What is Hip Replacement Surgery?
Hip replacement surgery, also known as hip joint replacement surgery, is a common procedure aimed at relieving pain and improving mobility in individuals suffering from hip joint disorders such as arthritis, fractures, or degenerative diseases. It involves the removal of the damaged or worn-out hip joint and replacing it with a prosthetic implant. This surgery is highly effective in reducing pain, restoring functionality, and allowing individuals to return to their normal daily activities.
Hip replacement surgery is typically recommended when conservative treatments like medication, physical therapy, or injections fail to provide relief. Whether you're dealing with osteoarthritis, rheumatoid arthritis, or a hip fracture, this procedure can significantly improve your quality of life.
Who Should Consider Hip Replacement Surgery?
Hip replacement surgery is a transformative procedure that can significantly improve the quality of life for individuals suffering from severe hip pain, stiffness, or limited mobility due to joint degeneration. While the decision to undergo surgery should always be made in consultation with a healthcare provider, there are certain factors that can help determine if hip replacement surgery is the right option for you.
Hip replacement surgery is ideal for the following patients:
Individuals with Severe Hip Pain That Interferes with Daily Life
If you are experiencing severe hip pain that significantly impacts your ability to perform daily activities—such as walking, climbing stairs, or getting in and out of bed—it may be time to consider hip replacement surgery. Chronic pain that doesn't improve with medication, physical therapy, or other conservative treatments is one of the most common reasons people opt for hip replacement surgery.
For many people, hip replacement surgery can offer lasting pain relief, allowing them to resume daily activities without discomfort.
People with Advanced Arthritis or Joint Degeneration
Arthritis is one of the leading causes of hip joint damage and is a key factor in deciding if you need hip replacement surgery. Over time, the cartilage in the hip joint wears away due to arthritis, leading to bone-on-bone contact, inflammation, and severe pain. There are different types of arthritis that can affect the hip joint:
Osteoarthritis (the most common form, often associated with aging)
Rheumatoid arthritis (an autoimmune condition)
Post-traumatic arthritis (following an injury or fracture)
If arthritis has caused significant damage to your hip joint and conservative treatments like anti-inflammatory medications, injections, or physical therapy have failed to provide relief, hip replacement surgery may be the next step. The surgery replaces the damaged joint with an artificial implant, effectively restoring mobility and reducing pain.
Individuals with Hip Fractures or Trauma
A hip fracture or severe injury to the hip joint can also lead to the need for hip replacement surgery, particularly in older adults whose bones may be more fragile due to osteoporosis or other health conditions. In cases of a displaced fracture, where the broken parts of the bone are out of alignment, hip replacement may be necessary to ensure proper healing and function of the hip joint.
If you've experienced a traumatic injury and conservative treatments like casting or surgical fixation aren’t sufficient to restore function, your doctor may recommend hip replacement surgery to replace the damaged joint and ensure proper healing.
Individuals with congenital or childhood Deformities or Instability
Some people may have hip joint deformities due to congenital conditions, trauma, or diseases that cause abnormal joint development. Developmental dysplasia of the hip, Perthes disease, slipped capital femoral epiphysis are childhood conditions that can lead to long term pathologies of hip and subsequent arthritis. These conditions can lead to pain, instability, and difficulty walking. If you have a deformity or instability in your hip joint that has become progressively worse over time, hip replacement surgery can provide stability, alleviate pain, and restore proper function.
Common deformities that may benefit from hip replacement surgery include conditions like hip dysplasia, which is a malformation of the hip joint, or femoral acetabular impingement (FAI), where there is abnormal contact between the ball and socket of the joint.
Avascular necrosis of hips
Femoroacetabular impingement
Tumours of proximal femur
Individuals with Limited Mobility or Difficulty Walking Who Have Tried Conservative Treatments with Limited Success
If hip pain or joint stiffness has made it difficult for you to walk, stand for long periods, or engage in normal daily activities, hip replacement surgery might be necessary. Limited mobility can impact your independence, making simple tasks like walking to the grocery store or climbing stairs challenging.
Hip replacement surgery can restore hip joint function, allowing you to move more freely, walk with ease, and perform daily activities without pain or discomfort. This procedure can greatly improve your mobility and quality of life.
Most doctors recommend trying non-surgical treatments before opting for hip replacement surgery. These treatments may include:
Physical therapy to strengthen the muscles around the hip joint
Pain medications such as anti-inflammatory drugs or pain relievers
Corticosteroid injections to reduce inflammation and relieve pain
Lifestyle modifications, such as weight loss or activity adjustments
If you’ve tried these treatments and still experience chronic pain or functional limitations, hip replacement surgery may be the best option for restoring your hip function and reducing discomfort.
People Who Have Decreased Quality of Life Due to Hip Pain
Chronic hip pain can limit your ability to enjoy life to the fullest. If you find that your hip condition is preventing you from engaging in activities you once enjoyed—such as walking, hiking, playing sports, or simply enjoying time with family—hip replacement surgery can help you regain your ability to move freely and improve your overall well-being.
Improvement in mobility and pain relief can significantly enhance your mental health and emotional well-being, allowing you to live a more active, fulfilling life. If you feel that your hip pain is diminishing your quality of life, it's worth consulting with a healthcare provider to determine if hip replacement surgery is the right solution.
Older Adults with Degenerative Joint Conditions
While hip replacement surgery can benefit people of all ages, it is most commonly performed on individuals over the age of 60, particularly those who suffer from degenerative joint diseases like osteoarthritis. As people age, the cartilage in the hip joint naturally wears down, leading to discomfort, stiffness, and limited movement.
Older adults are often more susceptible to conditions like arthritis, osteoporosis, and hip fractures, making them prime candidates for hip replacement surgery. If you are older and have tried all other options without relief, this surgery can provide lasting pain relief and allow you to maintain a good level of mobility.
Active Individuals Who Are Younger Than 40
While hip replacement surgery is often associated with older adults, younger, more active individuals may also benefit from this procedure. In cases where the hip joint is severely damaged due to arthritis, injury, or congenital conditions, hip replacement surgery can be a viable option for younger patients looking to restore joint function and alleviate pain.
However, younger patients should be aware that hip implants typically have a lifespan of 30-35 years, which may require revision surgery at a later stage. That being said, for those suffering from debilitating hip pain, hip replacement surgery can help them return to a more active lifestyle, including low-impact activities such as walking, swimming, and cycling. In recent times the concept of pain relief and return to function is more important rather than having to wait until a certain age to get surgery done.
Different Types of Hip Replacement Surgeries
There are several types of hip replacement surgery, each tailored to the patient's condition and needs:
Total Hip Replacement (THR)
This is the most common form of hip replacement surgery. It involves replacing both the acetabulum (the hip socket) and the femoral head (the ball of the joint) with artificial components. Total hip replacement surgery is often recommended for patients with advanced arthritis or significant joint degeneration.
In cases where only one part of the hip joint is damaged, a partial hip replacement may be performed. This surgery involves replacing only the femoral head, leaving the acetabulum intact.
This is a less invasive option where only the damaged surface of the femoral head is removed and replaced with a metal cap. It is often preferred for younger, more active individuals with less severe arthritis. However early results with this special implant were less than encouraging and some drastic failures have put this implant in disrepute. Research is on to develop better implant materials with this type of implant to take care of such problems.
When to Consult a Doctor for Hip Replacement Surgery?
If you are experiencing severe hip pain, reduced mobility, or joint instability that affects your daily activities, it may be time to consult an orthopedic surgeon. Hip replacement surgery is a highly effective solution for those whose joints have become too damaged to function properly. It is essential to evaluate all options, and your doctor will help you understand when the time is right to consider this procedure.
By consulting a specialist early on, patients can explore alternative treatments and decide whether hip replacement surgery is the right option for them. Here are some signs that indicate it might be time to consult a doctor about hip replacement surgery:
Persistent Hip Pain Despite Conservative Treatments
If you have tried medications, physical therapy, and other non-surgical options, but your hip pain persists or worsens, it might be time to consider a consultation. Chronic hip pain that doesn't improve with over-the-counter pain relievers, anti-inflammatory medications, or physical therapy can be a sign that the damage to the joint is severe enough to require surgical intervention.
Difficulty in Performing Daily Activities
As hip joint degeneration progresses, you may find it increasingly difficult to perform everyday tasks such as walking, climbing stairs, getting in and out of a car, or even putting on shoes and socks. When these simple activities become painful or nearly impossible, it might be a sign that your hip joint is no longer functioning as it should, and hip replacement surgery could help restore function.
Joint Stiffness and Limited Range of Motion
If you experience joint stiffness and reduced range of motion in the hip, it can affect your ability to move comfortably. Stiffness may lead to an inability to fully extend your leg or rotate your hip, which can make walking or even standing for long periods uncomfortable. If these limitations are affecting your quality of life, it’s a good idea to consult an orthopedic surgeon.
Severe Hip Pain That Interferes with Sleep
Severe pain that interferes with your ability to sleep at night is another indication that hip replacement surgery might be necessary. When hip pain disrupts your sleep, it often signals that the underlying cause is significant, such as advanced arthritis or hip joint damage. If you're unable to find relief even while resting, surgical options like hip replacement surgery should be explored.
Decreased Mobility and Difficulty Walking or Standing
If you notice that you're walking with a limp, experiencing difficulty standing for long periods, or finding it hard to walk without assistance (such as a cane or walker), these may be signs that your hip joint is no longer functioning properly. Hip replacement surgery can restore mobility and improve balance, helping you regain the ability to walk and stand comfortably.
Hip Deformities or Joint Instability
In some cases, the hip joint may begin to deform or feel unstable due to arthritis, fractures, or other conditions. Joint instability or deformities can cause discomfort, affect your ability to walk, and increase the risk of falls. If you notice any changes in the shape or stability of your hip joint, it is essential to consult a doctor to determine if hip replacement surgery is the appropriate option.
X-ray or Imaging Results Indicating Severe Joint Damage
Your doctor will likely recommend imaging tests like X-rays, MRIs, or CT scans to evaluate the condition of your hip joint. If these tests show that your cartilage is worn out or the joint is severely damaged, you may be a candidate for hip replacement surgery. Bone-on-bone contact and significant wear and tear often lead to the recommendation for surgical intervention.
The Pain is Affecting Your Mental Well-being
Chronic pain from a damaged hip joint can have a significant impact on your emotional and mental well-being. If you feel depressed, anxious, or frustrated due to your inability to perform daily tasks or your constant discomfort, it’s essential to speak with your doctor. Hip replacement surgery can improve your quality of life, not just by alleviating physical pain but by helping restore your mental and emotional health as well.
Failed Conservative Treatments (Physical Therapy, Medications, Injections)
Before recommending hip replacement surgery, doctors generally advise trying less invasive treatments such as physical therapy, pain medication, and steroid or hyaluronic acid injections. If these treatments do not provide adequate relief or only offer temporary benefits, it may be an indication that your hip joint requires surgical intervention.
Progressive Joint Degeneration or Advanced Arthritis
Patients with advanced arthritis, particularly osteoarthritis or rheumatoid arthritis, often experience worsening symptoms over time. When the cartilage that cushions the hip joint breaks down completely and bone starts rubbing against bone, the condition can become severely painful and debilitating. If conservative treatments aren’t effective and the arthritis continues to progress, hip replacement surgery is often the best option to restore function and reduce pain.
What to Expect Before Hip Replacement Surgery?
Before undergoing hip replacement surgery, your doctor will conduct a thorough assessment to determine if you’re a suitable candidate for the procedure. This includes physical examinations, medical history review, and imaging tests like X-rays or MRIs to evaluate the condition of the hip joint.
Pre-operative preparations often include:
Pre-surgery exercises to strengthen the muscles around the hip joint.
Discontinuing certain medications, particularly blood thinners, to reduce the risk of complications.
Deciding whether the surgery will be done under general anesthesia or spinal anesthesia.
If necessary, your doctor may advise weight management or other lifestyle modifications to enhance the surgery's success.
How is Hip Replacement Surgery Performed?
The hip replacement surgery itself typically takes 1-2 hours and is performed under general or regional anesthesia. Here's a brief overview of the steps involved:
The surgeon makes an incision over the hip to access the joint. The approach depends upon surgeon preference and patient requirements. Usually 4-6 inches is the length of the incision.
The damaged femoral head and acetabulum are carefully removed.
Placement of Prosthetic Implant
The prosthetic components (made of metal, ceramic, or plastic) are inserted into the hip joint.
The surgeon will close the incision using absorbable stitches which do not require removal, and a waterproof dressing is applied which allows the patient to have a bath the next day after surgery.
What to Expect After Hip Replacement Surgery?
Hip replacement surgery recovery time varies from person to person, but most patients can expect to stay in the hospital for 2-4 days post-surgery. Within the first few weeks, you'll start engaging in physical therapy and mobility exercises to strengthen the hip muscles and regain range of motion. After hip replacement surgery, you will need to follow specific post-hip replacement surgery instructions to ensure optimal recovery. This includes:
You may experience some pain or discomfort in the initial weeks, which can be managed through prescribed medications. Nerve blocks, epidural anaesthesia and patient controlled analgesia are some of the techniques which allow for absolute pain relief thus allowing early rehab and walking after the surgery.
A vital part of the recovery process, physical therapy helps strengthen the hip muscles and improve joint flexibility. Typically patients start walking with walker support on the day of surgery or most definitely next day.
Crutches or walkers are typically used for the first few weeks to reduce weight on the hip joint.
Regular check-ups with your surgeon to monitor healing and detect any complications early on.
Most patients can resume light activities, such as walking and driving, within 4-6 weeks. However, high-impact activities like running or heavy lifting should be avoided for several months or longer, depending on the type of surgery and individual progress.
Benefits of Hip Replacement Surgery
Hip replacement surgery, a highly effective treatment for individuals suffering from chronic hip pain, joint stiffness, or arthritis, offers several significant benefits. The procedure not only alleviates discomfort but also helps restore mobility and improve quality of life. Below are some of the key advantages of hip replacement surgery:
The most immediate and noticeable benefit of hip replacement surgery is the significant reduction in pain. Chronic hip pain, often caused by arthritis, fractures, or other degenerative conditions, can severely affect daily life. Patients typically experience a dramatic reduction in pain following the surgery, allowing them to resume normal activities and enjoy a better quality of life.
Improved Mobility and Function
One of the key goals of hip replacement surgery is to restore lost mobility. As the hip joint becomes damaged, movements like walking, bending, or climbing stairs can become increasingly difficult. After the surgery, the new prosthetic joint enables smoother movement with reduced friction, resulting in improved mobility and flexibility.
Chronic hip pain and stiffness can be debilitating, leading to a decrease in physical activity, social isolation, and emotional distress. By alleviating pain and improving joint function, hip replacement surgery enhances your overall quality of life. Many patients report feeling rejuvenated after surgery, experiencing greater independence and a renewed ability to engage in activities they love, such as walking, gardening, traveling, and even exercising.
Enhanced Post-Surgery Strength and Stability
In addition to pain relief, hip replacement surgery restores strength and stability to the hip joint. For individuals with severe arthritis or joint damage, the hip joint may become unstable, increasing the risk of falls and other injuries. After surgery, the new prosthetic joint provides a stable foundation, enabling the patient to regain balance and strength.
Long-Term Effectiveness and Durability
Modern hip replacement surgery is highly durable, with prosthetic implants lasting up to 30-35 years or even longer, depending on the type of implant and the patient’s lifestyle. Advances in medical technology have made implants stronger, more reliable, and better suited for long-term use.
Less Dependence on Pain Medications
One of the key advantages of hip replacement surgery is the reduced need for pain management post-surgery. Many individuals with hip pain rely on medications, such as over-the-counter pain relievers or prescription drugs, to cope with their discomfort. While these medications can be effective in the short term, they often come with side effects, such as stomach issues or dependency.
Reduced Need for Other Surgical Interventions
For individuals with severe arthritis or joint damage, hip replacement surgery may be the most effective and permanent solution. Before surgery, patients often undergo multiple other treatments, including physical therapy, corticosteroid injections, or even joint fusion surgeries, to manage pain and mobility issues. While these treatments can provide temporary relief, they may not offer a long-term solution.
After the hip replacement surgery recovery time, many patients can return to an active lifestyle. With the restoration of joint function and pain relief, individuals can engage in activities like walking, swimming, cycling, and light jogging that may have been too painful before surgery. For patients who enjoy sports or other recreational activities, this restoration of activity can be especially gratifying.
Choose Artemis Hospitals for Advanced Hip Replacement surgery in Gurgaon.
To book an appointment with the top orthopedic surgeon at Artemis Hospitals, call our customer care at +91-124-451-1111 or WhatsApp us at +91 9599285476. You can also schedule an appointment through our online patient portal or download and register on the Artemis Personal Health Record mobile app, available for both iOS and Android devices.
Reviewed By Dr. Rohit Lamba
Orthopedist - Orthopaedics
Artemis Hospitals
Frequently Asked Questions (FAQs)
How long does the surgery take?
Typically, hip replacement surgery takes 1-2 hours. However, depending on the severity of the condition, type of hip replacement, and surgical expertise of the surgeon, the OT time can vary.
How soon can I walk after surgery?
Patients can usually begin walking with assistance on the day of surgery or next day after surgery.
What is the recovery time after hip replacement surgery?
Recovery typically takes 6 weeks to 3 months, with most patients returning to light activities within 6-8 weeks.
What are the recovery tips after hip replacement surgery?
Post-surgery recovery includes physical therapy to regain strength and mobility, use of walking aids as advised, and avoiding certain movements that could strain the hip joint. It’s also important to manage pain with prescribed medications and maintain regular follow-up appointments with your surgeon for progress monitoring.
Can I travel abroad for hip replacement surgery in Gurgaon?
Yes, many international patients travel to Gurgaon for affordable and high-quality hip replacement surgeries.
What are the risks of hip replacement surgery?
Risks include infection, blood clots, dislocation of the implant, and nerve injury, though these complications are rare with proper care.
What factors affect the success of hip replacement surgery?
Factors that affect the success of hip replacement surgery are as follows:
Age and Health
Type of Implant
Surgeon’s Experience
Post-Operative Care
Is hip replacement surgery permanent?
The prosthetic implant can last 30-35 years or more, depending on the patient's lifestyle and the type of implant.
How soon can I drive after hip replacement surgery?
Most patients can drive within 4-6 weeks after surgery, once they can move comfortably and safely.
What are the complications of hip replacement surgery?
While hip replacement surgery is generally safe, complications can occur, including infection, blood clots, dislocation of the hip implant, nerve damage, or fractures. However, these risks are minimized with proper pre-surgery planning, careful surgical technique, and post-operative care.
Are there non-surgical alternatives to hip replacement?
Non-surgical options like physical therapy, injections, and medications can provide temporary relief but may not offer long-term benefits for severe cases.
