) is one of the oldest tertiary care, multi-specialty Trust hospitals of the country. Jaslok Hospital is a private, full-fledged multi-specialty hospital with 376 beds of which 67 are ICU beds. The number of consultants has increased from the initial 50 to around 350 with 115 fully trained resident doctors. & having department of nursing school with 485 qualified nurses & 60 students at any given time. It is here that Birmingham Hip Resurfacing surgery could be performed by first hand specialists who worked with the pioneers of this new medical advancement technique.
----------------------------------------------------------------------------------------------Wockhardt Hospitals, Mumbai (located in Western coastal India) has associated with Harvard Medical International, USA. As associate hospitals of Harvard Medical in India, Wockhardt Hospitals benefit from the extensive learning and experience of Harvard Medical School and its affiliated institutions world-wide and strive to bring to its patients the benefits of global standards in technology and clinical expertise. Wockhardt Hospitals, Mumbai becomes first Super - specialty hospital in South Asia to get Joint Commission International, USA Accreditation

JCI Accreditation for Wockhardt Hospitals is a recognition that it adheres to international standards of clinical care, safe environment, medication safety, respect for rights and privacy, international infection control standards and access to dedicated well trained staff. JCI Accreditation has gained worldwide attention as an effective quality evaluation and management tool. Prior to this Indraprastha Apollo Hospitals in Delhi - a 595 bed multi - specialty hospital was accredited by JCI.

Please read the Joint Replacement Consultants section which probably answers most of your questions concerning experience and certifications of your Orthopedic Consultant In India.

For Detailed Dossier on Joint Replacement Surgery, please write to us at  mktg@mediescapes.com