Total hip replacement surgery, also known as total hip arthroplasty, is a procedure in which a damaged or worn-out hip joint is replaced with an artificial joint or prosthesis. This surgery is commonly performed to relieve pain and improve mobility in people with severe arthritis, hip fractures, or other hip joint disorders. During the procedure, the surgeon removes the damaged portions of the hip bone and cartilage and replaces them with metal, ceramic, or plastic components designed to mimic the natural movement of the hip. The goal of the surgery is to restore function, reduce pain, and help patients return to their normal daily activities.
MBBS (KEM, Mumbai), MS Ortho, DNB Ortho
FNB Arthroplasty, MRCSEd.(UK) MNAMS
Fellowship in Revision Joint Replacement (Germany)
Osteoarthritis (most common)
Rheumatoid arthritis
Post-traumatic arthritis
Hip fracture
Avascular necrosis (loss of blood supply to the bone)
Congenital/developmental hip diseases
Medical history and physical exam
X-rays/MRI/CT scan of the hip
Blood tests, ECG, and other fitness assessments
Discontinue certain medications before surgery
Anesthesia
General anesthesia or spinal/epidural anesthesia.
Incision
Made on the side or back of the hip (posterior, lateral, or anterior approach).
Removal of Damaged Joint
The femoral head (top of thigh bone) is removed.
Damaged cartilage and bone from the hip socket (acetabulum) are cleaned out.
Implant Placement
A metal socket is inserted into the pelvic bone.
A plastic/ceramic liner is placed inside the socket.
A metal or ceramic ball is attached to a stem and inserted into the thigh bone (femur).
Closure
Muscles and tissues are sutured, and the incision is closed with staples or stitches.
Typically 1.5 to 2.5 hours
Hospital stay: 2–5 days
Pain management with medications
Physical therapy begins within 24 hours
Walking with a walker/crutches initially
Gradual return to normal activities in 6–12 weeks
Pain relief
Improved mobility
Better quality of life
Long-lasting results (typically 15–25 years)
Blood clots (DVT)
Infection
Dislocation
Leg length difference
Loosening of the implant over time
Nerve injury
Wear of prosthetic parts
Follow your surgeon’s instructions strictly
Do prescribed exercises
Avoid bending or crossing legs early on
Use raised chairs and toilet seats
Attend follow-up appointments