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Clearing your doubt and thoughts

Hip joint is in the groin. Pain from hip[ joint is referred to the groin ,back, inside of the thigh and occasionally to knee. Pain from the knee joint is usually referred to the knee itself.
Wearing out of the smooth lining (cartilage)and exposure of bone underneath is arthritis. The joint react to this wear by forming new bones (osteophytes),causing thickening of joint cover (synovium) which produce excessive fluid in joint . arthritis can develop because of old age , previous injury, birth defects, accidents, fracture, infection in joint, diseases like Rheumatoid arthritis , etc.
In early stage , medicines , physiotherapy, splints, diathermy, weight reduction can control pain. When these methods are unable to give relief, patient may need Joint Replacement Surgery.
When you have two or more of the following symptoms, you need a joint replacement surgery. Recurrent pain in joint which needs medicines on almost daily basis and/or pain not releaved inspite f taking medicines. Presence of night pain or pain on getting up from chair or climbing down stairs & squatting. Pain affecting and limiting social , professional , personal life. (for the fear of pain you are now avoiding things which you normally would like to do)
With prudent use a cemented hip replacement surgery is known to last for 15-20 years. a knee replacement surgery is known to last even longer . the life of your joint becomes less if you are young, over weight, physically very active or do unusual exercises. You will need annual review with your surgeon to assess your joint.
Rejection of joint by body is extremely unusual and is not of a practical consideration.
Implanting artificial hip or knee joints made up of specialized steel, Titanium , cobalt chromium alloy and ultra high density polyethelene (uhdp) in patients is called thr or tkr surgery. These materials are imported and the joints are manufactured in India. Totally imported joints are also available.
The patient is thoroughly evaluated by doing a series of blood tests, ECG, chest X-ray, Urine test and Medical Examination to find out fitness to undergo surgery. The patient is admitted to the hospital one day before the surgery. After operation, the patient is kept for 10-12 days in the hospital by which time the stitches are removed. Movements of the joint are started on the next day of surgery wit specialized machine. Walking is allowed between 4-6 days post surgery with some support. By the time of discharge, the patient is independent to move from bed to toilet and within the room with the support of walker/frame. The patient is followed up at one month, three months, and then every year to assess the joint function.
Usually Spinal or Epidural anesthesia is used which anaesthetize the lower body. There is no pain during the operation. Patients do have some pain for the first two days following the operation. This pain can be controlled by using pain Killer injections or tablets.
Usually one can drive within 6 to 8 weeks following operation; after being assessed by doctor.
The cost depends on the type of implant, the class of stay (general ward / special ward) and the use of cemented / non cemented prosthesis. The cost includes hospital stay of 12 – 14 days, operation theatre charge, nursing, routine medicines required for anesthesia, anesthetists charge, surgeon’s charge, physiotherapy cost for the duration of hospitalization, cost of artificial joint, bone cemented (imported) and disposable material used for operation. Patients need to arrange for blood transfusion. Operation could be performed as cost effective package deal.

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