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Hip Resurfacing India - Patients Guide

Prepared by Dr. Vijay C Bose and Team

The anesthetist will be seeing you the day prior to the surgery, or earlier if required. Usually a general anesthetic is preferred for BHR due a variety of technical reasons. After the surgery, the patient will be in the recovery room for about 3 hours after which he will be shifted to the wards.

Strict adherence of instructions regarding visitors is mandatory. Only one person who will be known as the primary attendant is allowed inside the patients room.
Should the patient have any other visitor, the primary attendant will come outside the room to speak to them. The patients family must actively discourage visitors for the first 3 post-op days. Only the patient is permitted to eat inside the room.
It is preferable to take only liquids on the day of surgery and progress to a normal diet the following morning. The medical team will give instructions on ankle pump exercises. A sterile towel is kept between the dressing and the bed sheet.

1st post-op day

The intravenous fluids are discontinued if patient is taking orally. For the first 48 hours following any surgery; pain is common due to the cutting of tissues. For this pain powerful (narcotic analgesics eg. Tramadol is given). The patient can request the nurse for these injections. These medicines also cause slight dizziness. If the patient feels comfortable, he can start walking with a walker on the first post-op day. If dizzy due to medications, the walking is postponed to the next day. The patient has to do deep breathing exercises, Static quadriceps and gluteal contraction exercises. The last dose of narcotics are given for this night.

2nd post-op day

Usually non-narcotic pain medication like inj. Diclofenac is given on the morning and blood sample taken for hemoglobin estimation. Drains are removed and the wound inspected. Last dose of antibiotic is given and the I/V cannula removed. All medications are changed to the oral formulations. Typically the following are given:

  • Iron & vit preparation
  • chymerol forte
  • oral painkillers like proxyvon and gastro protective agents like pantaprazole

Patient is also fitted with a pair of below knee Ted Stockings. Some patients will receive blood-thinning injections if indicated.
Patient walks with the help of a walker with the assistance of a physiotherapist for short distances. Patient goes to the x-ray dept for check x-rays. One can start lying on the un-operated side with a pillow in-between the thighs (not knees or legs).

Day 3

Patient can walk for longer distances as comfortable. The patient can also start sitting in a chair with a pillow height. It is important to keep in mind that the capacity of recovery following surgery is very different among individuals. Therefore these milestones are only guidelines and variability is common. Patient continues the exercise programme in bed as per the instruction booklet.

Day 4

Dressing are done again and sticker type dressing ( Curapor or Surgiwear) is done if there is no wound ooze. Patient can start to use the western type toilet and wear normal clothes that are comfortable like pyjamas, lungi, dhoti or baggy shorts. If the surgeon permits a shower is possible with a special (surgiwear swimproof) dressing applied for this purpose From this point on the mobilization programme is variable for each individual patient. In principle they progress to elbow crutches when the phsyio deems fit.

Day 5

Once they can climb stairs with the help of elbow crutches, they are ready for discharge.
Usually the patient is fit to travel by car taking the front seat. The sitting is accomplished by first sitting on the car seat with the feet on the road and then lifting each leg individually into the car

Patient from abroad or those who need to take a flight back

Plesae keep the following points in mind during the flight:
  • To carry a bottle of water to ensure adequate intake of fluids
  • Compulsory wearing of TED stockings during the flight.
  • Requesting an aisle seat and taking a few steps in the corridor every half hour
  • To do the ankle pump exercises when seated

At home

At home they walk with a pair of crutches usually for about 10-15 days and when completely comfortable discard the crutch on the side of the operation first. Then when the other crutch is also felt unnecessary, this is also discarded. Walking, climbing stairs or cycling can be done for long periods of time. Patient reports back to the hospital at about 12 days for removal of skin clips. Outstation patients can get this removed by a doctor locally. A letter to this regard will be given at the time of discharge. The next follow up visit is at 6 weeks when a check x-ray is repeated. Outstation patient can do this locally and post the x-ray to the doctor. A request for this is also given at the time of discharge. The subsequent compulsory visit to the doctor is at 6 months post-op.

Post-op restrictions in Birmingham Hip Resurfacing

There is no post-op restrictions after a Hip Resurfacing operation and the patient can use it as a normal hip. However the soft tissues around the hip joint, which were contracted at the time of the hip disease, will take time to relax following the excellent movement that has been restored in the hip. Hence if there is pain while attempting a certain activity like sitting on the floor, it implies the patient is not yet ready for that particular activity. One can give a gap of about a week and then try it again. Like wise the activity level improves in a stepwise manner till the soft tissues also become normal. Patient is ready for sports (inclusive of contact sport) at about 3 months post-op.

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Healthbase, an award-winning* medical tourism facilitator in USA, is the trusted source for global medical and dental choices, connecting patients to leading healthcare facilities worldwide. We arrange a variety of medical tourism services from basic consultations to full service treatment abroad. We help you to take care of all your medical tourism details from arranging the surgery and financing options to visas, travel, lodging and tourism.

Healthbase caters to the needs of individual consumers, self-funded businesses, insurance carriers, benefit consultants, insurance agents, and third party administrators seeking affordable medical travel and dental travel options. Our state-of-the-art, easy to use, information rich web-based system makes it easy to coordinate international medical care including necessary travel and accommodation for patients and their companions, all at one place.

The cost of surgical care at our ever growing network of affiliated institutions is typically a fraction of the cost of care in the U.S. with equal or superior outcomes. Healthbase arranges first class services for patients at major internationally accredited hospitals in Thailand, India, Singapore, Malaysia, Philippines, South Korea, Turkey, Belgium, Hungary, Costa Rica, Panama, Brazil, Mexico, USA and is expanding to Canada, UK, Jordan,Taiwan, Argentina, New Zealand, Australia, El Salvador and Guatemala.

We offer over two hundred medical, dental and cosmetic procedures in various categories: Orthopedic procedures such as hip replacement, Birmingham hip resurfacing, artificial knee replacement, rotator cuff repair, knee surgery; Cardiac and Vascular procedures like heart bypass (multiple coronary artery bypass graft or CABG), aortic aneurysm repair, heart valve repair, heat valve replacement, angioplasty, RF Ablation; Spinal procedures such as spine fusion, laminectomy, disc replacement; Weight-loss procedures like gastric bypass, lap band, gastric sleeve; Eye procedures like LASIK; Cosmetic and Plastic surgery procedures such as breast augmentation, face lift, rhinoplasty (nose surgery), liposuction; Dental procedures such as orthognathic surgery, dental bridges, dental implants, dental crowns; dental veneers; and hundreds of other procedures in the departments of Urology, General surgery, Wellness and many more. The savings are up to 80% of typical US hospital prices.

Medical Tourism, also termed as Medical Travel, Health Travel, Health Tourism, Global Healthcare, Medical Vacation, Medical Value Travel, Medical Treatment Abroad, International Medical, Surgical Tourism, Surgery Abroad, Surgical Trip, Healthcare Abroad, Medical Outsourcing, offshore Medical and Overseas Medical, is the act of traveling abroad to receive medical, dental and cosmetic care. Significantly lower cost for best practice care is usually the primary motivation behind medical tourism although some medical tourists go abroad for immediate availability of procedures and to seek treatments that are not available in their home country. Patients frequently also take advantage of the opportunity to vacation and tour inexpensively in the foreign country while they are visiting for health care. Signup to know more about medical or dental tourism.

* - Awarded the "Best Website for Accessing International Medical Information for Patients/Consumers" by Consumer Health World 2007.


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