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6 months ago Medical

Joint replacement surgery in India

What is a joint replacement surgery?

A joint is where two or more bones come together, like the knee, hip, and the shoulder. A joint replacement surgery is a surgical procedure where the damaged joint is replaced with the new one. The surgery is often done by the orthopedic surgeon. Sometimes, the surgeon will not remove the entire joint but fix or repairs the damaged parts. By undergoing this surgery, the patient will be benefitted a lot. It will improve their quality of life. Replacing the joint will help relieve the pain, and help you feel better. It also increases the mobility.

What causes damage to the joints?

Joints may be damaged by arthritis, injuries or simply aging. The joints may be damaged due to the wear and tear action. Any damage to the joint will cause pain, stiffness, and swelling of that part. The damages inside joint will limit the blood flow, causing problems in the bone. The bones need blood to remain healthy, grow and repair themselves.

The new joint is called the prosthesis which may be made of plastic, metal or ceramic. These will be cemented or non-cemented to keep the joints in place. The cemented joints are more commonly used among elderly and people with poor bone quality who do not move about randomly as younger adults. The cement holds the joint to the bone.

The non-cemented joint is used for younger adults who are more active and have bones of good quality. An uncemented joint will take longer to heal and a longer time to attach itself to it.

A new joint will lasts for about 15 to 20 years. So the younger adults who have undergone a joint replacement will have to do another surgery after 20 years or so.

What happens during the surgery?

At first, the surgeon will give you a local or general anesthesia that will make you fall asleep or numb a particular area so that you don’t feel the pain. The medical team will them replace the damaged joint with the new one. Each surgery is different in its own way and how long it takes will depend on the type of surgery the patient is going through.  A knee or hip joint replacement will take about 1 to 2 hours or even less than that if there aren’t many complications. Once the surgery is done you will be moved to the recovery room until you recover from the anesthesia and stay awake.

What happens after the surgery?

After the joint replacement surgery, you will have to stay in the hospital for about 10 days. If you are an elderly or if you have additional abnormalities than the duration of stay at the hospital will be extended. The time you have to spend at the hospital with the intermediate-care facility will depend on your overall health condition.

Initially, you will be able to walk only with the help of walking stick or crutches. You may have some pain because your muscles are weak and need time for healing. The pain is only temporary and will be cured with medicines within few weeks or months.

Some of the specific joint replacements include:

  • Hip replacement
  • Knee replacement
  • Shoulder replacement
  • Ankle replacement

How far will the surgery be successful?

The success rate will highly depend on how your take care of yourself after you go home. Following the doctor’s advice, medicines and eating a healthy diet will enhance your chances of quick recovery. Most of the surgeries are successfully provided the problems don’t get severe. Some of the problems include:

  • Infection: the areas around the new joint may get infected. This may happen while you are at the hospital, or after returning home or even years later. If the infections are minor it can be treated with drugs. If the infections get deeper or severe then it may require another operation to treat and cure the infection with a new joint.
  • Blood clots: if your blood moves very slowly then it might form lumps resulting in blood clots. The blood clots may be the main cause of pain or swelling. Sometimes the doctor will find a way to heal the clots. The doctor may suggest drugs thin the blood or suggest exercises, boots or special stockings make the blood move faster.
  • Loosening: the new joint may get loosen over time causing severe pain. If the loosening gets worse, then you have to do another operation to reattach the joint to the bone.
  • Dislocation: sometimes, after the surgery, the ball may get out of the socket. This happens mostly in case of knee joint replacement surgery. The hip can be corrected without surgery. Sometimes, a brace may be worn for a while if the dislocation happens.
  • Wear: too much wear will result in loosening. In the case of a plastic joint, it gets loose over time. In that case, the doctor will replace the plastic and not the whole joint.
  • Nerve & blood vessel injury: during the surgery, the nerve surrounding the joint may get damaged. Blood vessels may also be injured. This damage may improve over time and disappear.

Risks associated with joint replacement surgery:</>

Apart from infection & swelling, joint replacement surgery may also have other associated risks like other surgeries. The other major risk of this surgery is that the new joint may not work effectively.  It is less common, but there are chances that the new joint may get loose or dislocate after some time. It is important to remember that the new joint may get worn out after 20 years. This means you will have to undergo another surgery after a span of 20 years.

Some other risks associated with this surgery include:

  • Implant loosening
  • Fracture
  • Dislocation
  • Damage to the nerve or blood vessel
  • Stiffness or pain

Some other alternatives to this surgery are:

  • Joint injections
  • Oral medicines
  • Hand therapy exercises
  • Arthrodesis surgery to fuse bones together
  • Resection arthroplasty to remove the bone surface
  • Surgery or tendons or ligaments to repair joint injuries.

Top 15 orthopedic hospitals in India for joint replacement surgery:

  • All India institute of medical sciences, New Delhi
  • Apollo hospital, Chennai
  • Sparsh hospital, Bangalore
  • Moolchand orthopedics hospital, Delhi
  • Indian spinal injury center, Delhi
  • Sancheti institute of orthopedics, Pune
  • Christian medical college, Vellore
  • Hosmat hospital, Bangalore
  • Post graduate institute of medical education & research, Chandigarh
  • Ganga hospital, Coimbatore
  • Max super specialty hospital, Delhi
  • MIOT hospital, Chennai
  • Aditya Birla memorial hospital, Pune
  • Kokilaben Dhirubhai Ambani hospital, Mumbai
  • Shelby hospital, Ahmedabad

Some more details about these hospitals and the specialists:
AIIMS:
Salient features:

  • Treatment available for every medical discipline
  • Modern and hi-tech physiotherapy unit
  • Comprehensive care
  • Expert and skilled doctors

An esteemed panel of doctors:

  • Vijay Kumar
  • Ravi Mittal
  • Ashok Kumar
  • Vivek

Apollo Hospital
Salient features:

  • 3000 surgeries performed
  • Special units for tendons, muscles & joints
  • Extreme team of nursing staff
  • Multidisciplinary consultation available

An esteemed panel of doctors:

  • Anand
  • Rajkumar
  • Senthil Kamala Kannan

Sparsh Hospital

Salient features:

  • Globally recognized surgeons
  • Experienced nursing staff
  • High-quality equipment and infrastructure
  • Comprehensive care
  • SIOR

Salient features:

  • ISO certified hospital
  • 24*7 emergency services
  • Expert team of doctors
  • Free medical camps

An esteemed panel of doctors:

  • Sandeep
  • Atul
  • Chetan Puram
  • Rahul

Christian medical college
Salient features:

  • Excellent infrastructure
  • Quality ensured in every aspect of treatment
  • Dedicated nursing staffs
  • Skilled and trained doctors
  • Free medical camps
  • Nearly 6000 surgeries performed annually

An esteemed panel of doctors:

  • Vinod Mathew
  • Thomas
  • Sumanth Samuel
  • Ravichand

To know more about these specialty hospitals and skilled surgeons log on to www.freedoctoehelpline.com or call us at +918010555444.

The cost of joint replacement surgery in India:

The cost of joint replacement surgery will depend on a number of factors such as:

  • Number of days spent in hospital
  • Type of implant and surgical approach
  • Pre-existing health condition
  • Length of time spent in operating room
  • Unexpected care or equipment required

The average hospital charge is about INR 3,50,000. The cost of partial knee replacement is 10 to 20 % lesser than the total knee replacement. This is about INR 70,000. The main reason for the reduction in cost is it requires a shorter duration of stay at the hospital.

One should expect multiple bills following a knee replacement surgery. They are:

  • Hospital bills
  • Bills for all treatments
  • Other procedures performed by the surgeons like physiotherapy etc.

Hospitals will sometimes give you discounts if you have a health insurance. You can ask them for a payment plan or discount before you schedule your surgery. Try estimating the cost well in advance so that you can prepare well for the surgery.

By knowing the cost well in advance, you can avoid surprises and potential hardships down the line.

To have appointments with our doctors or to know more about the surgery, you can anytime contact us at www.freedotorhelpline.com or call us at +918010555444.

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