Hip replacement surgery is the treatment method for curing painful hip joints. With increased cases of joint diseases and accidents throughout the world, hip replacement demand has increased rapidly. When a hip is damaged due to diseases like arthritis or fractures, normal activities like standing up and walking become very painful. With high damage, it can be impossible for the patient even to stand up. These cases require surgery of hip joints. Hip pain can result from different forms of arthritis, avascular necrosis, and childhood injuries.
Hip replacement surgery frees the patient from excruciating pain and improves ease of motion. A patient can get back to normal life with a proper rehabilitation program after the surgery. During hip replacement surgeries, doctors make an incision on the muscles of the hip (8 to 10 inches long). This incision gives them a way to damaged hip muscles. Doctors remove the damaged ball portion of the hip bone. This part is replaced with an artificial joint. The socket part is also replaced with an artificial bone socket. The artificial parts are made up of special metal alloys or high-grade plastic. Once replaced, the artificial ball and socket are attached to mimic the natural joint of the hip. Doctors also make drains to prevent any fluid formation in the joint. Recent developments have evolved hip treatment methods significantly. Technological aid allows a doctor to cut a smaller opening on the hip (2 to 5 inches). Smaller opening reduces the after surgery pain, minimizes blood loss, and makes recovery faster. Hip replacement surgery can eliminate hip pain completely or reduce it to a great extent.
Hip replacements are common in the sports industry. Old people suffering through severe arthritis are also common recipients of hip transplants. Hip replacement surgeries are performed throughout the world. There are global destinations for orthopedic treatments that perform hip replacement surgeries with a high success rate. South Africa has evolved a medical tourism hub in the last few decades. Orthopedic treatments in South Africa are famous worldwide. With medical world records in its name, the country is home to many renowned pioneers in the transplant industry. The country gave the world an extensive knowledge of heart transplant by performing it first in 1967. There are other transplant records of South Africa like first penile transplant and first 3D printed bone transplant. All these records have put the country on the World Map as one of the best Transplant locations.
Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:
The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.
The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.
There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.
Patients who experience the following symptoms are recommended to undergo bilateral hip replacement surgery:
The surgeon may decide to operate both the side of the hips in a single surgery or they may schedule two different surgeries with a gap in between them. The surgical approach that the hip replacement surgeon chooses before the procedure depends on the condition of the patients and the experience of the surgical team. There are two approaches that can be used to conduct the procedure – minimally invasive and open surgery.
Minimally invasive hip replacement is a relatively new procedure that allows for minimal healing and recovery time and small incisions. The open surgery, on the other hand, involves the creation of a single large incision that increased recovery and healing time. Each of these approaches has its own pros and cons.
Before the surgery, the hip replacement surgeon will give you general anesthesia or a sedative. You would receive an intravenous line in the arm or hand. The surgical area is cleaned with an antiseptic solution and an incision is made in the hip area.
The surgeon then removes the damaged part of the hip joint and replaces the joint with an artificial joint or prosthesis. The incision is closed with stitches or surgical staples and a drain is placed to remove fluid. The incision site is secured with a sterile bandage dressing.
During the procedure, the surgeon removes a part of the thigh bone including the head of the bone and replaces it with the prosthesis. The surface of the acetabulum is first roughened so that it the new socket implant can attach to it well. Usually, a majority of artificial joint components are fixed using acrylic cement. However, cementless fixation has gained a huge popularity in the last few years.
The hip replacement implants may have plastic, metallic, or ceramic components. Metal-on-plastic implants are the most commonly used for hip replacement. Ceramic-on-plastic and ceramic-on-ceramic are used in younger and more active patients. Metal-on-metal is rarely used in younger patients.
Hip replacement surgery recovery time varies from one patient to the other. The success of this surgery hugely depends on your ability to follow the instructions given by the surgeon home care during the first few weeks after the procedure.
At the time of discharge, you will still have sutures and stitched under the skin. The doctor will remove stitches approximately two weeks after the surgery. See that you do not wet the wound until it is sealed and dried. You can bandage the wound to avoid irritation from clothing or support stockings.
During the first few weeks of your surgery, make sure to perform the exercises advised by the doctor. You may experience a little discomfort during activity and at night for several weeks. You will be able to return to conduct light activities within three to six weeks after the surgery.
Pain after hip replacement surgery goes away gradually. You may be given medications to manage pain after the surgery for a few days until it goes away completely.
Hip Replacement surgeries are performed only after trying medications and physiotherapies. A person who is experiencing severe pain on the hip that cannot be treated permanently with medications and therapy is an ideal candidate for hip replacement surgery. There are no age restrictions for the surgery, and it can be performed on elderly people as well. However, patients with low immunity or chronic disease are properly treated before surgery. High blood loss is a major risk involved, so doctors conduct immunity and other physical tests to check the eligibility of a patient for hip replacement surgery.
Getting surgery in South Africa will involve additional travel and accommodation costs that might differ for various airlines and datelines. These factors should be considered while deciding the budget for the treatment. If the budget is not tight, then South Africa is a good option.
The average costs of hip replacement surgeries are lower than most of the developed nations of the world. You can expect to get surgery at around 8000 USD. These costs can go as high as 15,000 USD when choosing the best hospitals in the country. Small clinics and some public hospitals can provide treatment at less than 8000 USD. The quality of treatment is good throughout the country due to high competition between hospitals and clinics.
Hip replacement surgery requires technological availability. The quality of transplant material and the experience of orthopedic in hip replacement field matters for having good results. South Africa has the availability of all these features under the same roof. Different hospitals provide standard treatments with a high success guarantee. The hospitals are highly experienced in handling international patients. They have bilingual facilities and limited accommodation availability for foreign medical tourists. The medical proficiency of South African hospitals is constantly developing. You can benefit from the varied range of hospitals to provide the best services in South Africa.
The Orthopaedic hospitals in the country have a great treatment record in every field. South Africa has an average success rate of over 90% in hip replacement surgeries. Hip replacement surgeries have low risks involved. The country’s success rate is equal to the global success rate of these surgeries.
South Africa is home to some of the best hospitals for hip replacement surgeries in the world. These hospitals have a constant footfall of international patients. One such hospital is the Netcare Hospital group. This hospital has expertise in all kinds of orthopedic treatments. The institute is not limited to orthopedic services. It provides treatments of heart, lung, and liver diseases among many others. Nelson Mandela Academic Hospital is also a good hospital providing cheap hip replacement surgeries.
Dr. Jan D. Joubert is the national leader in hip replacement surgeries. He has performed more than 1800 hip replacement surgeries in the country. He is known for his authentic minimally invasive hip replacement method (AMIS) and works with Medacta International Hospital in Cape Town and Stellenbosch. Dr. Hennie Bosch is another honorable mention because of his deep knowledge and huge experience in the field.
The costs of the treatment depend upon the quality of the services the hospital provides. Hospitals involve the after surgery care and accommodation charges in the package. The costs also depend largely on the material of hip transplants. Good quality transplants can function smoothly for 20 years or more. The costs of the treatment also vary with a change in ownership of hospitals. Governments provide subsidized rates in the Public sector for providing standard treatments to all classes of society.
The popular multispecialty hospital groups in South Africa are:
The performance of these hospitals have been evaluated on the below parameters:
The government of South Africa has strict healthcare regulations in place which all hospitals need to follow to ensure quality treatment. The hospitals have world-class doctors and top-notch infrastructure and provide a wide range of facilities to meet the needs of patients.
The hospitals in South Africa receive accreditation from Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA). To ensure that integrated and coordinated care is provided, COHSASA develops as well as measures standards in all areas and departments of a healthcare facility. The SafeCare program launched by COHSASA, JCI, and SafeCare Foundation ensures the implementation of internationally recognized standards to improve health care delivery. Clinics and Hospitals that comply with standards are initially given two-year accreditations and this period is extended if they are consistent in providing quality care.
A large number of medical tourists visit South Africa every year due to low-cost treatment and modern infrastructure. South Africa’s growing popularity in medical tourism is also attributed to factors like a large pool of accredited hospitals, advanced technology, world-class facilities provided by hospitals, global exposure of doctors. Liberal laws for the use of stem cells in South Africa have helped it attract a large number of medical tourists for advanced medical treatment. The hospitals in South Africa strive to take the stress out of your medical holiday by helping you with all kinds of organization and administrative tasks, as well as provide all-inclusive care and assistance on a 24/7 basis.
The doctors in South Africa strive to provide quality treatment utilizing their deep subject knowledge and hands-on experience in handling various complex cases. Many doctors in South Africa receive their training in foreign countries like Australia and Cuba which provide them global exposure and make them more competent in handling cases with high precision and accuracy. The doctors have reported a high success rate in dental procedures and fertility treatments. South Africa has world-class doctors due to several reasons like their education at reputed colleges, adherence to global standards, patient-centric approach, and incorporation of the human touch in treatment.
You can stay in South Africa for a period of 90 days under a medical visa. The extension of the stay period is decided by the High Commission.. Anyone willing to stay in the country for longer than 3 months needs to apply for a temporary residency permit. A visa becomes valid the day it is issued by the High Commission and not on the date of departure. Also, an application for a visa is not be accepted more than 30 days before departure. Below documents are required for applying for a medical visa:
Some popular procedures available in South Africa are hip replacement, anterior cruciate ligament (ACL) reconstruction, total knee replacement, meniscus repairs. Besides offering these popular procedures, South Africa also attracts many medical tourists for cosmetic surgery and infertility treatment. Egg donation program is very popular in the country and you have an option of having either a surgical or non-surgical procedure, with very low waiting times. Low-cost treatment, fast recovery, use of advanced medical technology, and highly trained doctors are some of the reasons for the popularity of these procedures.
Some popular cities of South Africa that attract a huge number of medical tourists every year are Cape Town, Johannesburg, Pretoria, and Durban. Cape Town is the medical tourism hub visited by a large number of people from different ethnicity and cultures due to world-class doctors and state-of-the-art hospitals. The reasons for the popularity of these cities are multiple food options, connectivity through airlines, and cheap accommodation. Johannesburg’s healthcare system is on par with Great Britain and the city’s public and private healthcare industry works closely with South Africa's medical schools to create internationally recognized medical specialists.
Yes, vaccination is mandatory before you travel to South Africa. Some of the vaccines recommended by WHO and the National Travel Health Network and Centre are Yellow fever, hepatitis A, rabies and tetanus, hepatitis B, typhoid, cholera. Make sure that infants of age 6 to 11 months get measles-mumps-rubella (MMR) vaccine before they travel to South Africa. It is always recommended that you get typhoid vaccination if you are going to stay with friends or relatives or visiting smaller cities or rural areas of South Africa. Vaccination guidelines change with time, so keep yourself updated with the travel advisory released by the government. You can also check with doctors or hospitals in South Africa for the required vaccines.
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