In India, Hip dysplasia is typically Developmental Dysplasia of the Hip (DDH)- the malformation of the hip joint (ball-and-socket). The socket can be shallow and the thigh bone could slip out of position partially or completely out of position.
Prevalence in India
The incidence of the disease is reported as a wide range in India based on the study and screening procedures.
It has been estimated that there are between 1-9 cases in every 1000 births.
Other studies have given a 0-2.6 per 1000 as true DDH following follow up examinations.
In general, the disease is under-diagnosed in India, which is primarily explained by the lack of routine screening.
Why it is a concern in India
Late diagnosis is one of the major problems.
India, a large number of children only end up being diagnosed after 1-2 years old rather than in infancy.
Such a diagnosis at an older age can result in:
Limping
Unequal leg length
Chronic hip pain
Early hip arthritis
Requirement of complex surgeries or hip replacement in the adult life.
Possible treatments
The treatment depends in terms of age and severity. For infants
Pavlik harness (brace) to maintain the position of the hip.
In many cases, treatment is effective when discovered in time.
For older children
Closed or open reduction surgery.
Hip reconstruction surgery.
For adults
Osteotomy (re-surgery of bones surgery)
Complete hip replacement in serious ones.
Hip dysplasia surgery in India
Types
Periacetabular Osteotomy
Common for young adults
The surgeons excise and readjust the hip socket to a better position to cover the femoral head.
Helps retain the natural hip joint.
Open or Closed Reduction (mostly in children)
Hip is reinserted back into the socket.
This may be accompanied with a body cast a few weeks.
Hip Replacement Surgery
It is used in case the hip joint is extremely damaged.
Artificial implants are put in place of the damaged ball and socket.
Types include:
Total hip replacement
Partial hip replacement
Minimally invasive hip replacement.
Robotic aided hip replacement.
Post Surgery Recovery
Hospital stays: 3–7 days
Ambulation with assistance: in few days or weeks.
Physiotherapy: 4–12 weeks
Complete recovery: 3-6 months depending on the type of surgery.
Factors Affecting Hip dysplasia treatment cost in India
The cost of treating hip dysplasia or surgery in India depends on several medical, hospital as well as patient related factors. The overall cost is very diverse since each patient has a different treatment plan.
The key issues that influence the cost of hip dysplasia treatment in India are listed below:
Type and Complexity of Surgery
The kind of procedure that is needed is one of the largest expenditure factors.
Less severe means might require physiotherapy or braces.
Mid-range cases could be treated by osteotomy.
Cases that are severe might require replacement of the total hip.
Surgeries that are more complicated take more time of operation, more sophisticated machinery and specialized care which is costly.
Hospital Type and Location
The cost in private or corporate hospitals normally tends to be high as a result of facilities and infrastructure.
Smaller cities have cheaper hospitals than the metro cities.
Experience and Expertise of Surgeon
After long experience or being a specialist with hip reconstruction, orthopedic surgeons might charge more professional fees due to their experience and reputation.
Diagnostic Procedures and Pre-Operative Assessment
Prior to surgery, the following investigations are performed to evaluate the disease:
X-ray
MRI
CT scan
Blood tests
Such investigations are increasing up to the overall cost of treatment.
Kind of Implant or Prosthesis
When it comes to operations such as a hip replacement, the cost of the implants and their material and quality play a major role in determining the cost.
Examples include:
Titanium implants
Ceramic implants
Metal-on-polyethylene implants
More expensive implants are higher or imported.
Length of Hospital Stay
Increased cost associated with long (of complicated surgery or complication) hospitalization includes:
Room charges
Nursing care
Medicines and monitoring.
After Surgery: Care and Rehabilitation
Patients normally need:
Physiotherapy
Follow-up consultations
Pain medication
Rehabilitation programs
Lengthy recovery may add a lot of money to the total.
Age and Good Health of Patient
The elderly patients or other medical conditions may require:
additional tests
specialized care
longer recovery
This may increase the cost of treatment.
Best hospitals for hip dysplasia treatment in India
Hip dysplasia is a serious orthopedic disorder which impacts on the correct development and functionality of the hip joint. In India, the disease has a high tendency to be underdiagnosed at an initial stage, causing such complications as pain, lack of mobility, and early arthritis, in case of untimely treatment. The prompt identification with the help of appropriate screening and early medical intervention is an important aspect to enhance the outcomes of the treatment. There are a number of treatment modalities in India, starting with the non-surgical treatment in infants to corrective surgeries and hip replacement surgeries in severe cases. The price of treatment depends on a number of factors such as the kind of surgery, hospital facilities, expertise of the surgeon, diagnostic procedures, implants on use, and after surgery. In general, India has the potential to provide effective and rather cheap treatment of hip dysplasia with the development of medical equipment and qualified orthopedic specialists. Raising awareness, early diagnosis, and proper treatment can make the quality of life of patients greatly improved and avoid prolonged complications.
Hip Dysplasia in India with GetWellGo
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Fair costs.
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Medical E-visas
Online consultation from recognized Indian experts.
Help in identifying India's best hospitals for Hip Dysplasia.
Expert orthopedic surgeons with high success rate and experience.
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