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Bipolar Hemiarthroplasty - High Success Hip Replacement

Millions of patients around the globe are experiencing improved mobility and reduced discomfort with the help of bipolar hip replacement, a revolutionary treatment for femoral neck fractures in the hip. Through this surgical procedure, one-half of the hip joint is substituted with a prosthetic designed to minimise wear and tear during movement. If you're dealing with limited hip mobility or persistent pain, don’t continue to endure it. Reach out to our skilled team at Pristyn Care today and book an appointment with a highly trained orthopedic surgeon who can guide you on your path to recovery.

Millions of patients around the globe are experiencing improved mobility and reduced discomfort ... Read More

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    Dr. Abhishek Bansal (X1TASpV05r)

    Dr. Abhishek Bansal

    MBBS, MS (Ortho), DNB- Orthopedics, M.R.C.S.
    20 Yrs.Exp.

    4.5/5

    20 Years Experience

    location icon Express Greens Plaza, GH1, 1, Sector-1, Vaishali, Ghaziabad, Uttar Pradesh 201010
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    6366-370-250
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    Dr. Pradeep Choudhary (iInTxtXANu)

    Dr. Pradeep Choudhary

    MBBS, MS-Orthopedics
    33 Yrs.Exp.

    4.8/5

    33 Years Experience

    location icon Indore
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    8527-488-190
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    Dr. Sharath Kumar Shetty (HVlM9ywqHb)

    Dr. Sharath Kumar Shetty

    MBBS, MS
    29 Yrs.Exp.

    4.8/5

    29 Years Experience

    location icon 2, Vittal Mallya Rd, Ashok Nagar, Bengaluru, Karnataka 560001
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    8527-488-190
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    Dr. Ashish M Arbat (UxCssOSBCk)

    Dr. Ashish M Arbat

    MBBS, MS-Orthopedics, M.Ch-Ortho
    25 Yrs.Exp.

    4.6/5

    25 Years Experience

    location icon 1671-75, Ganeshkhind Rd, near Hotel Pride, Narveer Tanaji Wadi, Shivajinagar, Pune, Maharashtra 411016
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What is Bipolar Hip Replacement?

A surgical procedure primarily used in the treatment of femoral neck fractures, bipolar hip replacement, also known as Bipolar Hemiarthroplasty, is proving to be a game changer in patient recovery and wellness. In this process, surgeons replace one-half of the hip joint with a specially designed prosthetic while retaining the other half. The most significant feature of a bipolar prosthesis is its two bearings that allow the head to swivel during movement. This pivotal functionality greatly reduces wear and tear on the hip joint, promoting the longevity and durability of the replacement.

This procedure provides a viable solution for those dealing with consistent and debilitating hip discomfort, offering both relief and an improved quality of life. Typically carried out by an orthopedic surgeon, bipolar hip replacement is an outpatient procedure, which means patients can usually return home on the same day post-surgery. It’s worth noting that the success rate of bipolar hip replacement is high with many patients reporting significantly improved mobility and reduced pain during recovery.

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What are the Types of Bipolar Hip Replacement?

The “bipolar” aspect refers to the dual articulation of the implant components, which allows for an increased range of motion and potentially reduces the risk of dislocation. There are two main types of bipolar hip replacement:

  1. Unipolar-Bipolar: In this design, the outer component of the prosthetic hip is attached to the femur (thigh bone), while the inner component is attached to the acetabulum (hip socket). The inner component is capable of rotating within the outer component, providing a degree of mobility. This design is often used in elderly patients with femoral neck fractures.
  2. Bipolar-Bipolar: This type of bipolar hip replacement involves dual articulation at both the femoral and acetabular sides of the implant. Both the inner and outer components of the prosthetic hip can rotate independently, allowing for an increased range of motion. Bipolar-bipolar designs are less commonly used than unipolar-bipolar designs and may be indicated in specific cases where there is a higher risk of dislocation.

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Diagnosis Before Bipolar Hip Replacement Surgery

Before commencing a bipolar hip replacement procedure to treat femoral neck fractures, it’s imperative that doctors accurately diagnose the condition. The diagnosis process typically involves the following stages:

  • Physical Examination: The doctor commences by carrying out a thorough physical examination. They will take note of symptoms like radiating pain to the knee, inability to bear weight, leg shortening, and increased hip pain during leg rotation.
  • Imaging Tests: After the physical examination, patients usually undergo imaging tests such as X-rays, Magnetic Resonance Imaging (MRI), and Computer Tomography (CT) scans. These tests help in confirming the presence of a fracture.
  • Joint Aspiration: In some cases, fluid may be aspirated from the hip joint and analyzed for signs of inflammation, infection, or other abnormalities.

What is the Procedure for Bipolar Hip Replacement?

A bipolar hip replacement is aimed at treating femoral neck fractures. The procedure involves the following steps:

  • Anaesthesia: The surgery is performed under general anaesthesia.
  • Incision: A surgeon makes an incision along the outer aspect of the thigh to gain access to the hip joint.
  • Femoral Head Removal: The damaged femoral head is removed from the hip socket (acetabulum) and detached.
  • Prosthesis Placement: The inside of the femur is hollowed out to make room for the insertion of the metal stem of the prosthesis (implant).
  • Artificial Head Attachment: An artificial prosthetic head is attached to the metal stem. This is then connected to the plastic-lined bipolar head.
  • Joint Stability Check: Before closing the incision with sutures, the surgeon ensures that there’s joint stability and adequate range of motion.

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Who is the Right Candidate for Bipolar Hip Replacement?

Determining the suitability of a patient for bipolar hip replacement essentially depends on their overall health status, severity of the injury, and response to non-surgical treatments. The following considerations typically guide a candidate’s eligibility for Bipolar Hip Replacement:

  • Severity of the Fracture: The extent of the femoral neck fracture plays a significant role in deciding if a patient is suitable for a bipolar hip replacement surgery.
  • Age and Health of the Patient: Generally, this procedure is recommended for older patients who lead less active lives. This is because total hip replacement, an alternative procedure, tends to have a longer recovery time and may not be suitable for all patients.
  • Non-Responsive to Other Treatments: Those patients who have not responded well to non-surgical treatments or less invasive surgeries might be suitable candidates for bipolar hip replacement.

What are the Benefits of Bipolar Hip Replacement?

Bipolar hip replacement is a revolutionary procedure that has transformed the way orthopaedic doctors treat advanced hip conditions. Let’s delve deeper into the numerous benefits of this surgical intervention:

  • Enhanced Stability and Reduced Dislocation Risk: The unique dual mobility design of the bipolar prosthesis significantly enhances the stability of your new hip joint and reduces the risk of dislocation, compared to traditional unipolar implants.
  • Improved Range of Motion: With a bipolar hip replacement, you can look forward to a greater freedom of movement and a more natural hip joint motion. This allows you to engage in a wider range of activities post-surgery.
  • Minimised Wear and Tear: A notable feature of bipolar prostheses is that they allow for an even distribution of forces, which in turn reduces wear and tear. This translates to improved long-term durability of your implant.
  • Preservation of Bone Structure: One important advantage is that bipolar implants have a decreased risk of causing bone loss or osteolysis. This helps to preserve your natural bone structure.

How to Prepare for Bipolar Hip Replacement?

Before receiving a bipolar hip replacement, there are several steps you’ll need to undertake:

  • Physical Examinations: Your doctor will conduct thorough physical examinations to assess your overall health condition.
  • Imaging Tests: To confirm the extent and nature of your hip damage, you’ll undergo imaging tests such as X-rays or MRI.
  • Preoperative Assessments: Prior to the surgery, your doctor will perform a series of preoperative assessments to ensure you’re fit for the operation.

What are the Recovery Tips and Precautions to Follow After Bipolar Hip Replacement?

Recovering from a bipolar hip replacement demands diligence and patience. To aid in your recovery, here are some vital tips and precautions:

  • Activity Restrictions: Avoid activities that put excessive stress on the hip joint, such as high-impact exercises, heavy lifting, or twisting motions, during the initial recovery period. Follow your surgeon’s guidance on when it’s safe to resume these activities.
  • Use Assistive Devices: Devices like crutches will be indispensable in the initial stages of your recovery, helping you move around with greater ease and safety.
  • Follow Weight-Bearing Instructions: Follow weight-bearing instructions provided by your surgeon. Initially, you may be advised to use assistive devices such as crutches or a walker to support your weight while walking. Gradually transition to full weight bearing as tolerated.
  • Follow a Physical Therapy Regimen: A structured physical therapy plan can assist in restoring mobility and joint function in a systematic and efficient manner.

Potential Risks or Complications Associated With Bipolar Hip Replacement

Every surgical procedure, including bipolar hip replacement, comes with its own set of risks and complications. These might include:

  • Blood Clots: Blood clot formation is a potential risk following any surgery, including bipolar hip replacement.
  • Infection: Though precautions are taken, post-operative infections may occur.
  • Dislocation: Despite the reduced risk with bipolar replacements, there is still a minor chance of the new hip dislocating.
  • Nerve or Vessel Injury: The surgical procedure could potentially result in nerve or blood vessel injuries.

What is the Cost of Bipolar Hip Replacement in India?

The cost of bipolar hip replacement in India varies based on several factors. Some key factors that impact the cost include:

  • Type of Implant: Different implants have different prices; therefore, the choice of implant can significantly affect the overall cost.
  • Severity of the condition: If the condition or injury that demands the need for the surgery is severe, the cost of the surgery might spike.
  • Surgeon’s Experience: Experienced surgeons usually have higher charges due to their refined skills and expertise.
  • Hospital Facilities: The cost can vary depending on whether the operation is carried out in a smaller clinic or a larger, more well-equipped hospital.

It’s crucial for patients considering bipolar hip replacement to have an open discussion with their doctor about all these elements to understand the potential costs fully.

Is Bipolar Hip Replacement Covered Under Insurance?

Having an insurance policy can significantly reduce the financial strain associated with a bipolar hip replacement in India. Many insurance providers do cover hip replacement surgeries, including bipolar hemiarthroplasty. However, the amount covered and what exactly is included or excluded can vary greatly depending on the specific plan.

Certain insurance plans may cover the entire cost of the surgery, while others may require co-payment or enforce coverage limits. Factors such as pre-existing conditions, the need for revision surgeries, and the choice of hospital/surgeon can impact the extent of insurance coverage. It is crucial that patients thoroughly review their insurance policy details and confirm with their provider about the specific terms for bipolar hip replacement.

Typically, insurance coverage for this surgery will include the cost of the surgical procedure itself, the implant, hospital stay, and post-operative rehabilitation. However, exclusions may apply for certain types of implants, complications due to pre-existing conditions, or the need for revision surgeries. It’s important to have a comprehensive discussion with your healthcare provider and insurance company before proceeding with the operation, to avoid any unwelcome surprises.

FAQs Around Bipolar Hip Replacement

What is the recovery time for a bipolar hip replacement?

You will begin rehabilitation with a physical therapist within 24 hours. Your therapist will help you resume the basic physical activities. You will then continue physical therapy outside the hospital for six to eight weeks.

What is the difference between Bipolar Hemiarthroplasty and Total Hip Replacement?

While both procedures are aimed at improving hip function and reducing pain, Bipolar Hemiarthroplasty involves replacing only the ball of the hip joint. In contrast, Total Hip Replacement involves replacing both the ball and the socket of the hip joint. Your doctor will recommend one over the other based on your individual health condition and needs.

What can I expect during the recovery period after a bipolar hip replacement?

While both procedures are aimed at improving hip function and reducing pain, Bipolar Hemiarthroplasty involves replacing only the ball of the hip joint. In contrast, Total Hip Replacement involves replacing both the ball and the socket of the hip joint. Your doctor will recommend one over the other based on your individual health condition and needs.

What can I expect during the recovery period after a bipolar hip replacement?

Bipolar hip replacement recovery time can vary depending on individual factors such as your overall health condition and age. Typically, patients can expect to start walking with assistance within a couple of days following surgery. Full recovery often takes several weeks to months and includes physiotherapy to regain strength and mobility in the hip.

How durable is the artificial joint used in a bipolar hip replacement?

The artificial joint used in a bipolar hip replacement is designed to be highly durable and can last for many years. However, its longevity also depends on factors like your activity level, body weight, and adherence to your doctor’s instructions post-surgery.

Can I resume normal activities after a bipolar hip replacement?

Yes, most patients are able to resume their routine activities after a bipolar hip replacement. However, it’s essential to follow your doctor’s guidance about when and how to return to these activities safely.

Is it normal to experience discomfort after a bipolar hip replacement?

Some degree of pain and discomfort is quite normal after this type of surgery as your body adjusts to the new joint. Your doctor will prescribe medications to help manage this pain.

How can I take care of my new joint post-bipolar hip replacement?

Caring for your new joint involves following your doctor’s instructions, which may include certain exercises, taking prescribed medications, maintaining a healthy weight, and keeping regular follow-up appointments.

Are there any lifestyle changes needed after a bipolar hip replacement?

Yes, certain lifestyle modifications can help ensure the longevity of your new hip joint. These may include maintaining a healthy weight, staying active within limits advised by your doctor, avoiding high-impact activities that could damage the joint, and eating a balanced diet rich in vitamins and minerals to support bone health.

Can a bipolar hip replacement fail? If so, what happens next?

Though rare, a bipolar hip replacement can fail due to various reasons like infection, fracture, or wear and tear of the artificial joint. In such cases, your doctor may recommend a revision surgery to replace the failed components.

Is there any need for physiotherapy after a bipolar hip replacement?

Yes, physiotherapy plays a crucial role in the recovery process after a bipolar hip replacement. It helps strengthen your hip muscles, improves flexibility and mobility, and aids quicker return to normal activities.

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Medically Reviewed By
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Dr. Abhishek Bansal
20 Years Experience Overall
Last Updated : March 15, 2025

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