HIP RESURFACING INDIA

Hip resurfacing has been practiced in India for several years, almost as many years as the birth of the procedure itself. As such, India boasts of surgeons who have experience performing thousands of hip resurfacing surgeries on both Indian patients as well as foreign patients from countries such as the United States, Canada, Europe, Middle East, etc.

India is also one of the most popular medical tourism destinations in the world. Factors working towards this popularity / desirability are:

• great price differential resulting from lower cost of labor
• internationally accredited facilities having state-of-the-art technologies in 5-star hotel-type settings
• lower communication barriers as English is widely spoken
• experienced surgeons and medical teams that are trained or educated overseas
• variety of recuperation retreats

Hip resurfacing in India is offered at several hospitals that are JCI accredited. Some of the examples are:

• Apollo Hospitals: Apollo Hospital Group is the largest private healthcare group in Asia. In India, it has several branches all over the country, like in Chennai, New Delhi, Hyderabad, Bangalore, Goa, Kolkata, etc., several of which are JCI accredited. Meet Healthbase hip resurfacing patients who have received treatment at Apollo Hospitals.
• Wockhardt Hospitals: Wockhardt Hospitals Group consists of super specialty medical centers spread across India. It has got branches in major cities such as Mumbai, Bangalore, Nagpur, Hyderabad, Kolkata, etc. Meet Healthbase hip resurfacing patients who have received treatment at Wockhard Hospitals.

Today, the best and top hip resurfacing surgeons in the world are based in India. Examples of these world acclaimed surgeons are:

• Dr. Vijay Bose
• Dr. Kaushal Malhan
• Dr. Yash Gulati
• Dr. Sanjiv KS Marya

Click the links above to learn more about them.

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Call 1-888-691-4584 or visit Healthbase to find out the cost of hip resurfacing in India or to find out the cost of any other procedure. Alternatively, please provide the following information in the comment box below and hit the “Submit” button:

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COST OF HIP RESURFACING SURGERY

The cost of Birmingham Hip Resurfacing surgery in the United States is estimated at about $48,000*. Based on the terms of your health insurance policy, it may or may not be covered by your insurance plan.

Healthbase offers a large network of partner hospitals that offer the best Hip Resurfacing surgery abroad at an affordable price. For example,

• Birmingham Hip Resurfacing in India costs only about $7,000* at a JCI accredited hospital.
• The cost of Birmingham Resurfacing in Thailand is about $10,000*.
• The cost of Hip Resurfacing in Singapore is about $14,000*.

Contact Healthbase to request cost comparison of hip resurfacing surgery in various other countries.

* Note: The above costs are for rough planning purposes only. The actual costs may vary depending upon your specific medical conditions, currency fluctuations or due to any other reasons. Please register or log in to Healthbase to get a FREE personalized price estimate. Alternatively, provide the following information in the comment box below and hit the “Submit” button:

• *Name
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HIP RESURFACING DOCTORS

Some of the more acclaimed hip resurfacing surgeons are:

• Dr. Vijay C. Bose
  Dr. Bose is one of the most experienced hip resurfacing surgeons in India. He has performed:
  • 1000+ Hip Resurfacing operations on patients from India, USA, Canada, Singapore and UK and have the largest series of hip resurfacings for AVN, coxa vara & Ankylosing spondylitis in the world.
  • The youngest patient to undergo Hip Resurfacing by Dr.Bose is 14 years old. The oldest male patient was 73 years old and the oldest female patient 70 years old.
  • 550+ Total Hip Replacements
  • 500+ Total Knee Replacements

  Full bio of Dr. Vijay Bose

• Dr. Kaushal Malhan
  Dr. Malhan is a hip resurfacing surgeon in India. Dr. Kaushal Malhan who specializes in knee, hip and shoulder surgeries, pioneered and popularized hip resurfacing surgery in India. Dr. Malhan has performed the highest number of Birmingham hip resurfacings in Mumbai, India. Recently, Dr. Malhan was selected from amongst India’s joint replacement and resurfacing surgeons to lecture on hip resurfacing for an audience of North American doctors.
  Full bio of Dr. Kaushal Malhan

• Dr. Koen de Smet
  Dr. de Smet is a hip resurfacing surgeon in Belgium. His subspecialties include:
  • Hip resurfacing
  • Primary and revision hip surgery
  • Open dislocations of hip, Ganz osteotomy of the hip

  Full bio of Dr. Koen de Smet

RELATED LINKS

• More hip resurfacing doctors
• Hip resurfacing surgery cost

GET FREE QUOTE FOR SURGERY
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HIP RESURFACING SURGERY ABROAD

The Birmingham Hip Resurfacing implant has been in use around the world since 1997 and has since been implanted more than 60,000 times. Hip resurfacing has been practiced in countries such as India, Belgium, Singapore, Thailand, etc. for many years but is new to the United States, where it was approved for use by the Food and Drug Administration (FDA) in only May 2006. As a novel procedure, it demands an experienced surgeon who can thoroughly understand the responsibility of performing hip resurfacing on young active patients.

Not just that, the cost of the surgery overseas is many times less compared to the US making Hip Resurfacing in India or Hip Resurfacing in Belgium or Turkey or in other low labor cost countries more affordable and attractive than in the US.

Check out medical tourism for hip resurfacing surgery overseas for more information on the cost and quality of this hip procedure as is practiced abroad.

GET FREE QUOTE FOR SURGERY
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• *Name
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HIP RESURFACING PATIENT STORIES

Following are the stories of some of the hundreds of Healthbase patients who have had their Hip Resurfacing Surgery overseas:

Kathie T – Birmingham Hip Resurfacing Surgery in India

Carol W – Birmingham Hip Resurfacing Surgery in India

Richard P – Bilateral Birmingham Hip Resurfacing Surgery in India

RELATED LINKS

• More hip resurfacing patient testimonials
• News coverage of Healthbase hip resurfacing patients
• Hip resurfacing cost
• Medical Tourism

GET FREE QUOTE FOR SURGERY
To request a FREE quote for any procedure please provide the following information in the comment box below and hit the “Submit” button:

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HIP RESURFACING IMPLANT MANUFACTURERS

The following device manufacturers make the hip resurfacing implant:

• Smith & Nephew
  Implant: Birmingham Hip Resurfacing system BHR
• Johnson & Johnson
  Implant: DEPUY ASR Articular Surface Replacement
• Wright Medical Technology
  Implant: CONSERVE hip resurfacing implant
• Corin Group (Stryker)
  Implant: Cormet Hip Resurfacing System
• Biomet
  Implant: ReCap Femoral Resurfacing Head
• Zimmer
  Implant: Durom Hip Resurfacing implant
• Finsbury
  Implant: ADEPT Resurfacing Hip
• International Orthopaedics
  Implant: ICON Hip Resurfacing Implant

RELATED LINKS

• See a full review of these hip resurfacing implants and their manufacturers
• Medical Tourism
• Hip resurfacing surgeons

GET FREE QUOTE FOR SURGERY
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• *Name
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DIFFERENCE BETWEEN HIP RESURFACING AND HIP REPLACEMENT

1. Hip Resurfacing or Birmingham Hip Resurfacing (BHR) is a bone-conserving implant. BHR procedure removes only the unhealthy bone and replaces it with a metal on metal articulation while in Total Hip Replacement (THR), a long metal component is fixed into the femur (thigh bone) which articulates with a polyethylene cup cemented into the pelvis. THR also sacrifices a large quantity of normal bone.
2. Hip resurfacing is a technique invented specifically for younger patients with hip problems. Conventional Total hip replacement, while being a good option for an elderly person (above 70 yrs) is a poor choice for young patients as it will fail rapidly.
3. BHR uses metal on metal hip joints which have been shown to be significantly more wear resistant than the traditional metal on plastic hip joints used in total hip replacement surgery.
4. The femoral head in BHR closely matches the size of natural femoral head and is substantially larger than the femoral head of a total hip replacement. This leads to greater stability in the new BHR joint.
   BHR patients can indulge in full sporting activities without the risk of dislocation. However, in THR the range of movement is restricted as the risk of dislocation is higher.
5. In BHR, preservation of bone stock at the time of operation and less stress shielding makes it easy to revise the surgery, if needed. Whereas, by its very nature, revision surgeries in THR are difficult.
6. The long metal component used in THR may cause alteration in the leg length which is not the case in BHR.
7. Rehabilitation is much faster in BHR than in THR.
8. BHR can be done by a minimally invasive approach and the invasion can be kept to less than 10cms. The operation also involves minimal damage to bone.

ADVANTAGES OF HIP RESURFACING

1. No plastic (polyethylene) is used like in conventional hip replacement. Since an anatomical sized ‘metal on metal’ bearing is used it lasts for a very long time, manifold that of conventional hip replacement. The anatomy and bio-mechanics after resurfacing mimic a normal hip very closely.
2. Post operatively, patients are encouraged to be very active and must play some sport, swim, etc. No activity is restricted including sitting on the floor, crossing legs etc.
3. The polyethylene ‘wear particles’ do not damage the surrounding bone like in conventional hip replacement and the quality of bone actually improves with time after hip resurfacing. This makes a revision solution (if at all needed) very straight forward in a hip resurfacing surgery.
4. The patient is usually made to walk full weight bearing the day after the operation and is usually discharged from the hospital at about 5- 6 days from the operation. They can resume any work at 3 weeks from operation and sport is started 6 weeks from operation.

RELATED LINKS

• Hip resurfacing surgery details
• Cost of hip resurfacing surgery
• Medical tourism for hip resurfacing surgery

GET FREE QUOTE FOR SURGERY
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WHAT IS HIP RESURFACING SURGERY?
Let’s start by understanding the anatomy of the human hip.

The normal hip joint consists of a ball rotating inside a socket. The ball is called the head of the femur and the socket in the pelvis is called the acetabulum. The surface of the femoral head and the acetabulum (i.e. the ball and the socket) is covered by a protective layer of cartilage. This makes the joint smooth and reduces friction during movements. It covers and protects the bone like the rubber of a car tyre.

Any condition that damages the cartilage will lead to pain, dysfunction and eventually arthritis. Cartilage can get damaged due to a number of reasons including:

• Injury
• Infection
• Ankylosing Spondylitis
• Avascular Necrosis (loss of blood supply to bone)
• Rheumatoid Arthritis
• Osteoarthritis (OA)
• Developmental problem like bone Dysplasias (Developmental Dysplasia of the Hip or DDH)
• Slipped upper femoral epiphyses
• Avascular Necrosis (AVN)
• Inflammatory Arthritis, etc.

Hip resurfacing (also known as hip resurfacing surgery, Birmingham hip resurfacing, Birmingham hip resurfacing surgery, BHR, Articular Surface Replacement, ASR and surface replacement arthroplasty), an orthopedic procedure, is an approach to the treatment of hip pathology. It’s a technology that replaces the worn surfaces of the hip joint with caps of high carbide cobalt chrome.

Hip Resurfacing Surgery is a bone-conserving alternative to conventional Total Hip Replacement (THR). In a hip resurfacing, the head, neck and femur bone are preserved in an effort to facilitate future surgery should it be necessary and to enable the patient to take advantage of newer technology or treatments in the future.

BENEFITS OF HIP RESURFACING SURGERY

1. More of the natural bone is preserved
2. A resurfaced is similar to the natural hip joint resulting in increased stability, flexibility and range of motion
3. The risk of dislocation is virtually eliminated
4. Higher activity levels can be achieved with less risk

Birmingham Hip Resurfacing (BHR) is an alternative to Total Hip Replacement (THR) in younger and more active patients. Typically, physically active patients, under 65 years of age who suffer from hip arthritis, hip dysplasia, avascular necrosis of the hip or inflammatory arthritis are candidates for BHR. Patients over the age of 65 can also benefit from BHR if their bone quality is strong enough to support the implant. You must discuss your suitability for hip resurfacing with an orthopedic surgeon.

HIP RESURFACING PROCEDURE DETAILS
After making incisions into the skin, the surgeon approaches the hip joint and prepares the bone for resurfacing using specialized instruments. He prepares the head of the femur to receive the resurfacing component. The socket is then shaped to accept the new resurfacing cup. Then the socket is inserted in a position to give stability to the hip, and allow the bone to grow around it. This encourages long-term security in the newly refinished hip joint. Finally, using bone cement, the resurfacing head component is fixed into position. The incisions are then closed with sutures. Watch hip resurfacing procedure video.

RELATED LINKS

• Check out medical tourism for affordable high quality hip resurfacing surgery
• Get a FREE assessment of your case and a FREE cost estimate for hip surgery by providers on Healthbase network

GET FREE QUOTE FOR SURGERY
To request a FREE quote for any procedure please provide the following information in the comment box below and hit the “Submit” button:

• *Name
• *Email id
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A novel form of treatment is now available in India for patients with early stage avascular necrosis of the hip. This treatment is based on regenerative medicine.

Avascular necrosis of the hip is a condition of unknown origin affecting many young and middle aged patients. Steroid intake, alcoholism, Sickle cell diseas, hypertension, decompression sickness are some known causes. Moderate to severe disease is treated by hip resurfacing whereas core decompression is offered to the first stage of the disease. Grade II A disease is an intermediary stage between the two extremes and has no definite treatment options. There is controversy on the appropriate treatment. Hip replacement is perhaps too drastic an operation for this early stage of the disease. Core decompression has limited success rate. Left to progress it leads to deterioration and hip arthritis.

For this stage, a biolgoical option is now available. This is based on the potential of stem cells to heal the avascular bone. Stem cells are drawn from the patient and cultured in the lab. A few weeks later, they are injected back into the affected portion of the femoral head along with a core decompression. In a core decompression the surgeon will drill a tunnel in the hip bone leading into the affected area. The regenerative bone cells are injected into the affected area. The bone forming cells called Osteoblasts synthesize new bone in the dead area. This leads to healing and hence a biological cure. The technique is called Ossron.
For advanced stages of the disease resulting in hip arthritis, Hip resurfacing is offered at the same center by experienced Orthopedic surgeon India

This process is avaiable in India for a reasonable cost.

E mail- drvenkat@kneeindia.com

Watch story of American patient who had a Birmingham Hip resurfacing surgery in India.

E mail-drvenkat@kneeindia.com

Susan picked me up at 11 AM, and were were back in South Orange by 12:30 PM.  I had a PB&J and took a two-hour nap.  It’s nice to be home, but I am still dog tired from hanging out in the hospital.

I just completed the new exercises that Karen, the physical therapist as the hospital, gave me. The physical stuff is relatively straight-forward. I just need to regain my strength.

More later

Sitting in a room, dressed in a hospital gown, enjoying the view of the East River and listening to Ellington, Mingus, and Roach. How bad is that?

Arrived at HSS at 7:30, checked in, checked my valuables, and now I wait.

A blog of orthopedic issues from a woman who has had a few.

About 40 of us were gathered yesterday at the Hospital for Special Surgery for a 90-minute patient education session. Only two of us were scheduled for a resurfacing. The rest were having traditional hip replacement.

Many–probably most–of the patients were not resurfacing candidates, given their age and physical condition. But there were several younger patients who seemed eligible.

Resurfacing, I guess,  is still a niche.

Just back from nearly a full day of patient education, extraction of bodily fluids, X-rays, and EKGs at the Hospital for Special Surgery and a nearby doctor.

The hospital has its act together,  moving patients swiftly through a series of visits to labs, class rooms, and doctor’s offices.

Any idea of how much a private room goes for? Something like $800, $900 for a river view.  For an extra $800, you get a private nurse, too. Only in New York.

So far, the glide path is smooth for surgery on Monday. On Friday afternoon, I find out what time to show up. On Sunday, I alter my diet slightly and have a you-know-what. On Monday, it’s show time.

One tremendous advantage of revision surgeries, which is not talked about all that much, is the absence of the range of motion restrictions for six to eight weeks. People mention it, but I had not realized how limiting it can be to avoid internal rotations and 90-degree bends. It must be a real pain to put your socks and shoes on with those restrictions in place.

It is hard to get excited by surgery, but I do feel relieved that I can count almost count down to the big day with just one hand.

I started this blog to record my recovery from hip resurfacing surgery. But with nearly two weeks to go before the surgery, I am sort of stalled. So here’s a blog post from somebody who has been through surgery and is ecstatic with the results. It provides a hefty counterweight to some of the links to posts by surgeons who are not fans of the procedure.

The blog is named “Hummers and Cigarettes: Addressing the Quirky Inconsistencies and Double Standards of Today’s Society.” Gotta love the attitude there.

I am on prisoner’s time, counting the days not until my release but until surgery. Twelve days to go.  Not much to do but wait. I have been forcing myself to go to Aikido, and I have lost nearly ten pounds in the last two weeks, figuring that it is better to approach surgery in shape and at a good weight than not.

A talk-show interview with Floyd Landis, 2006 Tour de France winner whose medal was eventually stripped, and Dr. James Pritchett, a long-time proponent of resurfacing.

I am not a big fan of delving into the research into hip resurfacing. In 13 days, I will be operated on by Dr. Su, who is one of the leading practitioners of the surgery, and I trust him.

I do, however, glance at the research, and this piece caught my eye because it was written by surgeons who have been resurfacing for a long time.

Simply stated, their conclusion is encouraging for patients of experienced surgeons: “Hip resurfacing using a metal-on-metal articulation with a stemmed femoral component is a durable and successful procedure. It is technically demanding.”

A good overview of the benefits of risks and benefits of hip resurfacing, from my alma mater.

Another general piece from an unexpected source–the Saturday Evening Post. Who knew it was still around?

The pre-operation letter arrived today. Monday, October 26, is the day for pre-admission screening, patient education, and a physical exam. All good. The only downside is I found out that I won’t know until the day before surgery, when I am supposed to receive a call between 1 and 7 pm, what time to show up at the hospital. Don’t you think a little more than 12-16 hours notice is called for? I guess not.

My limp seems to get worse each week.  I  managed to practice Aikido a few times this week, but don’t think that I have many days left. I can’t do forward rolls and have trouble getting off the mat.

We have two cars that collectively have 320,000 miles. I don’t think my hip is far behind. Time to replace the worn-out parts.

Patients have impressions of hip resurfacing surgery that are not supported by peer-reviewed research, according to a recent study by researchers at the Mayo Clinic.

In the study, 82% felt hip resurfacing arthroplasty was a safer procedure than total hip replacement, 79% percent felt there was less soft tissue damage associated with hip resurfacing, and 80% felt they would return to their activities more quickly.

But, the study’s authors say, “there are no reasonable (prospective blinded) data to support patients’ beliefs that hip resurfacing arthroplasty has lower complication rates or will provide better functional outcomes than conventional THA.”

“It seems as though surgeons, the industry, orthopedic societies, and the media have done a relatively poor job educating the public concerning the realities of hip resurfacing arthroplasty,” the authors conclude.

I am two weeks away and do not anticipate a quicker recovery or less soft-tissue damage from hip resurfacing. I am happy, however, that Dr. Su will not be sawing off the top of my femur. I want to keep as much bone as possible. That is my lay reason for getting a resurfacing,  rather than a replacement.

How much time do most people take off from work? My colleague Gerry was back at work, from the comfort of his living room, in a few days.  Others spend many weeks away from work. The topic is active on the surfachippy message board. Many patients caution against doing too much too soon.

I too can easily work from home, so I hope that I can at least start working a few hours a day relatively quickly and gradually pick up my pace. I am not sure whether that means days or weeks. I am just fortunate that my job is not physically taxing and that I have a flexible working arrangement.

I hopped on the scale a week ago–four weeks before my surgery–and decided it was time to lose weight prior to the big day. Over the past several months, as the level of hip pain increased, so has my weight. My experience has been that losing weight is the best “cure” for arthritis. Less pain=less pain=greater desire to stay active.

Last Tuesday, I weighed in at 188, below my heaviest weight of 196 eight or nine years ago, but far above the 170-172 range in which I feel most comfortable. Over the past week, I have lost almost seven pounds–not bad. I am hoping that I can lose ten pounds or so in the next three weeks so that I will not be carrying around extra weight during recovery.