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Total Hip Replacement in India

Complete replacement of damaged hip joint with artificial prosthesis

Overview

Total Hip Replacement (THR), also known as total hip arthroplasty, is a surgical procedure to replace a damaged or diseased hip joint with an artificial implant. This life-changing procedure is one of the most successful orthopedic surgeries worldwide, providing significant pain relief and restoring mobility to patients suffering from severe hip conditions including osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fractures, and post-traumatic arthritis. At Arthroscenter in Patna, Bihar, Dr. Gurudeo Kumar has established himself as a leading hip replacement surgeon with over 1,500 successful total hip replacement surgeries performed with exceptional outcomes. Our state-of-the-art facility utilizes the latest ceramic-on-ceramic and metal-on-metal prosthetic technology, minimally invasive surgical techniques, computer-assisted navigation systems, and customized implant options to ensure precise implant placement and optimal long-term results for every patient. The hip joint is one of the body's largest ball-and-socket joints, where the femoral head (ball-shaped top of the thigh bone) fits into the acetabulum (cup-shaped socket) of the pelvis. This design allows for a wide range of motion necessary for walking, sitting, climbing stairs, and daily activities. When arthritis, injury, or disease damages these surfaces, the protective articular cartilage wears away, causing bone-on-bone contact that results in severe pain, inflammation, stiffness, and progressively limited mobility. Hip replacement surgery addresses this problem by removing the damaged femoral head and acetabular cartilage and replacing them with smooth artificial components. The femoral component consists of a metal stem inserted into the thigh bone with a ceramic or metal ball attached to it. The acetabular component is a metal cup lined with plastic, ceramic, or metal that creates a new smooth socket. When properly positioned, these components restore pain-free motion and stability to the hip joint. Modern hip replacement surgery has evolved significantly over the past two decades. At Arthroscenter, we offer multiple surgical approaches including the anterior approach (front of hip), posterior approach (back of hip), and lateral approach, each selected based on patient anatomy and specific needs. Minimally invasive techniques use smaller incisions (3-4 inches compared to 8-10 inches traditionally), resulting in less muscle damage, reduced blood loss, faster recovery, and smaller scars. Dr. Gurudeo Kumar's expertise extends to complex cases including revision hip replacements, dysplastic hips, and hip replacements in younger patients requiring high-performance implants. Our comprehensive approach includes pre-operative optimization, advanced anesthetic techniques including spinal anesthesia with nerve blocks for superior pain control, and structured rehabilitation protocols developed in collaboration with experienced physiotherapists. Most patients experience dramatic improvement in quality of life after hip replacement. The procedure typically takes 1.5-2.5 hours, and patients usually stay in the hospital for 2-4 days. With modern surgical techniques, enhanced recovery protocols, and comprehensive rehabilitation programs at Arthoscenter, patients can return to most daily activities within 3-6 months, with continued improvement up to one year post-surgery. The success rate exceeds 95%, and modern hip implants with advanced materials and designs can last 20-30 years or longer with proper care, making hip replacement one of the most cost-effective and life-improving surgical interventions available.

Symptoms & Indications

This surgery may be recommended if you experience:

Severe hip pain that interferes with daily activities

Pain that persists during rest or worsens at night

Stiffness limiting hip movement and flexibility

Limping or altered gait pattern

Difficulty with activities like putting on shoes or getting in/out of cars

Hip pain radiating to the groin, thigh, or buttocks

Reduced range of motion in the hip joint

Failure of conservative treatments (medications, injections, physical therapy)

Progressive difficulty walking or climbing stairs

Joint degeneration visible on X-rays or MRI scans

Procedure Details

Duration

1.5-2.5 hours

Anesthesia

Spinal or General Anesthesia

Preparation for Surgery

Comprehensive pre-operative evaluation including blood tests, ECG, chest X-ray, and hip imaging. Patients attend pre-surgery education sessions and arrange for post-operative home care assistance.

Surgical Steps

1

Anesthesia is administered (spinal or general anesthesia)

2

A 6-10 inch incision is made over the hip (anterior, posterior, or lateral approach)

3

Hip muscles and tissues are carefully moved aside to access the joint

4

The damaged femoral head is removed from the thigh bone

5

The acetabulum (hip socket) is prepared and a cup-shaped implant is secured

6

The femur is prepared and a metal stem is inserted into the bone

7

A ceramic or metal ball is attached to the stem

8

The new ball and socket are fitted together, tested for stability and range of motion

9

Muscles and tissues are repositioned, and the incision is closed with sutures

10

Sterile dressing is applied and the patient is moved to recovery

Recovery Timeline

What to expect during your recovery journey

Day 1-3

Hospital Stay & Immediate Recovery

Pain management, wound monitoring, sitting up and standing with assistance. Physical therapy begins on day 1 with walking using a walker.

Week 1-6

Early Recovery Phase

Continued use of walker or crutches, gradual increase in walking distance, home physical therapy exercises, wound healing monitoring.

Week 6-12

Intermediate Recovery

Transition from walker to cane, increased independence in daily activities, outpatient physical therapy, strengthening exercises.

Month 3-6

Advanced Rehabilitation

Return to most daily activities including driving, light work duties. Continued strengthening and flexibility exercises.

Month 6-12

Full Recovery & Maintenance

Return to normal activities with some restrictions on high-impact sports. Ongoing exercise program for joint health.

Tips for Faster Recovery

Follow hip precautions to prevent dislocation (no crossing legs, bending beyond 90 degrees)

Use elevated toilet seat and reaching aids

Sleep on your back or operated side with pillow between legs

Attend all physical therapy sessions

Take prescribed blood thinners to prevent blood clots

Watch for signs of infection (fever, redness, drainage)

Avoid high-impact activities like running or jumping

Maintain healthy weight to reduce stress on the new joint

Frequently Asked Questions

Common questions about this procedure

Q1.How much does hip replacement surgery cost in Bihar?

At Arthoscenter, hip replacement surgery costs vary based on implant type and room category, typically ranging from ₹2,50,000 to ₹4,50,000. We accept insurance and offer financing options.

Q2.What is the age limit for hip replacement?

There is no strict age limit. While most patients are 50-80 years old, the decision is based on overall health and severity of hip damage rather than age alone.

Q3.How long do hip implants last?

Modern hip implants typically last 20-25 years or longer. Factors affecting longevity include patient age, activity level, body weight, and implant type.

Q4.Can I walk immediately after surgery?

Yes, with assistance. Most patients stand and take a few steps with a walker on the same day or the day after surgery as part of the recovery protocol.

Q5.What activities should I avoid after hip replacement?

Avoid high-impact activities like running, jumping, and contact sports. Also avoid crossing legs, bending the hip beyond 90 degrees, and pivoting on the operated leg for at least 6-12 weeks.

Considering This Surgery?

Book an online video consultation with Dr. Gurudeo Kumar for just ₹999 and get all your questions answered