Total Hip Replacement
Total hip replacement involves replacing the damaged hip joint with artificial components. This highly successful procedure relieves pain and restores function in patients with severe hip arthritis or fractures.
When It's Recommended
Indications for this procedure
- Severe hip arthritis
- Hip fractures in elderly patients
- Avascular necrosis of the hip
- Failed previous hip surgery
- Significant pain limiting daily activities
How It's Performed
The procedure explained
The damaged femoral head is removed and replaced with a metal or ceramic ball attached to a metal stem placed in the femur. The damaged socket is replaced with a metal cup lined with plastic, ceramic, or metal. The procedure typically takes 1-2 hours.
Recovery Timeline
What to expect during recovery
Immediate Post-Op (Days 1-3)
What You Can Do
- Begin physical therapy within 24 hours
- Standing and walking with walker
- Hip precautions education
- Pain and swelling management
What to Avoid
- No hip flexion beyond 90 degrees
- No crossing legs
- No twisting at the hip
- Use elevated toilet seat and chairs
Early Recovery (Weeks 1-6)
What You Can Do
- Home exercises daily
- Gradual walking progression
- Light household tasks
- Use of assistive devices
What to Avoid
- Maintain hip precautions strictly
- No driving for 4-6 weeks
- Sleep on back or non-operative side
- Avoid low chairs and soft surfaces
Intermediate Recovery (Weeks 6-12)
What You Can Do
- Outpatient physical therapy
- Swimming and water exercises
- Stationary cycling
- Return to office work
What to Avoid
- Continue hip precautions as advised
- No high-impact activities
- Gradual increase in activity level
Long-term Recovery (3-12 months)
What You Can Do
- Return to low-impact sports
- Full daily activities
- Golf, swimming, walking
- Independent living restored
What to Avoid
- Avoid high-impact sports permanently
- No running or jumping
- Regular follow-up visits
Risks & Complications
Important considerations
- Dislocation (1-3% risk)
- Infection
- Blood clots
- Leg length inequality
- Implant loosening
- Nerve or blood vessel injury
All surgical procedures carry some risk. Your surgeon will discuss these in detail during consultation and take measures to minimize complications.
Alternative Treatments
Other options to consider
- Hip resurfacing (for younger patients)
- Continued medical management
- Corticosteroid injections
- Core decompression (for early avascular necrosis)
- Osteotomy
Important Notes:
- Recovery times vary by individual and condition severity
- Follow your surgeon's specific post-operative instructions
- Attend all scheduled follow-up appointments
- Report any unusual symptoms or concerns immediately