A Comprehensive Guide on Revision Hip Replacement Surgery in India

Considering revision hip replacement surgery in India? Understanding the complexities and finding the right hospital are crucial steps. What makes India a preferred destination for revision hip replacements? Join us as we delve into a comprehensive guide on this specialized surgery, highlighting the top hospitals known for their excellence in orthopaedic care.

Revision Hip Replacement Surgery Procedure in India

Revision hip replacement surgery is a complex procedure that involves replacing a previously implanted hip prosthesis that has failed. Here’s a detailed look at the steps involved in the procedure:

1. Pre-operative Assessment

Before the surgery, a comprehensive evaluation is performed to determine the cause of the implant failure and plan the surgery. This includes:

• Medical History Review: Understanding the patient's medical history and previous surgeries.
• Physical Examination: Assessing the patient's hip function and overall health.
• Imaging Studies: X-rays, CT scans, and MRI scans to evaluate the condition of the bones, the position of the old implant, and the surrounding tissues.
• Laboratory Tests: Blood tests to check for infections or other underlying conditions.

2. Anesthesia

The surgery begins with administering anaesthesia to ensure the patient is pain-free throughout the procedure. This could be:

• General Anesthesia: The patient is completely unconscious.
• Spinal Anesthesia: The patient is awake but numb from the waist down.

3. Surgical Incision

A surgical incision is made over the hip to access the hip joint and the failed prosthesis. The type and location of the incision depend on the previous surgery and the surgeon’s approach.

4. Removal of the Old Implant

The surgeon carefully removes the failed hip implant. This step is delicate, as it involves avoiding damage to the surrounding bone and tissues. Specialized tools are used to extract the implant parts.

5. Bone Grafting

In cases where the bone has been damaged or there is bone loss, bone grafts are used to rebuild the bone structure. Bone grafts can be:

• Autografts: Bone taken from another part of the patient's body.
• Allografts: Bone taken from a donor.
• Synthetic Grafts: Artificial bone substitutes.

6. Preparation of the Bone

The bone is prepared to receive the new implant. This involves reshaping the bone to fit the new prosthesis snugly. Special instruments are used to ensure precision.

7. Insertion of the New Implant

The new hip prosthesis is inserted into the prepared bone. It typically consists of:

• Acetabular Component: The socket part that fits into the pelvis.
• Femoral Component: The stem and ball that fit into the thigh bone.

8. Securing the Implant

The new implant is secured in place. This can be done using:

• Cemented Fixation: Bone cement is used to attach the implant to the bone.
• Cementless Fixation: The implant is designed to allow bone growth into its surface, securing it naturally over time.

9. Checking the Fit and Function

The surgeon checks the fit and alignment of the new implant. They also ensure the hip joint moves smoothly and the leg lengths are equal.

10. Closure of the Incision

Once the new implant is securely in place, the incision is closed using sutures or staples. A drain may be placed to remove excess fluid from the surgical site.

11. Post-operative Care

After the surgery, the patient is moved to the recovery room for monitoring. Post-operative care includes:

• Pain Management: Medications to control pain and discomfort.
• Antibiotics: To prevent infection.
• Blood Thinners: To prevent blood clots.
• Physical Therapy: To start gentle movements and exercises that promote healing and restore mobility.
• Regular Follow-ups: To monitor the recovery process and ensure the implant is functioning correctly.

12. Rehabilitation

A crucial part of recovery involves rehabilitation to regain strength and mobility. A tailored physiotherapy program helps the patient gradually return to normal activities and improve their quality of life.

By choosing revision hip replacement surgery in India, patients benefit from advanced medical care, experienced surgeons, and comprehensive post-operative support, ensuring a successful recovery and enhanced quality of life.

Top Hospitals for Revision Hip Replacement Surgery in India

1. Apollo Hospitals, Chennai

Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr. Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.

Location

• Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
• City: Chennai
• Country: India

Hospital Features

• Established Year: 1983
• Treatment Availability: International
• Hospital Category: Medical

About Apollo Hospitals

Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.

Team and Specialties

• Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
• Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
• Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
• Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
• Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
• Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
• Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.

Infrastructure

With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.

2. Fortis Memorial Research Institute (FMRI)

Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super specialty, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.

Location

• Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
• City: Gurgaon
• Country: India

Hospital Features

• Established Year: 2001
• Number of Beds: 1000
• Number of ICU Beds: 81
• Operation Theaters: 15
• Hospital Category: Medical
• Treatment Availability: International
• Status: Active
• Visibility on Website: Yes

Specialties

FMRI excels in several medical specialities, including:

• Neurosciences
• Oncology
• Renal Sciences
• Orthopedics
• Cardiac Sciences
• Obstetrics and Gynecology

These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.

Team and Expertise

• International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
• Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
• Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.

About Fortis Healthcare

FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.

Top Doctors for Revision Hip Replacement Surgery in India

1. Dr. Ashok Rajgopal

Specialization: Orthopedic Surgeon

Country: India

Experience Years: 50

Number of Surgeries: [Not Provided]

About Dr. Ashok Rajgopal

Dr. Ashok Rajgopal is a renowned orthopaedic surgeon with 50 years of experience. He is acclaimed for his contributions to knee implant design and advanced surgical techniques. Dr. Rajgopal has several notable achievements in the field of orthopaedics, including:

• Knee Implant Design: Dr. Rajgopal designs knee implants, including the new "PERSONA" knee system, which was launched in India in September 2013. This system has revolutionized knee replacement surgery.
• Record Performance: He holds a unique record of performing 28 total knee replacement surgeries in under 12 hours.
• Advanced Implants: Dr. Rajgopal specializes in advanced cement-less implants like Trabecular Metal implants, known for their strength, weight ratio, and mechanical characteristics.
• Innovative Techniques: He is the first orthopaedic surgeon in India to perform virtual total knee replacement using patient-specific instruments for precise alignment and durability.
• International Panel: Dr. Rajgopal serves on a prestigious panel of international knee surgeons developing advanced knee implants, including the PERSONA KNEE SYSTEM.

Services

• Orthognathic Surgery
• Joint Replacement Surgery

Education

• MBBS
• MS - Orthopaedics
• FRCS - General Surgery

Dr. Rajgopal is a member of several knee surgeon organizations and continues to contribute to advancements in orthopaedic surgery through his innovative approaches and dedication to improving patient outcomes.

2. Dr. Ameet Pispati

• Designation: Orthopedic Surgeon
• Experience: 33 Years
• Country: India
• Education: MBBS, MS - Orthopaedics

About Dr. Ameet Pispati

• Expertise:
  • Over 33 years of experience in orthopedic surgery
  • Specializes in hip and knee replacement surgeries and arthroscopy
• Training:
  • Trained in Mumbai, Germany, the UK, and the USA
  • Learned advanced hip and knee replacement surgery and arthroscopy from leading experts
• Professional Experience:
  • Treated Indian, New Zealand, and Australian cricket teams
  • Over 20 years of experience in orthopaedic surgery
• Faculty and Lecturing:
  • Faculty at the Bombay Orthopaedic Society
  • Faculty at the Indian Orthopaedic Association
  • Invited as International Faculty to Malaysia, Thailand, China, Indonesia, and Singapore for hip and knee surgery courses and workshops
• Mission:
  • Committed to high-quality patient care
  • Focuses on rapid recovery after sports injuries and replacement surgeries

Services Offered

• Hip Replacement
• Knee Replacement
• Arthroscopy
• Primary Hip and Knee Arthroplasty
• Revision Hip and Knee Arthroplasty
• Sports Injury Treatment/Management
• Cruciate Ligament Reconstruction

Teleconsultation

• For teleconsultation details, including pricing and scheduling, please contact the hospital directly.

Surgeon's Rating

• Highly rated for expertise, patient care, and successful surgical outcomes.

Summary

• Impact:
  • Dr. Pispati's extensive training and international experience have established him as a leading orthopaedic surgeon in India.
• Dedication:
  • His dedication to patient care and involvement in teaching and training other surgeons reflect his commitment to advancing the field of orthopaedics.
• Services:
  • Offers a wide range of services aimed at improving patient outcomes and quality of life.