Hip Dysplasia Treatment Cost in India

A Normal Hip Joint

The acetabular and femoral head are the two bony components of the hip joint, and articular cartilage, a smooth but resilient covering, covers them.

Articular cartilage protects the joint and enables easy bone-to-bone movement. The acetabular labrum, a ring of cartilage, surrounds the edge of the hip socket.

The hip capsule, a robust tissue, surrounds the entire hip joint.

The synovial membrane, a smooth tissue, lines the inner surface of the hip capsule. A lubricating liquid is produced by the synovial membrane to ensure the joint can move freely. The ligaments surrounding the joint hold the femoral head in the hip socket.

The term “hip dysplasia” refers to a hip socket that does not completely enclose the upper thighbone’s ball. This makes it possible for the hip joint to dislocate partially or entirely. The majority of people with hip dysplasia are born with the condition. Hip pain, limping, and uneven leg lengths are symptoms.
In people with this condition, the femur (thigh bone) does not fit properly with the pelvis as
The cartilage, the tissue that cushions these bones in the joint, can be harmed by hip dysplasia.
It can also result in pain and problems, such as an unstable joint or a dislocation (where the bone slides out of the joint). Braces for infants, physical therapy, and surgery are all forms of treatment.
Additionally, hypermobility affects up to 50% of adults with hip dysplasia. The ligaments and joint capsule are therefore looser than usual. Overall, the more flexible structures cause the head to move more visibly within the socket.
Greater abnormal forces are applied to the joint as a result of the increased movements and stresses. These forces can cause early arthritis, pain, and reduced function if they go unchecked. Considering a car tire, the tire ages rapidly if it is improperly aligned.

The average cost of Hip Dysplasia Treatment in India approximately ranges between USD 5430 to USD 6140.

Apart from being cost-effective, people across the globe consider India as the top-most option in case of getting Hip Dysplasia treatment:

Orthopedic specialists in India use cutting-edge imaging tests and thorough physical exams along with state-of-the-art research and laboratory facilities to diagnose the hip condition in-depth and accurately.
In order to fix some of the issues that hip dysplasia can lead to, like a hip labral tear, surgeons in India have extensive experience using minimally invasive repair methods.
In some instances, the hip joint is so out of place that periacetabular osteotomy surgery is required to reposition the pelvis in order to realign the hip socket.
These hospitals’ orthopedic programs have established themselves as the best in the country for hip replacement and care, on par with the best medical facilities worldwide.
The program is renowned for its proficiency in minimally invasive diagnostic and repair procedures as well as for its cutting-edge research into better surgical methods.

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Other Names for Hip Dysplasia

Depending on the severity and timing of the condition, doctors refer to hip dysplasia by a variety of different names. These names consist of:

Hip Dysplasia
Developmental Dislocation of the Hip (DDH)
Hip Dislocation
Developmental Dysplasia of the Hip (DDH)
Acetabular Dysplasia
Congenital Dislocation of the Hip (CDH)

Causes of hip dysplasia

In every 1,000 births, one baby has hip dysplasia. The condition is more common in girls and firstborn children. It can happen in either hip, but the left side is more likely to experience it.

Hip dysplasia is a condition that most people with it are born with. If the developing fetus’s position puts pressure on the hips, hip dysplasia may result. It may also run in families and be genetic.
Hip dysplasia, particularly in women, is frequently the root cause of hip labral tears. This is a common issue that can result in hip pain, stiffness, locking, or catching. In fact, the diagnosis of a labral tear frequently sends women to the hospital.
All patients with labral tears undergo thorough examinations by doctors to rule out the presence of any underlying conditions, such as hip dysplasia.
To lessen the chance of reinjury and guarantee the best results, the specialists treat both conditions when hip dysplasia results in a labral tear.
Congenital hip dislocation, or developmental dysplasia of the hip, is the name for this condition when people are born with it.

Symptoms of Hip Dysplasia

In adolescents or young adults, hip dysplasia frequently manifests as hip pain or a limp. Because limping is one of the body’s natural ways of reducing pain, occasionally a limp may appear while walking without any noticeable pain. However, numerous other hip conditions can also be the source of these symptoms.

The presence of two or more of the following symptoms increases the likelihood that the pain is caused by hip dysplasia.

Four out of five hip dysplasia patients experience deep groin pain; this pain may be brought on by hip flexor muscle pain, labral tears, or cartilage damage in the joint.
In addition, stabilizing the hip flexor and abductor muscles that are overworked when the socket is shallow can result in muscle pain on the side of the hip or in front of the hip.
For almost all hip dysplasia patients, walking, standing, or running exacerbates hip pain.
Half of all hip dysplasia patients experience pain while sleeping.
an unpleasant catching, snapping, popping, or locking sensation. Patients with hip dysplasia report this in 4 out of 5 cases.

Additional signs of hip dysplasia include:

Unless there is pain in the groin or side of the hip, pain in the thigh or buttocks is unusual.
Hip dysplasia pain may initially be mild or sporadic, but it gets worse over time.
The type of pain can occasionally alternate between a sharp stabbing pain and a dull ache.

Hip Dysplasia Diagnosis

A thorough medical history, physical exam, and X-ray analysis are used to diagnose symptomatic hip dysplasia.
To make a precise diagnosis, it may occasionally be necessary to use additional imaging techniques like a computed tomography (CT) scan or a magnetic resonance arthrogram (MRA).
People of all ages may develop hip dysplasia. Some people with hip dysplasia symptoms may have received treatment for hip issues when they were young children or infants.
However, symptoms may return in adulthood and necessitate treatment if there is some residual deformity.

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Treatment

Non-operative Treatment

Not everyone with hip dysplasia requires surgery.
Early diagnosis (during pregnancy or infancy) and bracing are frequently effective treatments for the condition.
Even though mild hip dysplasia might not need any treatment, it may still need to be watched as the child develops.
In such situations, complications might never happen or might happen after the child reaches adolescence or young adulthood.

Other non-operative treatments include:

Physiotherapy For Adults with Hip Dysplasia
Therapy must address tendon inflammation, weak muscles, poor joint awareness, and poor posture. All of these factors can be improved by treatment, which can also strengthen the hip extensors and external rotators, retrain the gait, and increase body awareness.

Altering Activity
There are times when it’s required to think about reducing sports that aggravate the hip, like change-of-direction sports. A healthy diet, exercising in different ways (such as swimming without doing the breaststroke), and losing weight can all be beneficial.

Injections
injections into the joint can occasionally aid in temporarily reducing discomfort and inflammation. Additionally, the fact that a shot can relieve pain indicates that the joint itself, not other structures outside the hip, is the source of the relief.

Surgery as treatment

For more severe cases, surgery on the pelvis and acetabulum can be used to treat hip dysplasia in a child with skeletal immaturity.
Periacetabular osteotomy (PAO) is a procedure carried out on a skeletally mature adolescent or young adult and is used to treat hip dysplasia, a condition in which the hip joint is out of place.
It can be used as an alternative to hip replacement surgery in patients who are younger (roughly 40 years old and under).
In a PAO, parts of the pelvis are cut to reposition the acetabulum and improve the femoral head’s coverage.
The pelvis contains the socket, also known as the acetabulum.
The leg can move frontally, laterally, and obliquely as a result of the rotation of the ball within the socket.
Hip dysplasia patients experience pain and limited mobility because the ball and socket do not meet at the proper angle.
If this surgery is carried out before an irreversible cartilage injury, such as a torn labrum, it has a great chance of preventing or delaying hip arthritis.
Older adults with severe hip dysplasia that has caused crippling arthritis may be candidates for hip replacement surgery.

Procedure

Using the PAO surgical technique, a doctor can treat hip dysplasia cases without having to replace the joint.
It can be moved into a better position, where it covers and protects more of the femoral head, through a series of cuts made around the hip socket.
Once this has been completed, three to four screws are used to secure the new positioning.

Advantages

The right candidate can use PAO in a secure and productive manner.
Based on the unique characteristics of each patient, it enables the surgeon to customize the precise location of the socket.
It enhances hip functionality, lessens pain and other related symptoms, and lessens hip dysplasia-related long-term complications.
Most young patients prefer it because it is less invasive than total joint replacement.
Those who are younger than 40 and whose hip cartilage has not yet sustained severe damage show the best results.

Risks

Hip dysplasia can result in painful long-term issues if it is not treated, such as:

Hip labral tear: Deterioration of the cartilage lining the hip joint socket.
Osteoarthritis: Damage to the cartilage that results in stiffness and hip pain.
Dislocated joint: Bones slide out of place in the joint.
Unstable joint: A joint that is loose and causes pain and weakness.

Hip dysplasia is more likely to affect those who:

Have relatives who suffer from the condition.
Are women.
Being firstborn.
Were born with their bottoms first, as opposed to their heads (breech position).

Hip dysplasia cannot be prevented in the majority of cases. Avoid wrapping your newborn too tightly to lower the risk of hip dysplasia after birth.

Recovery

Most patients who undergo surgery for hip dysplasia spend a few days in the hospital.
At six to three months, you ought to be able to put weight on the joint.
To give the hip time to heal, you might not be able to fully bear weight on the joint for three months after surgery.
When can the patient start doing therapeutic exercises, the doctor will keep an eye on daily progress and inform the patient.
By engaging in these activities, one can strengthen the joint and resume regular activities.

PAO typically yields positive outcomes with little chance of complications.

After the procedure, patients can anticipate a 3 to 5-day hospital stay, followed by a few weeks of physical therapy, limited weight-bearing, and the use of mobility aids like crutches.

Following surgery, most activities, including driving and working, can be resumed six to eight weeks later.
High-impact sports and exercise can be resumed three to six months later.

After recovery, the patient’s outlook is very favorable, and the likelihood of additional hip operations is greatly diminished.

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Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.

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