Total Hip Replacement in Bangladesh – Everything You Need to Know

Total Hip Replacement (THR) is a major surgical procedure that helps people suffering from severe hip pain and mobility problems. It is a common solution for individuals whose hip joints have been damaged by arthritis, injury, or other medical conditions that make everyday activities difficult. The surgery involves replacing the damaged hip joint with an artificial joint made of metal, plastic, or ceramic.

If you or a loved one is considering hip replacement, it is important to learn about how the procedure works, when it is necessary, and what to expect after surgery. 

This article will cover everything you need to know about total hip replacement, including the types of hip replacement, the materials used in artificial hip joints, and the recovery process.

What is Total Hip Replacement?

Total Hip Replacement (THR) is a surgical procedure in which a damaged or worn-out hip joint is replaced with an artificial joint, also known as a prosthesis. The hip joint is one of the largest joints in the human body and plays a crucial role in movement, allowing us to walk, sit, stand, and bend. When the hip joint becomes damaged due to arthritis, injury, or other medical conditions, it can cause severe pain and stiffness, making it difficult to perform daily activities.

The goal of hip replacement surgery is to relieve pain, improve joint function, and help patients regain mobility. The procedure is typically recommended for individuals who have tried other treatments, such as medication, physical therapy, or lifestyle changes, but have not found relief.

Types of Hip Replacement

There are different types of hip replacement surgeries depending on the extent of joint damage and the patient’s needs. The two most common types are:

1. Total Hip Replacement (THR): This is the most common type of hip replacement surgery. In this procedure, both the damaged ball (femoral head) and the socket (acetabulum) of the hip joint are replaced with artificial components. The artificial joint is designed to function like a natural hip, allowing for smooth movement and reducing pain.
   
2. Partial Hip Replacement (Hemiarthroplasty): In this procedure, only the ball of the hip joint is replaced, while the socket remains unchanged. Partial hip replacement is usually recommended for patients who have suffered a hip fracture but have a relatively healthy socket. It is less common than total hip replacement and is typically performed on older patients who may not require a full replacement.
   

Materials Used in Artificial Hip Joints

The artificial hip joint, or prosthesis, is made from durable materials that are designed to withstand long-term use. The most commonly used materials include:

• Metal-on-Polyethylene: This combination consists of a metal ball and a plastic socket. It is one of the most widely used options because it is affordable and has a long lifespan. However, there is a small risk of wear and tear over time.
  
• Ceramic-on-Ceramic: This type of hip joint uses ceramic for both the ball and socket. Ceramic is extremely smooth and reduces friction, which can help the joint last longer. It is also less likely to cause allergic reactions compared to metal implants.
  
• Metal-on-Metal: In this design, both the ball and socket are made of metal. It was once popular for younger, more active patients because it was believed to be more durable. However, concerns about metal particles being released into the bloodstream have led to a decline in its use.
  
• Ceramic-on-Polyethylene: This combination features a ceramic ball and a plastic socket, providing a good balance between durability and smooth movement. It is often used in modern hip replacement surgeries.
  

Choosing the right type of hip replacement and material depends on several factors, including the patient’s age, activity level, and overall health condition. A surgeon will recommend the best option based on the patient’s specific needs.

Total Cost of Hip Replacement in Bangladesh

Hip replacement surgery can be a life-changing procedure, but it is also a significant financial investment. The total cost depends on various factors such as the hospital, the surgeon’s fees, the type of implant used, and post-surgery care. Below is a breakdown of the expected costs for hip replacement surgery in Bangladesh.

Factors Affecting the Cost

1. Hospital and Surgeon Fees
   
   • Private hospitals typically charge more than government hospitals.
     
   • Experienced and highly reputed surgeons may charge higher consultation and surgery fees.
     
2. Type of Implant Used
   
   • Metal-on-plastic implants (cheaper but durable).
     
   • Ceramic-on-ceramic implants (expensive but long-lasting).
     
   • Advanced implants (more expensive but provide better mobility and durability).
     
3. Surgical Techniques
   
   • Traditional open surgery is less expensive but has a longer recovery time.
     
   • Minimally invasive or robotic-assisted surgeries cost more but provide faster recovery.
     
4. Hospital Stay and Recovery Expenses
   
   • The length of hospital stay impacts the total cost.
     
   • Physiotherapy and post-surgery medications add to the overall expense.
     

Estimated Cost in Bangladesh

• Government Hospitals: BDT 2,50,000 – 4,00,000
  
• Private Hospitals: BDT 5,00,000 – 10,00,000+ (depends on facilities and surgeon)
  
• Luxury/International Standard Hospitals: BDT 10,00,000 – 15,00,000+
  

It’s advisable to get an estimate from the hospital before proceeding with the surgery.

Insurance and Financial Assistance

• Some private insurance companies in Bangladesh cover partial costs.
  
• Government hospitals provide more affordable options for those on a tight budget.
  
• Some hospitals offer installment payment plans or financial assistance programs.
  

Life After Hip Replacement: Recovery and Mobility

One of the most common concerns after hip replacement surgery is how well a person can move and whether they can sit, walk, and return to normal activities.

Can You Sit After Hip Replacement?

Yes, but with precautions. Patients can sit after surgery, but:

• Avoid sitting on low chairs or sofas to prevent excessive bending of the hip.
  
• Use a raised toilet seat to minimize strain.
  
• Maintain a 90-degree angle while sitting and avoid crossing legs.
  

Doctors and physiotherapists will guide patients on the safest ways to sit and move during recovery.

How Long Does It Take to Fully Recover?

Recovery time varies based on age, health, and the type of surgery, but in general:

• First few days: Patients start moving with a walker.
  
• 2–3 weeks: Walking improves with physical therapy.
  
• 6–12 weeks: Most patients regain normal mobility and can resume light daily activities.
  
• 3–6 months: Full recovery with the ability to return to work, travel, and exercise.

Tips for a Successful Recovery

Recovering from a total hip replacement requires patience, commitment, and following medical advice closely. By taking the right steps, you can speed up your healing process and regain mobility faster. Here are some essential tips for a smooth and successful recovery:

Physiotherapy and Exercise

Physical therapy is one of the most important parts of post-surgery recovery. It helps strengthen muscles, improve flexibility, and prevent stiffness.

• Start early: Patients are encouraged to move within 24 hours after surgery with the help of a physiotherapist.
  
• Use assistive devices: Walkers, crutches, or canes should be used initially to prevent falls.
  
• Follow a structured exercise plan: Simple movements like leg lifts, gentle stretches, and walking help regain strength.
  
• Avoid high-impact activities: Running or jumping should be avoided for several months.
  

Regular physiotherapy sessions are crucial for at least 6–12 weeks after surgery.

Diet and Lifestyle Changes

A healthy diet and lifestyle can speed up recovery and reduce the risk of complications.

• Eat calcium-rich foods like milk, yogurt, and leafy greens to strengthen bones.
  
• Increase protein intake (fish, eggs, lentils) to aid tissue healing.
  
• Stay hydrated and avoid excessive salt, which can lead to swelling.
  
• Maintain a healthy weight to reduce stress on the new hip joint.
  
• Quit smoking and limit alcohol as they can slow down the healing process.
  

Follow-up Care and Avoiding Complications

To ensure a smooth recovery, follow-up visits with your surgeon are necessary.

• Attend all scheduled check-ups to monitor progress.
  
• Look out for signs of complications like infection, excessive swelling, or unusual pain.
  
• Follow movement restrictions (avoid crossing legs, bending over 90 degrees, or twisting the hip too much).
  
• Sleep in a safe position (on your back or side with a pillow between your legs).
  
• Keep the surgical area clean to prevent infection.
  

By carefully following these guidelines, patients can avoid complications and enjoy a pain-free, active life.

Conclusion

Total hip replacement surgery can significantly improve mobility, reduce pain, and enhance the quality of life for those suffering from severe hip conditions. 

While the surgery itself is a major step, proper preparation and a well-planned recovery process are just as important for success.

Key Takeaways:

• Hip replacement is recommended for severe pain and mobility issues that do not improve with other treatments.
  
• The procedure is available in modern hospitals in Bangladesh, with Dr. Jillur Hasan being a trusted expert in the field.
  
• The cost varies based on the hospital, surgeon, and type of implant used but remains more affordable in Bangladesh compared to other countries.
  
• Recovery takes several months, but with proper physiotherapy, diet, and care, most patients regain normal function.