Whether you have just begun exploring treatment options or have already decided to undergo hip replacement surgery in iran, this information will help you understand the benefits and limitations of total hip replacement.
The cost of a total hip replacement varies depending upon where it is performed. The average cost of total hip replacement in the United States is about $30,000 but The average cost of the hip replacement surgery in iran starts from $1750
These surgeries are performed by the best hip replacement(orthopaedic) surgeon in iran that have experience of several successful hip replacement procedures.
hip replacement cost in india start from $5000
hip replacement cost in france start from $11000
hip replacement cost in uk start from $9000
hip replacement cost in Ireland start from $15000
hip replacement cost in south africa start from $7000
hip replacement cost in canada start from $25000
hip replacement cost in usa start from $30000
hip replacement cost in australia start from $18000
hip replacement cost in pakistan start from $6000
hip replacement cost in nigeria start from $4800
hip replacement cost in mexico start from $6000
The hip is one of the body's largest joints. It is a ball-and-socket joint. The socket is formed by the acetabulum, which is part of the large pelvis bone. The ball is the femoral head, which is the upper end of the femur (thighbone).
The bone surfaces of the ball and socket are covered with articular cartilage, a smooth tissue that cushions the ends of the bones and enables them to move easily.
A thin tissue called synovial membrane surrounds the hip joint. In a healthy hip, this membrane makes a small amount of fluid that lubricates the cartilage and eliminates almost all friction during hip movement.
Bands of tissue called ligaments (the hip capsule) connect the ball to the socket and provide stability to the joint.
The most common cause of chronic hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease.
In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components.
Hip replacement surgery (also known by hip arthroplasty or total hip replacement (THR)) is the process of replacing a diseased or damaged hip joint with an artificial hip joint. This is one of the most common orthopedic surgery treatment in case of severe arthritis damaged hip joint. About 300000 of these surgeries(hip replacement and knee replacement) are done in the iran every year.
The surgeon removes the damaged cartilage and bone and then positions the new artificial surfaces to restore the alignment and function of your hip. Special surgical cement may be used to fill the gap between the prosthesis and remaining natural bone to secure the artificial joint.
The decision to have hip replacement surgery should be a cooperative one made by you, your family, your primary care doctor, and your orthopaedic surgeon. The process of making this decision typically begins with a referral by your doctor to an orthopaedic surgeon for an initial evaluation.
There are no absolute age or weight restrictions for total hip replacements.
Recommendations for surgery are based on a patient's pain and disability, not age. Most patients who undergo total hip replacement are age 50 to 80, but orthopaedic surgeons evaluate patients individually. Total hip replacements have been performed successfully at all ages, from the young teenager with juvenile arthritis to the elderly patient with degenerative arthritis.
There are several reasons why your doctor may recommend hip replacement surgery. People who benefit from hip replacement surgery often have:
Hip pain that limits everyday activities, such as walking or bending
Hip pain that continues while resting, either day or night
Stiffness in a hip that limits the ability to move or lift the leg
Inadequate pain relief from anti-inflammatory drugs, physical therapy, or walking supports
The Orthopaedic Evaluation
An evaluation with an orthopaedic surgeon consists of several components.
Medical history. Your orthopaedic surgeon will gather information about your general health and ask questions about the extent of your hip pain and how it affects your ability to perform everyday activities.
Physical examination. This will assess hip mobility, strength, and alignment.
X-rays. These images help to determine the extent of damage or deformity in your hip.
Other tests. Occasionally other tests, such as a magnetic resonance imaging (MRI) scan, may be needed to determine the condition of the bone and soft tissues of your hip.
(Left) In this x-ray of a normal hip, the space between the ball and socket indicates healthy cartilage. (Right) This x-ray of an arthritic hip shows severe loss of joint space.
In a total hip replacement, part of the thigh bone (femur) including the ball (head of femur) is removed and a new, smaller artificial ball is fixed into the rest of the thigh bone. The surface of the existing socket in the pelvis (the acetabulum) is roughened to accept a new socket component that will join up (articulate) with the new ball component.
Many artificial joint components are fixed into the bone with acrylic cement. However, it's becoming more common, especially in younger, more active patients, for one part (usually the socket) or both parts to be inserted without cement. If cement isn’t used, the surfaces of the implants are roughened or specially treated to encourage bone to grow onto them. Bone is a living substance and, as long as it’s strong and healthy, it’ll continue to renew itself over time and provide a long-lasting bond. Where only one part is fixed with cement, it’s known as a hybrid hip replacement.
The replacement parts can be plastic (polyethylene), metal or ceramic and are used in different combinations:
Metal-on-plastic (a metal ball with a plastic socket) is the most widely used combination.
Ceramic-on-plastic (a ceramic ball with a plastic socket) or ceramic-on-ceramic (where both parts are ceramic) are often used in younger, more active patients.
Metal-on-metal (a metal ball with a metal socket) is very occasionally used in younger, more active patients
Resurfacing the original socket and the ball of the thigh bone is a different form of hip replacement. Instead of removing the head of the thigh bone and replacing it with an artificial ball, a hollow metal cap is fitted over the head of the thigh bone. The socket part of the joint is also resurfaced with a metal component.
People who have this type of operation have a lower risk of dislocation and may be able to return to a higher level of physical activity compared with those having a conventional hip replacement.
This type of hip surgery is linked with a release of metal particles from the joint replacement materials, which may cause local inflammatory reactions and have unknown effects on your general health. The complication rates and early repeat surgery rates for hip resurfacing procedures in the National Joint Registry for England and Wales are much greater than for conventional hip replacements. Complication rates are particularly high in older patients and in women. Metal-on-metal resurfacing isn’t suitable for people with low bone density or osteoporosis, where the bones are weakened.
Little is known about the long-term performance of these joints as the technique hasn’t been in use for as long as total hip replacements.
You'll usually be in hospital for around three to five days, depending on the progress you make and what type of surger you have.
If you're generally fit and well, the surgeon may suggest an enhanced recovery programme, where you start walking on the day of the operation and are discharged within one to three days.
Don't be surprised if you feel very tired at first. You've had a major operation and muscles and tissues surrounding your new hip will take time to heal. Follow the advice of the surgical team and call your GP if you have any particular worries or queries.
You may be eligible for home help and there may be aids that can help you. You may want to arrange to have someone to help you for a week or so.
The exercises your physiotherapist gives you are an important part of your recovery. It's essential you continue with them once you're at home. Your rehabilitation will be monitored by a physiotherapist.
The pain you may have experienced before the operation should go immediately. You can expect to feel some pain as a result of the operation itself, but this won't last for long.
After hip replacement surgery, contact your GP if you notice redness, fluid or an increase in pain in the new joint.
You'll be given an outpatient appointment to check on your progress, usually six to 12 weeks after your hip replacement.
There are many factors that can affect how quickly you get back to normal, such as:
your general fitness
the condition of your joints and muscles
the job or activities you do
Everyone recovers differently, but it’s often possible to return to light activities or office-based work within around 6 weeks. It may take a few more weeks if your job involves heavy lifting.
It's best to avoid extreme movements or sports where there's a risk of falling, such as skiing or riding. Your doctor or a physiotherapist can advise you more about returning to normal activities.
Your orthopaedic surgeon in irab will review the results of your evaluation with you and discuss whether hip replacement surgery is the best method to relieve your pain and improve your mobility. Other treatment options — such as medications, physical therapy, or other types of surgery — also may be considered.
In addition, your orthopaedic surgeon will explain the potential risks and complications of hip replacement surgery, including those related to the surgery itself and those that can occur over time after your surgery.
Never hesitate to ask your doctor questions when you do not understand. The more you know, the better you will be able to manage the changes that hip replacement surgery will make in your life.