Hi, thanks for writing to HCM.
The answers for your questions are as follows -
*
Anesthesia will be Combined spinal and epidural analgesia
* There are many complications associated with the surgery itself (the main ones being infection and
deep vein thrombosis) and the anesthesia risks (anesthetist is a better person to explain them)
* Cobalt chrome implant. Either PS(posterior stabilized) or CR(cruciate retaining)
prosthesis are used commonly
* The survivorship of these implants is 95%-98% at 15 years
* Surgical procedure takes around 60-90 minutes
* You won't perceive any pain as long as the epidural catheter is in
* Once the epidural catheter is removed (generally after 2 days), you will receive conventional pain killers afterwards
* If your Pre-op Hb% is good and you don't bleed too much in the Post-op period, then
blood transfusion is not necessary
* Generally, PT is started within the first week and is patient tailored
* This if patient dependent
* I don't have a hospital of my own. I am a consultant only
* Generally, there is no need of an extra caretaker. You can ambulate using a walker or a cane (for 3 weeks maximum)
* You may need around 6-8 weeks to regain your normalcy
* For sedentary work (office chair work), you can attend within a week. For outdoor jobs, 6-8 weeks
* Follow ups every one month for initial 3 months of discharge from the hospital and then depending upon the need
* It not possible to mention here about all the possible complications (as mentioned earlier infection and DVT are the most feared ones)
* It will cost you around 1.5 lakh - 2 lakhs (depending upon the implant and the package you opt for )
Hope this information is helpful . Good day