Total hip replacement is a surgery that replaces a damaged hip joint with an artificial ball and socket. It is done when hip pain from arthritis, injury or bone damage does not improve with other treatment. Most patients walk with support the day after surgery and stay in hospital for 2 to 4 days.
The hip is a ball and socket joint. The ball is the top of the thigh bone. The socket is part of the pelvis. Common reasons for hip damage are:
Because hip pain can also come from the spine or knee, an examination and X-ray are needed to find the real cause.
In early arthritis, weight loss, physiotherapy, walking aids and pain medicine can help. In avascular necrosis found early, some patients can try other treatment to save the joint. Hip replacement is advised when pain and stiffness continue and daily life suffers.
Surgery usually takes 1 to 2 hours. Implants may be fixed with bone cement or pressed in so bone grows onto them. The choice depends on your age and bone quality.
After a hip fracture in an older person, doctors often advise surgery within 1 to 2 days so the patient can sit and walk early. This lowers the risk of complications from lying in bed. In some cases the surgeon replaces only the ball of the hip.
| Time | What to expect |
|---|---|
| Day 1 | Stand and walk with a walker and physiotherapist |
| Day 2 to 4 | Practice walking and stairs, then discharge |
| Week 2 to 6 | Walker, then stick. Follow hip movement precautions your surgeon gives |
| Week 6 to 12 | Return to daily activity. Desk work often possible around 4 to 6 weeks |
| 3 to 6 months | Strength and walking keep improving |
Hip precautions depend on the surgical approach. Your surgeon and physiotherapist will tell you which movements to avoid, such as crossing your legs or sitting on very low seats, for the first few weeks.
Modern hip implants commonly last 15 to 25 years or more. Most patients have much less pain and can walk, climb stairs and return to normal daily life. Low impact activities like walking, swimming and cycling are usually fine.
The cost depends on the implant type, the reason for surgery, your room type, tests, hospital stay and physiotherapy. You get a written estimate after consultation. Cashless insurance, no-cost EMI and PMJAY or MA cards may be used where eligible.
When hip pain, stiffness and limping continue despite other treatment and limit your daily life or sleep.
Usually 1 to 2 hours.
Most patients stay 2 to 4 days.
Most patients stand and walk with a walker the day after surgery.
This depends on the surgical approach and your surgeon’s advice. Many patients are told to avoid it for the first few months.
Yes, in most cases. After a hip fracture, early surgery often helps older patients recover better than long bed rest.