HIP

HIP ARTHROSCOPY

Hip arthroscopy is an established form of keyhole surgery for patients experiencing common hip problems. It is a surgical procedure that gives doctors a clear view of the inside of a joint. This helps them diagnose and treat joint problems. Using small camera and telescope, damage inside the hip such as hip impingement, labral tears and loose bits of cartilage/bone can be seen and treated. Hip arthroscopy is less invasive than traditional open hip surgery, is often performed as a day-case and requires a shorter stay in the hospital

There are several conditions that can be treated with hip arthroscopic surgery:

Femoro Acetabular Impingement Clicking, catching, locking in the hip Labral Tears Cartilage Tears Loose particles in the joint Snapping Hip Hip infections or septic arthritis

Dr Gaurav Gupta performing HIP Arthroscopy

Loose fragments inside the hip being removed by arthroscopy

TOTAL HIP REPLACEMENT SURGERY

You will require some preoperative tests to ensure you are fit for a general or spinal anesthetic. We will ask you to fill in some questionnaires prior to surgery. We are part of an international group who study outcomes of different operations to ensure that surgical outcomes are satisfactory. We get you to fill out similar questionnaires at the conclusion of your treatment. You will be admitted to the hospital a day prior to surgery or in the morning of surgery. You must remove all rings from your hands and feet prior to surgery. There usually will be 2 or 3 very small puncture wounds about the hip. Patients are usually discharged home the same day or the day following surgery

Hip arthritis is a condition where the smooth slippery cartilage surfaces of the ball and socket of the hip become rough and irregular. Such patients experience severe pain and limping and get tremendous improvement after a Hip Joint Replacement surgery. In this surgery, the ball and socket are replaced by artificial (prosthetic) components. The crucial part of the construct is the bearing surface, which is the interface where the movement occurs between the ball and the socket. This interface must be as frictionless as possible, to minimize abrasive wear of the bearing material

Xray of hip arthritis following AVN

We offer our patients a variety of options to choose from when it comes to selecting the prosthetic components. The components can be fixed to the bone using special bone cement, or they may have a special chemical coated porous surface to fix on the bone without cement (uncemented or cementless fixation).

One can also select the bearing surface material as per requirement in terms of age, gender, and activity level. Polished cobalt chromium alloy or ceramic are the choices available for the head. On the other hand, materials for the socket range from the classic soft polythene, to newer harder polythene, ceramics, or cobalt chromium alloy. The harder bearing materials have more resistance against wear but are more prone to cracking or squeaking

Your surgeon will discuss with you the advantages and disadvantages of the different modes of bone fixation (cemented v/s cementless), different bearing materials, and different head sizes to help you choose. After surgery, patients start walking the next day and are discharged from hospital in 3 to 4 days. They need to use a walking stick for 6 to 12 weeks, depending on the recovery. There are some minor long-term precautions and restrictions against squatting and sitting on the floor, which the patients must comply with.

Xray of a hybrid total hip replacement. Cemented stem and uncemented cup

HEMIARTHROPLASTY OR HALF HIP REPLACEMENT

Hemiarthroplasty or half hip replacement is an operation commonly done for elderly patients who suffer a fracture of the hip. Here, only the ball is replaced by an artificial (prosthetic) component because the original cup is not damaged