According to study, “BRIC Hip Replacement Procedures
Outlook to 2025” some of the major player that
are working in the BRIC hip replacement procedure are Zimmer holding Inc, Smith
& nephew Plc, Bonovo orthopedics Inc, Stryker corporation, Depuy, Biomet
Inc, Corin group Plc, Microport orthopedics Inc, B.BraunMelsungen AG.
Hip replacement is a surgical
procedure in which the hip joint is replaced by a prosthetic implant, called
hip prosthesis. It is most common orthopaedic surgery. Hip replacement
procedure provides relief in hip pain and stiffness. It can be performed as a
total replacement and half replacement. Total replacement consists of replacing
both the acetabulum and the femoral head whereas half replacement consists of
replacing of only femoral head in general. Most hip replacements are performed
to remedy hip arthritis. Hip arthritis is a common condition that causes
problems with the ball-and-socket joint at the junction of the pelvis and lower
extremity. There are different types of arthritis that can cause pain in the
hip joint such as osteoarthritis andrheumatoid etc. Symptoms of hip arthritis
are stiffness, pain in (groin, thigh, and knee), walking
with a limp and limited range of motion etc.
The procedural steps for hip
replacement surgery involve diagnosis of hip arthritis, removing the worn out
hip joint ball, removing the worn out hip joint socket, placement of the
acetabular component, preparing the femur, placement of the stem, insertion of
the ball, final hip replacement implant. Some precautions are also advised to
protect the newly implanted hip. These restrictions are known as hip
precautions. Hip precautions prevent patient from placing hip in a position
where the ball could potentially come out of the socket, called hip
dislocation.
In India, the two major types of
hip replacements include cemented prosthesis and uncemented prosthesis.
Cemented prosthesis is held in place by poly metha acrylate cement that
attaches the metal to the bone. An uncemented prosthesis has a fine mesh of
holes on the surface area that touches the bone, the mesh allows the bone to
grow into the mesh and become part of the bone. The total cost of hip joint
replacement treatment in India is far more less than getting hip replacement in
countries like USA, UK, Australia and others.
In China, a majority of patients
choose to receive primary treatment in a tertiary hospital due to the special
national condition. There were 2026 tertiary hospitals in China by 2016. Besides
the imbalanced distribution of economic resources in China and the lack of
medical insurance, many patients do not have access hip replacement treatments.
One of the otherproblem in China is associated with insufficient number of doctors
and surgeon for hip replacement. The Chinese medical insurance policy may need
further consideration of the demographic and economic factors.
In Russia, it is observed that,
there are about 34 million people are at high risk of hip fractures, annually. However
country lacks standards of care for patients with hip fracture and an extremely
low rate of surgical treatment of hip fracture is reported inthe entire country.
The Russian association has developed a unified education program for patients,
recommended by the training and methodical association of Russian universities
on medical and pharmaceutical education as a manual for the system of
advancedprofessional education of doctors.
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