Bipolar Hemiarthroplasty cost in India

Know More About Procedure & Surgery

What is Bipolar Hemiarthroplasty?

Bipolar Hemiarthroplasty is a treatment for femoral neck fractures can be successfully achieved through a bipolar hemiarthroplasty.  Hemiarthroplasty is a surgical procedure that replaces one half of the hip joint with a prosthetic, while leaving the other half intact. There are several different options available for the type of device to be used; we prefer to use a bipolar type, which has a femoral head that swivels during movement.  This helps to reduce the amount of wear and tear on the new joint for longer lasting results.

Benefits

A hemiarthroplasty procedure results in less surgical time and less blood loss. There may be less of a chance of hip dislocation. If the acetabulum is relatively healthy with little arthritis, a hemiarthroplasty may be the best option, especially among older adults who aren’t especially active. 

Pre operative procedure

Radiographic templating of fracture 

• Need to evaluate AP Pelvis, AP/Lat hip and femur for degree of fracture displacement

Execute surgical walkthrough 

• describe the steps of the procedure to the attending verbally prior to the start of the case
• describe potential complications and steps to avoid them.

Preparation

A hemiarthroplasty is typically done immediately after a fall or other injury that caused a hip fracture, so there’s usually little you can do to prepare. The procedure requires an in-hospital stay of at least a couple of days. If possible, you will want to have someone with you at the hospital, and to help make arrangements for your stay and your return home or to a step-down unit.

Procedure                                                 

This procedure done under general anesthetic, meaning you’ll be asleep for the procedure. Or you may be given a regional anesthetic, like an epidural, where you’re still awake but your legs are numb. Your doctor will talk to you about your options and their recommendations. The operation starts with an incision on the side of the thigh near the hip. Once the surgeon can see the joint, the femoral head is removed from the acetabulum. A network of ligaments, tendons, and muscles keep the ball and socket in place. The femoral head is also detached from the rest of the femur. The inside of the femur is hollowed out and a metal stem is placed snugly inside the femur. A prosthetic or artificial femoral head, also metal, is placed securely on the stem. This may be attached to another head that is lined with polyethylene (plastic). This is called a bipolar prosthesis (a head within a head). The incision is then sewn up and bandaged. A drain may or may not be used to drain any minimal bleeding.

Recovery

Pain medications will be prescribed immediately after your operation. Be sure to use them only as prescribed. Soon after the surgery, you should also begin physical therapy. This will start while you’re still in the hospital and continue after you’re sent home or discharged to a step-down unit. You may have at-home therapy or follow-up appointments at a physical therapy facility. The duration of your therapy will depend on several factors, including your age and overall fitness. Doctor may ask you  to permanently avoid or reduce activities that require heavy lifting or lots of climbing. Your ability to run and play sports, such as tennis, may also be limited. However, low-impact exercise should be part of your lifestyle for all-around health.

Complications

A hemiarthroplasty poses some potential risks. Among them are:

Infection

The chances of developing an infection following hemiarthroplasty are about one percent, but if it does occur, the complications are serious. Infections can spread to the rest of the hip, potentially requiring another operation. Infections may appear within a few days of the surgery or years later. Taking antibiotics before dental work, or operations on your bladder or colon may be recommended to prevent a bacterial infection spreading to your hip.

Blood clot

Any operation on the hips or legs raises the risk of a blood clot forming in a leg vein i.e deep vein thrombosis. If the clot is large enough, it can block circulation in the leg. A clot may also travel to the lungs (pulmonary embolism) and cause serious heart and lung problems. Getting up and moving your legs as soon as possible after surgery is one of the most effective ways of preventing deep vein thrombosis.

Dislocation

If the ball slips out of the socket, it’s called a dislocation. It’s most common soon after a hemiarthroplasty, while the connective tissue in the joint is still healing. Your doctor and your physical therapist should explain how to avoid a hip dislocation.

Loosening

A successful hemiarthroplasty should last about 12 to 15 years or more. After that time or even earlier, the prosthetic hip may lose some of its connection to the bone. This is a painful complication and usually requires another surgery to fix it.

Frequently asked question

How long does it take to recover from Hemiarthroplasty?

Most patients progress to using a cane in three to four weeks. Your staples will be removed two weeks after surgery. Patients are usually able to drive within three weeks and walk without a walking aid by six weeks.

How do you poop after hip surgery?

Make sure you're drinking plenty of fluids — lots of water — and eating foods with fiber, like vegetables and beans. Feel free to use a stool softener, too. Any over-the-counter product will do.

What can you never do after hip replacement?

• Don't cross your legs at the knees for at least 6 to 8 weeks.
• Don't bring your knee up higher than your hip.
• Don't lean forward while sitting or as you sit down.
• Don't try to pick up something on the floor while you are sitting.
• Don't turn your feet excessively inward or outward when you bend down.

What is the best exercise to do after hip replacement surgery?

Walking. Walking is the best exercise for a healthy recovery, because walking will help you recover hip movement. Initially, the use of a walker or crutches will help to prevent blood clots and strengthen your muscles which will improve hip movement.

How can I speed up my hip replacement recovery?

Take it slow and don't push yourself beyond what you can handle. Getting up and active following surgery is vital to speeding up your recovery after a hip replacement. Try to exercise for 20-30 minutes at a time.

What happens if you don't do physical therapy after hip surgery?

Surgeons know that while they replace the damaged joint, this does nothing to improve the strength of the muscles. People who don't get physio- therapy can end up with the same problems as before surgery, often limping or with incorrect posture.

What should I wear after hip surgery?

Wear pants/shorts that are easy to get out of (always dress the surgical leg first). Wear shoes that are supportive (ones that you can slip on and off).

Equipment for getting dressed that may help:

• Reacher
• sock aid
• long-handled shoe horn.

What to avoid eating after surgery?

• Avoid added sugars. Food and drink with added sugar offer your taste buds a quick reward.
• Avoid highly processed foods. After surgery, you may have a small appetite and be tempted to indulge in whatever sounds good.
• Avoid alcohol. You might look forward to having a drink to unwind or relax post-surgery.