Bilateral Hip Replacement Surgery

Medical Case Report: A Case of 52 years Female patient from Uzbekistan Having Severe Osteoarthritis, Trochanteric Bursitis, and Bilateral Sacroiliitis Recommended for Hip Replacement, SI Joint Fusion Surgery

Findings: Based on the available medical reports, the patient has been diagnosed with severe osteoarthritis, trochanteric bursitis, and Bilateral sacroiliitis. She has a history of persistent joint pain, stiffness, and inflammation, which are attributable to degenerative changes in the joints associated with osteoarthritis.

Trochanteric bursitis is the inflammation of the fluid-filled sac (bursa) on the outer edge of the hip. It causes sharp or aching pain on the outside of the hip and thigh, which often gets worse when you walk, climb stairs, or lie on that side at night.

Bilateral sacroiliitis is the inflammation of both sacroiliac joints, where your spine connects to your pelvis. It causes pain in your lower back, hips, and buttocks, and often links to inflammatory types of arthritis like ankylosing spondylitis.

Osteoarthritis is characterized by the gradual deterioration and thickening of bone at joint surfaces, and formation of osteophytes. These changes contribute to joint pain, inflammation, and functional limitations.

Investigations needed:
Madam Marina needs to undergo detailed physical and clinical evaluations followed by some tests such as MRI, X-ray, and some related blood investigations.

Treatment plan:
As per the available reports, the patient may require surgical interventions.
Depending upon investigative outcomes, she will be either offered.

1. A Hip replacement
   or
   2.A Sacral Joint Fusion Surgery.

Hip replacement is a surgical procedure that involves replacing both hip joints at the same time due to degenerative changes & inflammation.

Sacroiliac (SI) joint fusion is a procedure to join your spine and pelvis permanently. It stops painful joint motion. Doctors use it when physical therapy and shots fail. Most modern surgeries are minimally invasive.

We will recommend the following doctors and hospitals for the patient:

1. Artemis Hospital, Gurgaon // Dr. I. P. S. Oberoi
2. Shalby Sanar International Hospital // Dr. Rajesh Verma
3. BGS Gleneagles Global Hospital, Bengaluru // Dr. Brahmaraju T J
4. Max Healthcare, Gurugram // Dr. Jatinder Bir Singh Jaggi
5. Sharda International Hospital // Dr. I. P. S. Oberoi

The estimated costs of Unilateral Hip Replacement are as follows –

The cost of Bilateral Hip Replacement – 

Kindly note: The given cost is a tentative cost based on the shared information. If the investigations shed a new picture, the cost may vary accordingly. 

Stay in India: The patient will require 1-2 days for initial evaluations on an OPD basis.  
The patient will require 3-5 days of hospitalization for surgery. Post-discharge, she may require 10-15 days for follow-up and recuperation. Total length of stay in India will be approx. 3-4 weeks.

Inclusions:
1.      The cost of all investigations related to the treatment.
2.      The cost of the treatment.
3.      The doctor’s fee and surgery charges.
4.      The stay of the patient and 1 attendant during hospital admission.
5.      All meals for the patient and the attendant as per the available menu while in hospital.
6.      Medical Consumables and Medicines while in hospital.
7.      The fee for a dietician and nursing while in hospital.
8.      It also includes complimentary airport transfers, forex services, and assistance.

Exclusions:
1.       Any consultation other than in discussion
2.       Extended stay
3.       Treatment for any other illness

On Arrival: Patient and her attendants will be received at the airport by our Arabic-speaking representative. Apart from the medical and nursing team, one Case Manager will take care of all needs. We shall also assist them with reasonably charged accommodation near the hospital. The patient and attendant may arrange 35-50 USD per day toward accommodation and food at the Guest House.

Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting you.

Regards,
Aabhik.