Best Hip Replacement Surgeon in Delhi
India’s Best Hip Replacement Surgeon in Delhi – Dr. Pankaj Walecha
Knee and Hip Replacement is a surgical procedure where parts of an arthritic or damaged joint are removed and replaced with a metal, plastic, or Ceramic device called a Prosthesis or Implant.
Dr. Pankaj Walecha is one of the Best Hip Replacement Surgeon in Delhi, India. The Waleus Clinic is one of the most chosen places for Knee replacement and Hip Replacement Treatment Surgery in Delhi. They use most advanced surgical methods with modern implants to provide best surgical outcome to their patients. For correct guidance on joint replacement surgery visit The Waleus Clinic & meet one of the Best Joint Hip Replacement Surgeon in Delhi.
Hip pain can deeply impact the quality of life. A large number of people experience hip pain due to various underlying conditions. Are you someone who is unable to sleep well because of hip pain? Do you find it difficult to do simple everyday tasks like bending forward, walking, climbing stairs, riding a bike, or driving a car ? Is the pain impeding you from doing your favourite outdoor activities? If you have these signs, it is high time you meet the right doctor for correct diagnosis & treatment. Modern hip replacement surgery helps millions of patients to get relief from hip pain and gain mobility.
How important is Hip joint for your body functions?
Hip joint is an important part of the body that helps you in staying active and agile. The muscles around the hip assist in different functions such as walking, running as well as standing by bearing the weight of the body.
The hip joint plays a crucial role in providing stability and mobility to the body.
What is Total Hip Replacement Surgery?
The hip joint consists of two parts: a ball and a socket. The ball is present at the top of the Femur (thigh bone), referred to as the Femoral head, whereas the socket can be found in the pelvis (hip bone), called the Acetabulum .
Hip Replacement Surgery is carried out when smooth surface of femoral head or acetabulum or both, have become rough & the joint has developed arthritis.
Total Hip Replacement (THR) Surgery is done to replace the damaged femoral head & acetabulum with an artificial implant or joint. This artificial hip joint consists of a stem, ball, cup & polyethylene liner (Fig 1).
Fig 1- Total Hip Replacement implant- a) Uncemented stem, b) Ceramic femoral head, c) Highly cross linked ultra-high molecular weight polyethylene liner, d) Uncemented acetabular socket
The prosthesis is designed to reproduce the shape and motion of the normal joint. A joint is an area in the body where two or more bones join together to allow motion. The surfaces of the bones are covered with cartilage to form a normal smooth gliding joint.
Hip replacement surgery is usually recommended by the doctor only after treating the patient with Lifestyle modifications, medicines, physiotherapy, walking aids, etc and when none of them is able to solve the problem. The surgery generally improves the hip function and thus the quality of life of the patient.
A Hip Replacement Surgery is often Considered for Patients with the following Conditions:
• Avascular necrosis of hip joint (Osteonecrosis of femoral head)
• Ankylosing Spondylitis
• Rheumatoid Arthritis
• Post traumatic hip arthritis (secondary to acetabulum fracture or failed neck femur fracture)
• Primary Hip Osteoarthritis
Traditional Total Hip Replacement (THR) Surgery
A traditional hip replacement surgery involves a large incision, generally 10 to 12 inches that enables surgeons to access the diseased hip joint.
There are many approaches to do this procedure like anterolateral, direct lateral and posterior, through which a surgeon can work on the hip joint of the patient.
The main drawbacks of a traditional hip replacement surgery are longer incision, cutting of the important muscles to access the hip joint, more blood loss, many lifestyle restrictions & longer recovery time. Patients are generally not allowed to squat or sit cross legged on the floor after a conventional hip replacement surgery. Longer recovery period also means late return to work, which in turn adds to the financial burden of the patient & it can be counted as increased cost of the surgery, as the patient could have earned during that period if he had returned to work earlier.
What is Modern Total Hip Replacement (THR) Surgery ?
As discussed before, traditional hip surgery includes longer incision, which affects muscles, tendons and other important soft tissues of hip joint. This makes the post-operative period more painful and the surgical wound takes longer time to heal as well. In Modern THR surgery, the important muscles and tissues around the hip region are minimally disturbed so that they can heal faster & the function of the hip returns earlier. There is relative sparing of the important muscles as compared to conventional THR. You can watch this video (in Hindi) for deeper understanding
The patients report no or very minimal pain even in the early post-operative period of the surgery. Their new hip joint feels near normal after the surgery & most of the patients forget in due course of time that they ever had any hip surgery. Here is video link of a patients journey & recovery after modern THR
If you need a hip replacement surgery then you must know that Dr Pankaj Walecha is one of the best surgeon for Total Hip Replacement Surgery in Delhi & your search for a Hip Replacement Surgery Doctor in Delhi, will end after visiting The Waleus clinic. It is undoubtedly one of the hip replacement clinic in Delhi. Here’s the link to our You tube channel where you can find a lot of useful content about Hip Replacement surgery.
Over time this cartilage can break down, leading to bone-on-bone friction which can cause inflammation and pain.
Major Advantages of Modern Total Hip Replacement Surgery (THR)-
Incision size is smaller – Incision size is limited to 3 to 6 inches, which is smaller as compared to traditional hip surgery (Fig 2) .
Stitch Less Closure- In most of the patients, skin staples or stitches are not taken so there is no need of stitch removal once the surgical would has healed (Fig 2).
Less Blood Loss – The patient suffers very less blood loss as muscles and tendons around the hip region are minimally disturbed. In majority of the patients there is no need of blood transfusion before or after the surgery.
No Drain Pipe Needed – Generally drain pipes are required to be put in the surgical wound when more dissection is done during the surgery as in traditional THR, which leads to more blood loss during the surgery.
These drains are not required in majority of the patients who undergo THR with modern techniques as there is minimal tissue damage happening during the surgery.
Spine Anaesthesia is enough – Total hip replacement surgery is done with a team of trained assistants, who know & understand the manoeuvres needed during the surgery and the steps of the surgery. Most of the modern THRs are over within one hour of incision so only spinal anaesthesia is enough to complete the surgery & Epidural anaesthesia is not needed, which needs a puncture in the back with a bigger needle.
No Urinary Catheter needed – As patients can easily move around within few hours of surgery, so no urinary catheter is needed. They are allowed to go to the washroom as soon as they have regained power in their lower limbs (which means once the patient has recovered from the effect of spinal anaesthesia). This is really convenient for the patient and is a great confidence booster for the patient.
Last three advantages put together means, great comfort for the patients in the post-operative period as there are no pipes in the body at all. Watch one such success story by clicking on this link –
What Happens During Hip & Knees Replacement Surgery
Hip and knee replacement are two of the most commonly performed operations in orthopedic surgery, Both procedures are very successful at eliminating pain, correcting the deformity, and improving patient mobility so patients can regain quality of life and get back to the activities they enjoy.
During hip replacement, the damaged ball of the hip ball and socket joint is removed and replaced with a metal or ceramic ball that attaches to a stem that fits into the femur.
The prosthesis is usually coated with a special material into which the bone will grow over time. In some instances, however, the prosthesis is cemented into the bone.
The socket portion of the ball and socket joint is also replaced with a metal cup that is placed into the pelvis. A plastic liner is then snapped into the metal cup and rotates with the new ball on the end of the femoral stem.
The prostheses and implants come in a variety of shapes and sizes that can be tailored to the individual, During total knee replacement surgery, a thin amount of bone along the surface of the joint is removed from the end of the femur or thigh bone, the top of the tibia or leg bone, as well as the underside of the kneecap.
The surfaces of the bone are then shaped with tools and sized to allow an appropriate implant fit for each individual knee. The major ligaments and tendons of the knee are typically kept in place to provide stability and normal motion of the knee joint, Like hip replacements, knee replacements can either be cemented into place or are covered in a special material into which the bone will grow.
Total joint replacement surgery usually takes one to two hours and is typically performed in a hospital setting with a one- to a two-day hospital stay. The procedure is usually performed under spinal anesthesia in combination with a nerve block.
This prevents the need for general anesthesia and intubation during the surgery and can help patients avoid many of the side effects of general anesthesia such as post-operative nausea. This allows for better pain control and quicker recovery. Following the surgery and a short stay in the recovery room, patients will begin walking on the day of their surgery. The majority of patients are then sent home with instructions for further therapy.
Typically, patients can return to work and other normal activities within one to three months, depending on their overall health and progress during recovery.