| Frequently
Asked Questions |
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Is
this a minimally invasive?
This operation can be done by a minimally invasive approach
and the invasion can be kept to less than 10cms.The
operation also involves minimal damage to bone. |
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Do
I need blood transfusion during the surgery?
We generally do not need blood transfusions during the
operation. |
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Is
it a very painful operation?
Pain control techniques and minimal injury to soft tissue
and bone during surgery help to keep the patients comfortable
in the post operative period. |
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When
do we remove the stitches and is it very painful?
Absorbable sutures are used. These need not to be removal.
The patient does not have to follow up for up to 60
years after discharge from hospital. |
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How
long do I have to stay in hospital?
Local patients are discharged four days after the operation,
but overseas patients may have to stay for 8-10 days
after surgery. |
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When
can I start walking and climbing stairs after the operation?
Most patients start walking with support on the second
postoperative day after removal of the drain. Our team
of physiotherapist takes you through a standardized
protocol of mobilization and stair climbing is achieved
before discharge. |
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Do
I need lots of physiotherapy after surgery?
The amount of physiotherapy needed depends on the condition
of your joint and muscles before the operation. Most
patients do not need much suppressed physiotherapy.
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Will
I be able to sit on the floor after surgery?
Yes, this surgery will allow you to do that safely unless
another problem prevents it. |
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What is
the ASR/BHR?
Hip resurfacing or surface replacement arthroplasty
uses specialized implants that are fixed into the
bone .Two international companies sell such implants
in India at present.
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What is
the advantage of Hip Resurfacing over conventional
total hip replacement?
Conventional Total Hip Replacements usually consist
of a long metal component that is fixed into the femur
(thigh bone) articulating with a polyethylene cup
cemented into the pelvis.
Conventional hip replacements sacrifice a large quantity
of normal bone. The very nature of fixation of these
implants causes progressive bone loss due to stress
shielding. The problem of bone loss gets compounded
by osteolysis due to polyethylene debris from the
cup. All these reduce the bone stock and make any
future revision procedures difficult. The polyethylene
cups gradually thin down due to wear and need replacing.
The head of the femoral component is small in diameter,
so as to reduce friction at the cost of stability.
This increases the risk of hip dislocation i.e. hip
coming out of joint
Problems with Conventional
Total Hip Replacement :
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Bone loss
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Increased risk of dislocation
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Cannot squat or sit on the floor
without the risk of dislocating the hip
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Range of movement is less
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Cannot safely indulge in sporting
activities
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Revision Surgery difficult
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Feels less like a normal natural
hip
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Possibility of change in leg
length after surgery
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Are
there any implants used ?
Modern techniques allow us to replace the diseased human
hip with artificial implants which ensure near normal
movements and function. Huge advances have been made
in terms of the materials, the method of fixation and
structure of these implants. The purpose of all these
changes is to increase the longevity, reduce complication
rate and improved function after surgery. Hip Resurfacing
(bone conserving hip replacement (BHR), surface replacement
) with a metal-on-metal articulation is another step
in this direction. |
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