A healthy hip joint is vital for almost all major activities of human body like walking sitting, stooping , bending ,twisting ,stair climbing ,squatting and running. The added significance of hip joint lies in the fact that

  1. It is a ball and socket joint hence range of movements expected from it are very wide
  2. It is a weight bearing joint
  3. It lies in the centre of the body hence movements of upper body or lower limbs, all are dependant on a pain free healthy hip joint.

Hip joint becomes painful in various conditions like osteoarthritis, rheumatoid arthritis, vascular necrosis of femoral head, ankylosing spondylitis, post traumatic arthritis, post sepsis arthritis and non union of fractures around hip joint.
A painful hip joint leads to decreased mobility of our body as a whole. To carry out our activities of daily life we have to compensate for that by putting extra strain on adjoining joints. This leads to backache, knee pain, bad posture, limping etc.Hence hip problem becomes a source for so many other orthopaedic problems.
Hip replacement has come as a boon for these crippled patients. Over last few decades this procedure has changed the lives of millions across the world.
Like every procedure hip replacement has undergone so many changes since its inception that “HIP REPLACEMENT” for a patient becomes a very vague term. Today the implants & techniques available are very different from what existed earlier.
It is the duty of the surgeon & right of the patient to know about the details of hip replacement.
Hip is a ball & socket joint. Ball is head of femur and socket is acetabulum.If only head is damaged and acetabulum is intact then we replace only head of the femur, this is known as partial hip replacement or hemiarthroplasty.If both acetabulum and head are damaged as is seen in arthritis then we replace both components.This is known as total hip replacement. We remove the damaged part & replace it with artificial implants as shown.
There are so many types of implants available to suit the patient’s age, disease, bone quality, lifestyle demands etc.The surgeon and the patient should reach a concensus on the type of implant to be used so as to give the best results.Here we are presenting different types of implants and their indications and advantages in a very simplified way

  1. Cemented hip replacement

In this we use bone cement to fix the implants. Patient can start walking within 48 hrs after surgery. It is very good for elderly patients with osteoporotic bones.Only drawback is that revision surgery is difficult and cumbersome.

  1. Non cemented hip replacement

In this implants are press-fitted into the bone.Weight bearing has to be delayed for few weeks.It is good for younger patients(less than 60 yrs of age).Revision surgery is simpler & gives equally good results

  1. Hip resurfacing

In above mentioned types of implants we have to cut a part of patient’s bone to fit in the implant.In resurfacing we preserve almost all the original bone of the patient.Patient can squat and sit cross legged which is a major requirement of younger patients and most of other patients belonging to Asian countries.

  1. Ceramic on Ceramic/ Metal on metal hip replacement

In most of the implants there is metal on one side and plastic on other side. This leads to collection of plastic particles in hip joints causing loosening of implants.To increase the life of the implant now metal on metal and ceramic on ceramic bearing surfaces of joints have been introduced.Only drawback is they are expensive.Recent studies have shown some long term complications with Metal on Metal implants, hence they have been withdrawn.
Over the years hip replacements have been done by conventional techniques.This means large incision ,bleeding ,post operative pain ,delayed rehabilitation and longer hospital stay.I n last few years surgeons have deviced a new technique called MIS technique.In this patient can start walking with in 24 hrs after surgery, no blood transfusion is required and patient can start activities of daily life within a week.The only drawback of this technique is that it is done by very few surgeons.We have been using this technique for last several years with excellent results.
Recently we have started Hip Replacement in Patients with Intertrochanteric Fractures. We select Patients who are more than 70 years, Suffering from multiple Medical problems, with limited mobility and Osteoporosis. Conventionally Intertrochanteric Fractures are treated by Fixation ( DHS / PFN ) which leads to immobilization for 2 - 3 months. Elderly bed ridden patients can have bed sores , Chest and Urinary Infections, stiffness of other joints , aggravation of Osteoporosis and of course demanding  nursing care is required. In spite of all this many a times the Fracture doesn't unite and patient has to undergo another surgery. So to exclude all this , now we are doing Hip Replacement by MIS Technique in this group of patients. The patient starts walking the very next day and there is no chance of Non union.
Many patients are coming to us with Tumours around Hip joint and walking is very painfull for most of them. For these patients we Reconstruct the Hip by using Bone grafts, Artificial grafts and Special implants followed by Hip Replacement. 
Hip replacement is a very good & pain relieving procedure. The result of surgery depends on patient’s disease, surgeon’s experience , type of implant and type of technique used. The last three factors are in our control so the patient and the family should discuss with the surgeon about the details of the procedure before going ahead.

Upcoming Events
  • Coming up with a mega campaign "Lets Fight Arthritis" on the occasion of World Arthritis Day, at A4 Block, Gauri Shankar Mandir, Paschim Vihar, New Delhi. The campaign will be on 9th October 2016(Sunday). 

  • Health Awareness Campaign on 28th August at Gurudwara Singh Sabha E Block Karampura, Delhi.

  • Coming up with a mega campaign on Spine & Back Pain on 5th June 2016 at Gurudwara New Ranjeet Nagar (near Satyam Ciema), Patel nagar, Delhi in association with Sukhmani Charitable Trust, Delhi.

  • Coming up with an awareness campaign on Arthritis Management & Control on 22nd May 2016 at Guru Ram Dass Charitable Medical Centre - Gurudwara Sri Guru Singh Sabha, Moti Nagar, Delhi.  

  • Mega campaign on Arthritis Management on "Mother's Day" 8th May 2016 at West Patel Nagar, Delhi - 110008

  • Mega campaign on Arthritis Management in association with "Varishth Nagrik Kesari Club" - Punjab Kesari Delhi on 6th April 2016 (Wednesday)

  • Dr. Ashwani Maichand Participated in Shoulder Conclave 2016 at JWT Marriott, Pune

  • Dr. Ashwani Maichand was the Table instructor for young doctors at Cadaver Joint Replacement Training on 21st February 2016 at All India Institute of Medical Sciences (AIIMS)

  • Arthritis Awareness campaign on 28th february 2016 from 10 am to 1 pm at Minomax Knee & Shoulder Clinics (8/29, West Patel nagar, Delhi, India)

  • Participating as a speaker on "Dificult cases of Hip & Knee Replacement" in 2nd Masters Course in Arthroplasty at Meril Academy, VAPI, Gujarat from 4th to 6th February 2016






Click here for our Events List



Contact Us
Dr Ashwani Maichand
M.S., M.Ch. (Ortho)
Fellowship Joint Replacement
Specialist : Knee & Shoulder
Dr. Rahul Kakran
M.s., M.Ch (Ortho)
Specialist : Minimal Invasive Spine Surgery (MISS)
Dr. Rajni Koundal
Consultant Physiotherapy
For Appointment : 9999074745
( Mr. Sunny ) 
For Upcoming Events : 9999071715
( Mr. Sarabjeet Singh)
Address : 
MinOmaX Knee & Shoulder Clinics
8/29, West Patel Nagar,opp. D.A.V. Sr. Secondary School (near Metro Pillar no. 198, Delhi-110008)
Timings : Daily 5:00 PM to 7:00 PM  ( Except Sunday).
Please Take Prior Appointment to avoid inconvinience.