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Hip Replacement Surgery Cost In India

Hip Replacement Surgery hospitals In India

Hip replacement recovery cost starts from USD 5500 up to USD 10000 and can take around two to four weeks. Find Total Hip Replacement Surgery Procedure, Risks, and Types. Hip replacement surgery are often performed as a complete replacement or a hemi replacement.

Hip replacement surgery can be described as the removal and replacement of damaged sections of the hip or pelvis and thighbone that forms the hip joint. This procedure is also known as hip arthroplasty and it is usually carried out when hip pain and distress caused by hip arthritis interferes with the normal functioning of the individual and non-invasive treatments have not proved to be helpful. In this surgery, the surgeon replaces the old hip joint with an artificial joint using prosthetics (metal/ceramic implants). When the newly formed joint between the femur (thigh bone) and acetabulum becomes stable, the patient can regain his movement and can perform all the daily activities without pain and discomfort.

Hip Replacement Symptoms

Hip replacement surgery is considered under the following conditions:

•    Hip pain interfering with daily activities
•    Ineffective non-surgical treatments and over-the-counter medicines
•    Stiffness in the hip region
•    Pain resulting in discomfort wherein the patient cannot get up from a seated position
•    Persistent and recurrent pain overtime
•    Hip aches after gaming and exercising


The most common causes that require hip replacement surgery are as follows:

•    Osteoarthritis: This is a degenerative disease resulting from the damage in the bone tissue in the hip region causing inflammation, pain, and stiffness. 
•    Rheumatoid arthritis: It is an autoimmune disorder that causes inflammation in the hip joint resulting in severe pain, swelling, and stiffness.

•    Traumatic arthritis: It is a type of osteoarthritis that arises as a result of specific injury or damage to a joint due to accidents.

•    Osteonecrosis: It is the death of bone tissues when the supply of blood is interrupted to the femoral head of the hip joint that could be a result of dislocation or fracture resulting in deformity.

•    Childhood hip disease: This is a result of abnormal hip growth affecting joint surfaces that in later stages may lead to arthritis.


There are majorly three types of hip replacement procedures that are followed worldwide. It includes-

•    Total Hip Replacement: It is the most common type of hip surgery that uses metallic/ ceramic implants to replace and restore the normal structure of the hip. In this surgery, a prosthetic metal stem is infused into the femur/ thighbone for support, and the head of the thighbone is replaced with an artificial cup and the entire structure is stabilized by using bone cementing material.

•    Partial Hip Replacement: In partial hip replacement surgery, the femoral head is removed and replaced with a metallic or ceramic ball. The socket of the ball and socket joint is not replaced in this surgery. This kind of surgery is carried out to repair specialized types of injury, fractures, and impairments. 
Hip Resurfacing: This procedure is usually carried out to ease hip pain from cartilage loss. It includes scraping off the damaged bone tissue and substituting and resurfacing it with a smooth metal covering. The implants act as a substitute for damaged tissue and allow for the movement of synovial fluid.

Hip Replacement Treatments

Hip replacement surgeries are generally carried out to relieve people from hip pain that arises as a result of an accident, injury, autoimmune conditions like rheumatoid arthritis, and degenerative diseases. They are several ways for performing this surgery. It includes:

Total Hip Replacement
Partial Hip Replacement
Double Hip Replacement
Hip Resurfacing
Revision Hip replacement surgery
Robotic Hip replacement Surgery 

Depending upon the severity of damage, injury, or deformity, the course of action is decided by the surgeons. Two types of treatment modalities are usually followed:

Hip Replacement Non-Surgical Treatment

If the patient is in the initial stages of hip arthritis, doctors usually recommend a combination of over-the-counter pain relievers like acetaminophen and anti-inflammatory drugs. Nutritional supplements containing glucosamine and chondroitin might also add to some relief. In addition to this, short term physiotherapy might serve a benefit in reducing pain and improving strength.

Hip Replacement Surgical Treatment

Surgical treatment is usually carried out if the patient is in the later stages of hip arthritis and over the counter medications are no longer helpful in containing the pain. In this procedure, firstly, the damaged bone/ tissue/ cartilage in the ball and socket joint of the hip is removed by scraping away the affected areas, and around the surface is created for inserting the hip implant.

The socket of the pelvis is known as the acetabulum. The metallic implant that is placed into this socket is known as the acetabular component. It is fitted securely in the pelvis region by creating a socket. Since the implant bears an irregular and uneven surface, it facilitates bone growth over it in the later stages of the surgery.
After fixing the socket of the ball and socket joint, now the ball of the hip joint is addressed. It is stabilized by inserting an implant downwards the hollow center of the femur. It is known as the femur stem. Specialized tools are used to form the center of the femur so that it can accommodate and hold the femoral stem tightly and firmly. Bone cement helps in the stabilization of the entire structure. Before inserting the metal stem, liquified bone cement is introduced first. It takes a few minutes for the cementing material to settle and dry and once it gets dry, it is capable of holding the implant within the bone.

When any kind of cementing material is not used for fixation, then it is known as “press-fit” wherein the metal implant is forcefully jammed into the bone socket. Since the implant has a rough surface, it facilitates bone growth over it in the later stages.
With the stem inserted centrally downwards of the femur, the ball portion of the hip joint can be fitted tightly on the stem thereby forming the new hip joint.

Before Procedure

Once the surgeon has given a green signal, preparations for this surgery starts wherein the patients are advised to do the following things:

•    A complete physical exam- It is important for the patients who are considering a total hip replacement surgery to undergo a general physical examination so that overall health can be evaluated and any medical condition that can interfere with the surgery and recovery can be identified and addressed.

•    Avoiding certain medications- Patients’ surgeon can ask him/her regarding certain medications that should not be taken before surgery. These medications might include supplements, prescription drugs, etc.

•    Routine laboratory tests- Lab tests such as blood and urine test along with X-ray and ECG exams may be asked by the healthcare provider to assess and confirm that the patient is fit for the procedure.

•    Exercising- Regular exercising under the guidance of a physician is required for best body conditioning and muscle development to help and promote a speedy recovery. Strengthening the muscles is imperative for enhancing the leg strength that can support the new joint post-surgery.

•    Pre-procedure consultation: In this visit, the patient must discuss personal care plan, diet, anesthesia, pain control, anticoagulants or other blood-thinning agents, etc. The patient must bring to the attention of the healthcare provider if he/she is sensitive or allergic to any dye, medications, latex, anesthesia, implant, etc.

•    Evaluation of home care needs –Patients considering hip replacement surgery must ensure that they have all made all the necessary arrangements for post-op care as they will be needing help and support for the first few weeks for meals and transportation.

•    No smoking- It is usually asked for minimizing the post-surgical lung ailments and facilitating the healing process.

•    Weight loss- Patients falling under the obese category should consider weight loss to minimize pressure on the surgically formed joint.

After Procedure

•   Post- Surgery Care at Hospital

When the surgery is done, the patient is taken to the recovery room for observation. His vital signs are checked over periodic intervals and once they are stable, the patient is taken to the general suite. For facilitating the movement of a new joint, a physical therapist is appointed as a part of the exercise and rehabilitation program. Pain killers are given for pain management so
that the patient can actively participate in the exercise. When the patient gets stable in moving the new joint, discharge is scheduled and a discharge plan is given to the patient. They can be discharged home where all the facilities for physiotherapy are available or they are discharged to a rehab center. All the necessary arrangements for the continuation of physical therapy are made so that the patient can attain the required muscle strength and improve range of mobility.

•   Home Care

When the patient is at-home care, it is important to keep the surgical zone clean and untouched for preventing sepsis or infection. Specific bathing instructions will be provided by the healthcare provider. The stitches and the staples should be handled with the utmost care until they are removed during the follow-up visit. It is important to only take medicines prescribed by the care provider for pain management as pain medications like aspirin might increase the chances of bleeding.

Recovery after Hip Replacement Surgery

The recovery period and the success of the surgery will greatly depend on the patient’s compliance with his/her orthopedic surgeon’s instructions. The following areas must be given utmost care during this period:

•    Pain Management: A combination of different pain medications is prescribed for short term pain relief. It includes nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and local anesthetics. If the pain continues, the patient should consult his/her surgeon.
•    Wound Care: It is important to avoid getting the wound wet to prevent sepsis and post-surgical infections until the wound is sealed and dried. Bandages can be used to prevent irritation from clothes. The stitches and staples are usually removed after two weeks of surgery.
•    Diet: Patients might experience loss of appetite for a few weeks post-surgery. A balanced diet coupled with iron supplements can aid in promoting proper tissue healing and restore muscle strength. Patients must ensure drink plenty of fluids to support rapid healing.
•    Activity: Exercise and physiotherapy are the most critical components of home care especially during the first few weeks of surgery. Patients must follow their activity plan during these weeks to fasten recovery and to regain joint mobility. The activity plan must include the following:
A walking plan for increasing mobility
Resuming normal household activities without putting any stress on hips/ hip joints
Specific exercises prescribed by the physiotherapist for strengthening muscles and restoring movement. 

•   Is it possible to replace both the hips at the same time?

It is better to conduct the surgeries in stages. But if the patient is young with no history of cardiopulmonary disease, it is possible to replace both hips at the same time.

•   What is the average recovery period for this surgery?

The average recovery period for this surgery lasts from 6-8 weeks.

•   What types of implants are available for this surgery?

Implants are usually made up of the following materials:

→ Polyethylene (Plastic)
→ Metal
→ Ceramic
→ Or a combination of these materials (ceramic on polyethylene, metal on metal, ceramic on metal, etc.)

•   Are there any chances of implants irritating post-surgery?

Implants are usually made up of inert materials that do not react with the body. In rare cases, if it happens, the patient should consult his/her surgeon.

•   What precautions should be taken post-surgery?
→ Hip movement should be restricted to 90 degrees.
→ The surgical leg should not be rotated inwards.
→ Do not lift heavy objects
→ Avoid sitting straight up on the bed
→ Avoid bringing surgical leg towards chest

•   What are the alternate options for this surgery?

Some of the alternatives to hip replacement surgery are as follows:

→ Exercise
→ Physical Therapy
→ Pain relief medications
→ Steroid injections into the joint
→ Antirheumatic medicines
→ Assistive devices like cane and walker 
Pros And Cons Of Hip Replacement Surgery



High success rate- It is one of the most successful operations. It can be an easy, effective, long-lasting, and safe solution for treating ailments that arise due to hip arthritis.    

It is a demanding surgery- A successful surgery is a result of the skills of the surgeon, the quality of implants, the weight and body structure of the patients, patient’s willingness to participate in post-op care and rehabilitation.

Improved mobility and hip function- It results in increased flexibility and improved hip function thereby aiding patients in their everyday activities that include climbing stairs, bending, etc.    

Can change leg length- On rare occasions, hip replacement might lead to a change in leg length wherein one leg may feel longer/shorter than the other.

Permanent effect- This surgery is a long-lasting solution for ailments arising due to hip arthritis. Studies have shown that around
80-85% of the hip implants are still working fine even after 20 years of their insertion.    

Obese/ muscular people may not be good candidates- This surgery may not yield the same results for obese and muscular patients because of additional soft tissue that can mislead the surgeon to assess the hip joint.

Pain Relief- This surgery restores the normal hip structure and function thereby relieving patients from excruciating pain and suffering.    

Restrictions in movement- Some restrictions in movement can still be seen even after the surgery to prevent dislocation.

Hip Replacement Surgery Risks

The following risks are associated with hip replacement surgeries:

•    Blood clots: There are chances of clot formation in veins of the leg after surgery. This can prove to be life-threatening if the clot travels to other regions of the body. To prevent this risk, doctors often prescribe blood thing medications. 
•    Infection: Patients can encounter post-surgical infections arising at the site of incision near the newly formed hip joint. These post-surgical infections are generally treated
with the help of antibiotics. But if the site of infection is near the prosthetic implant, it might require surgical removal and replacement of the prosthesis.

•    Dislocation: Certain positions should be avoided after a hip replacement surgery as it can disturb the structure of the new joint wherein the ball can come out of the socket resulting in dislocation. Generally, doctors use braces to keep the joint in the correct position but if the dislocation is happening repetitively, surgical intervention is required to stabilize the joint.

•    Change in leg length: There are chances that after hip replacement surgery, one leg may seem slightly longer/ shorter than the other one. This happens due to the contracture of muscles near the hip region. To avoid such complications, regular exercise and physical therapy are required for strengthening these muscles.

•    Loosening: The artificially fixed joint might loosen overtime causing pain in the hip region. Surgical interventions might be required to fix this problem.

•    Nerve damage: In rare cases, nerves surrounding the area when an implant is inserted might get injured causing numbness and pain.

Why Choose India For Treatment/Surgery?

•    Industry Specialists

India is a hub of specialized surgeons with having wealth of knowledge experience and skills for providing high-quality treatment. They use advanced treatment modalities for achieving precision in every step thereby yielding successful results.

•    State-of-the-art Infrastructure

India has emerged as a major tourist hotspot. With the growing investment in modern technologies and state of the art infrastructure supporting accurate and precise clinical outcomes, many patients choose India for treating their ailments.

•    Cost-effective Treatments

Along with the state-of-the-art infrastructure, India is also offering cost-effective treatments to its patients. The table below shows the comparative analysis of the costs of various types of hip replacement surgeries in countries like the USA, UK, India, Thailand, and Singapore. 

•   Emerging Medical Tourism

Since India is a country with a rich cultural heritage, people from all over the world get attracted to its incredibly beautiful destinations thereby making it a major tourist hotspot. With specialized cost-effective surgeries guided by expert surgeons, now India is also growing as a destination for medical tourism wherein patients can get treated for their ailments and they can also enjoy an amazing vacation.

•   Comprehensive Range of Services

India is famous for offering end-to-end services to International Patients. It includes the cost of travel, accommodation, consultation, transportation, etc., so that their patients can focus on their treatment.

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