Hip Resurfacing Surgery in Tunisia

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 Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? 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.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
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 Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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