Hip Resurfacing Surgery in Thailand

Hip resurfacing surgery is highly recommended to candidates diagnosed with advanced hip arthritis. However, the procedure is only preferred to the individuals who do not require complete replacement of the femoral head along with the bone. As opposed to THR or total hip replacement surgery, hip resurfacing keeps the femoral head intact and implements a modified approach to provide a cure. The procedures are suggested to suitable candidates who shall respond better without a complete replacement. The success rates for hip resurfacing surgery varies from 86% to 93% for 8-10 years. The longevity of the procedure also depends on the type of implant used across the world. 

What is Hip Resurfacing Surgery?

Hip arthritis often results in bone degeneration and cartilage damage, owing to which, resurfacing surgeries are highly implemented. The procedure provides umpteenth relief to candidates struggling with extreme pain, inflammation and partial or complete immobility. The procedure involves fixing a metal cap on the head of the femoral bone which is complimented with a cup shaped metal prosthesis affixed at the acetabular cavity. The femoral head is polished for ensuring a smooth surface in order to reduce friction between the bone and the metal cap. The metal used, in general, is an alloy of cobalt and chrome, which ensures guaranteed longevity to the candidates. 

Ideal Candidate for Hip Resurfacing Surgery

Hip resurfacing surgery is considered one of the better alternatives to complete replacement surgeries for suitable candidates. However, the candidate should:

  • Be suffering from progressive stage osteoarthritis 
  • Is young and has difficulty in continuing with the daily activities
  • Has strong and healthy bone density as well as structure
  • Be unresponsive to other conservative treatment options available.

Factors Affecting the Cost of Hip Resurfacing Surgery

The cost of hip resurfacing surgery varies from $5,500 to $28,000. The cost mostly depends on the country from where the procedure is being availed. Hence, determining factors for hip resurfacing cost are:

  • Type of metal used
  • Experience and proficiency of the surgeon performing the procedure
  • Healthcare facilities availed
  • Complexities, if any
Treatment and Cost

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About the Hip Resurfacing Surgery

Birmingham hip resurfacing surgery is an alternative to the total hip replacement surgery, which is indicated in patients with advanced arthritis of the hip. The latter could be performed as an anterior hip replacement or posterior hip replacement.

Both hip resurfacing and total hip replacement procedures are, in a way, a form of hip replacement. In Birmingham hip resurfacing surgery, the femoral head of the bone is not removed.

Instead, it is trimmed and capped with a metal covering and the damaged bone is replaced with a metal cup. In total hip replacement surgery (anterior hip replacement and posterior hip replacement), the femoral head and neck of the bone are removed and replaced with a metal ball and a metal stem.

Conditions that are treated with hip resurfacing

  • Arthritis
  • Fracture
  • Increased stress to the bones because of obesity (overuse of the bones)
  • Congenital abnormalities
  • Necrosis (loss of blood supply)

Best Candidates For Birmingham Hip Resurfacing Surgery

Patients with advanced arthritis of the hip are recommended to undergo hip resurfacing surgery. Hip resurfacing is not suitable for all patients. Patients below 60 years who have strong healthy bones are allowed to undergo hip resurfacing surgery. Patients with femoral neck cysts, severe bone loss, and osteoporosis are not suitable for this procedure.

How is Hip Resurfacing Surgery performed?

  • Hip resurfacing surgery takes around two to three hours to complete. First, a general or a spinal anaesthesia is administered. The surgical site is then cleaned with an antiseptic liquid.
  • The surgeon makes an incision in the thigh to reach the hip joint. The femoral head is dislocated from the joint and then trimmed with the help of specialized instruments. After the femoral head is trimmed, the metal cap is inserted on to the femoral head. A special instrument called reamer is used to remove the cartilage lining the socket and a metal cup is fixed.
  • After fixing the metal cup, femoral head (metal head) is relocated into the joint. The incision is then closed and the patient is closely monitored until he or she is recovering from anaesthesia.

Recovery from Hip Resurfacing Surgery

  1. Hip resurfacing recovery rate varies from one patient to another. Typically, a patient is required to stay in the hospital for at least three to seven days. The hospital stay depends on the extent of pain that the patient experiences and the overall general health.
  2. Intravenous fluids and pain medications are administered to the patient during hospitalization days. A physical therapist guides the patient about the exercises that he or she must perform every day for quick healing and recovery.
  3. Sitting and walking is usually permitted by the physician, depending on the condition of the patient. The patient is required to walk with the help of crutches for at least two weeks after discharge. To keep hip resurfacing recovery under check, the patient must see the physician as per the follow-up schedule.
  4. The combined movement of bending of the hip and turning of the foot should be avoided as it may cause dislocation of the joint. A pillow should be placed between the legs while sleeping for at least four weeks after the surgery and crossing of the legs should be completely avoided.
  5. Elevated toilet seats should be used to reduce the discomfort. The wound should be kept clean and dry to reduce the risk of infection. Excess drainage, redness, swelling, and fever should be reported immediately to the physician.

Pros

  • Decreased bone damage and osteolysis (erosion of bone)
  • Decreased chances of bone dislocation as the size of the metal ball is nearly equal to the size of the natural femoral head
  • Revision surgery or exchange of implant is easier as less bone is removed
  • The walking pattern of the patient after surgery seems natural when compared with the walking pattern of the patient who undergoes total hip replacement surgery
  • The activity level after resurfacing is higher as compared to total hip replacement surgery

Cons                                       

  • Risk of femoral neck fracture
  • Loosening of the metal implants
  • Risk of pain and swelling due to allergic reaction to metal ions

Hip Resurfacing Complications

  • Infection: The infection can be prevented by keeping the wound clean and dry.
  • Blood clots (deep vein thrombosis): Deep vein thrombosis can be prevented by performing physical exercises recommended by the physiotherapist.
  • Fractures: The risk of a fracture can be prevented by avoiding careless movement causing falls.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Thailand / Why should opt for Thailand as a destination for your medical treatment
Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
What are the conditions of the hospitals in Thailand? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Are the doctors/surgeons in Thailand of the best quality?
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
What is the process for obtaining a medical visa in Thailand?
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
What support services does MediGence provide in Thailand?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Thailand for medical treatment?
Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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