Types of  Bilateral Hip Replacement

• Simultaneous bilateral Hip replacement – When both knees are replaced simultaneously in surgery, it is known as a simultaneous knee replacement.
• Staged bilateral Hip replacement  – In this surgery, both knees are replaced at the same time. This is known as staged bilateral knee replacement.
• Hip resurfacing – Rise the authentic chamber and ball of the thigh bone. This kind of surgery has reduced the risk of disorder and patients can return to a better level of physical activity.
• Minimally invasive total hip replacement – It decreases the chances of soft tissue damage which leads to reduced recovery time and also minimizes the possibility of post-operative issues.

Diagnosis for Hip Replacement Surgery :

• Osteoarthritis – Regressive joint disease that is also known as Depreciated Arthritis occurs when the normal soft part of the bone decreases, causing pain at the bone-to-bone connection.
• Rheumatoid arthritis – It is an autoimmune disease in which synovial membranes get inflamed. This membrane ultimately makes more synovial fluid that damages the articular cartilage.
• Trauma – It leads to severe hip injury or fracture that damages the articular cartilage.
• Necrosis – If there is an insufficient supply of blood to the ball part of the hip joint, the bone may fall down and bend out of shape.
• Developmental dysplasia – It is an inherited disorder of the hip.

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Tests before Hip Replacement Surgery

• Medical reports of past and present to understand the extent and duration of pain, past injury, and if any operations were carried out.
• The purpose of the physical test is to determine the movement and strength of the joint.
• X-rays and MRIs are used to determine the extent of damage and the state of bones and soft tissue.

Helpful: What is a bilateral hip replacement?

Symptoms for Hip Replacement

Instead of taking medication, physical therapy, and other conservative methods:

• Weakening and pain remain.
• Regulate flexibility.
• Influence on daily activities.
• It is difficult to get up from a seated position.

Procedure for Hip Replacement 

Before surgery

• Presurgical assessment to determine if you are fit for the surgery which includes current and previous medical history, complete blood count, urine test, lump testing, and ECG.
• X-ray and MRI are used to determine the condition of the disease and then decide on the treatment option.
• The doctor will examine your medications and restrict certain medications before surgery.

During Surgery

• This surgery includes the replacement of the femoral head and acetabulum with an artificial element or prosthesis.
• The process can take up to 3 – 4 hours. Surgery can be carried out under General or Spinal anesthesia.
• The skin opening is located above the hip. To reach the hip joint, the surgeon divides the muscles and ligaments carefully.
• The surgeon disconnects the joint and eliminates the femoral head from the acetabulum.
• Damaged cartilage inside the acetabulum is removed or rejected. In the interior hollow layer of the acetabulum, a metal prosthesis is fixed with a specific cement or screw.
• The femoral head is replaced with a metal stent with a distal ball form and a metal stem.
• The new ball component of the thighbone is then placed into the socket component of the hip.
• Following the fixation of the acetabular and femoral parts, the hip joint is observed for motion and stability. An X-ray is done to check if the joint is properly positioned in that place or not.
• Subcutaneous tissues joined with staples.
• The patient was kept for about 2 weeks.

After surgery

• Moved to a medical facility and was placed in observation.
• Antibiotics and pain reliever medications are given.
• Patients will have to remain in the hospital for about 6 – 8 days. Stitches or staples will be removed after 2 weeks of surgery. Patients will be able to return to normal routine activities within 3 to 6 weeks after surgery.

Physical therapy

It is done within the first six weeks of the surgery. This is essential to strengthen the hip joint.

Complications of Hip Replacement Surgery :

• There are some complications of Hip surgery as compared to other surgeries:
• Infection (redness, swelling, bleeding, or other problems from the opening).
• Blood clots.
• Nerve injury such as swelling and redness in the affected area.
• A problem with walking, sleeping, or grinding the hips.
• Leg size is unequal.

Factors Affecting the Cost of Hip Replacement Surgery

• There are some of the factors that will affect the treatment cost:
• The hospitals and the patient mainly choose:
• Room – Quality single room, luxurious room, super luxurious room for the number of nights described (it includes nursing fees, food, room rates, and services).
• Operating room, ICU fees.
• Doctors and their support staff (such as surgeons, anesthesiologists, physiotherapists, and dieticians).
• Medications.
• Quality test and diagnostic.
• Depend on the treatment options.
• Surgery types and stages.
• Transplant being used.