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kdms Orthopedic Hospital serves as the first JCI-accredited specialty orthopedic center in Thailand. The surgical team uses the MAKO robotic system for precise 3D planning and implant positioning. Patients typically stay 5 days in a standard inpatient room, with nursing and meals included in the package. Assoc. Prof. Rapeepat Narkbunnam and Dr. Napon Sinthuvanich focus on these robotic-assisted procedures to help patients walk immediately. Recovery usually involves using a support device for about 1 to 2 weeks.

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The operation substitutes damaged hip joints with artificial ones, reducing pain and improving movement.

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This operation is a robot-assisted hip surgery, for precise joint placement, reducing pain, and enhancing mobility.

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The operation, done via small incisions, replaces damaged hip parts, offering less pain, quicker recovery, and fewer complications.

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The operation replaces damaged hip joint with artificial parts, improving mobility and relieving pain.

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The procedure revises an old hip implant, improving mobility and reducing pain, with modern surgical techniques and materials.

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This procedure replaces a malformed hip joint, improving mobility and reducing pain for those with hip dysplasia.

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Replacement or fixation of previous hip implants to improve mobility, pain relief, and hip function.

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Aisle seat, movement and thromboprophylaxis advised."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and suture or clip removal if non-absorbable closure used."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Clinical and usually X-ray review at about 6-12 weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":300,"max":400,"unit":"days","qualifier":"Approximately one-year review, with imaging as per local practice."}}],"indications":["Symptomatic end-stage hip osteoarthritis unresponsive to conservative care","Avascular necrosis of the femoral head with joint collapse","Post-traumatic arthritis or inflammatory arthritis of the hip","Developmental hip dysplasia with secondary arthritis","Selected displaced femoral neck fractures in suitable patients"],"main_risks":["Infection","Venous thromboembolism","Dislocation","Periprosthetic fracture","Leg-length discrepancy","Nerve injury (e.g., lateral femoral cutaneous or femoral nerve)","Implant loosening or wear over time","Bleeding and need for transfusion","Persistent pain or limp","Anesthetic and cardiovascular complications"],"pain":"Moderate to significant pain in the first days, controlled with multimodal analgesia; generally decreasing over 2-6 weeks.","preparation":["Preoperative medical assessment, blood tests and anesthesia evaluation","Hip imaging and implant planning","Optimizing chronic conditions and medications with the care team","Dental and skin/urinary infection screening","Fasting as instructed by the anesthesia team","Home and mobility planning, crutch training"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Mobilization with walker or crutches usually on the day of surgery or next day, thromboprophylaxis and analgesia.","restrictions":["Follow surgeon's weight-bearing and movement instructions","No driving"]},{"phase":"Early recovery (weeks 1-6)","description":"Progressive walking, physiotherapy, wound healing, gradual reduction of walking aids.","restrictions":["Avoid extreme hip movements as instructed","Avoid prolonged sitting without breaks","No driving until cleared"]},{"phase":"Functional recovery (weeks 6-12)","description":"Return to most daily activities and work, low-impact exercise.","restrictions":["Avoid high-impact activities"]},{"phase":"Late recovery (3-12 months)","description":"Continued strength and gait improvement until stable final result.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery to independent walking and daily activities after primary hip replacement; formal physiotherapy often several weeks."},"result_longevity":"Modern hip implants often function for 15-20 years or more, depending on age, activity, implant and bearing, and bone quality.","revision_rate_pct":{"min":3,"max":7,"unit":"percent","qualifier":"Revision of any component within 10 years; early revision within 1 year about 1%."},"scars":"Single anterolateral incision on the hip, typically about 8-12 cm, healing to a fine linear scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation for a single hip."},"stages":[{"code":"surgery","label":"Single-stage total hip replacement of one hip","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission/first procedure day."}}],"qualifier":"Unilateral primary procedure; bilateral replacement is a separate scenario."},"success":{"metric":"Patients with good pain relief and improved hip function","value":90,"unit":"percent of patients","horizon":"1 year after surgery","population":"Adults with end-stage hip osteoarthritis undergoing primary total hip replacement","evidence_status":"limited"},"techniques":[{"name":"ALMIS (anterolateral minimally invasive surgery) total hip arthroplasty","suits_whom":"Adults with end-stage hip arthritis needing primary hip replacement","recovery":"Early mobilization within 1 day; return to daily activities over about 4-12 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for primary unilateral total hip replacement; excludes anesthesia preparation and recovery room."},"initial_assessment_documents":["Pelvis AP X-ray showing both hips","Hip lateral X-ray","Hip MRI or CT (if available)","Current medication list, including blood thinners","Previous hip or spine surgery reports"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days including 2-5 inpatient nights. Follow-up reviews usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Make sure you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ensure you are clear about how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the medical team questions about treatment; this supports informed decision-making","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell is a warning sign to think carefully before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"A surgeon who does not explain risks and complications before surgery is a warning sign","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total hip replacement surgery, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An offer that sells the destination's holiday appeal instead of medical care quality is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure your decision is based on the quality of the medical care you would like to receive and not on how appealing the destination seems for a holiday.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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