Hip Replacement
Total hip replacement (arthroplasty) involves removing the damaged ball-and-socket hip joint and replacing it with an artificial prosthesis made of metal alloy, ceramic, and high-grade plastic. The worn femoral head (ball) is replaced with a metal or ceramic ball on a metal stem inserted into the thigh bone; the damaged socket (acetabulum) is resurfaced with a metal cup lined with ceramic or plastic. The result is a pain-free, smooth-moving joint that can last 15–25 years. At Iswarya Hospital, hip replacements use cemented or uncemented techniques selected based on patient age and bone quality.
🔬 How the Procedure Is Performed
- 1
Spinal or general anaesthesia is administered.
- 2
An incision is made on the lateral aspect of the hip.
- 3
The damaged femoral head is removed and the acetabulum is prepared.
- 4
A metal acetabular cup is pressed or cemented into the socket.
- 5
The femoral canal is prepared and a metal stem with an artificial ball is implanted.
- 6
The joint is reduced and tested for stability; wound layers are closed.
✅ Benefits of Hip Replacement
- ✓Virtually complete elimination of hip pain in the vast majority of patients
- ✓Restoration of full range of hip motion
- ✓Return to walking within 24 hours of surgery
- ✓Modern implants last 15–25 years
- ✓Significant improvement in quality of life and independence
📋 How to Prepare
- Complete pre-operative assessment: blood tests, ECG, chest X-ray, anaesthesia review.
- Arrange home modifications: raised toilet seat, grab rails, non-slip mats.
- Strengthen hip and thigh muscles with physiotherapy before surgery.
- Stop blood thinning supplements (fish oil, vitamin E) 1–2 weeks before.
- Donate blood (autologous) if planned, or consent to receiving blood products.
⚠️ Possible Risks & Side Effects
- Dislocation of the new joint — most common in the first 3 months
- Deep vein thrombosis (DVT) and pulmonary embolism — prevented with blood thinners
- Infection — risk is less than 1% with clean-room theatres and antibiotic prophylaxis
- Leg length discrepancy — slight difference managed with a shoe insert
- Aseptic loosening of implants over many years
Your surgeon will discuss all risks with you before the procedure and take appropriate precautions to minimise them.
💊 Post-Procedure Care
- Physiotherapy begins the day after surgery — walking with a frame.
- Follow hip precautions for 6 weeks: avoid bending the hip beyond 90°, crossing legs, or sitting on low chairs.
- Blood thinner injections or tablets for 4–6 weeks to prevent clots.
- Progress from frame to walking stick to unaided walking over 6 weeks.
- Full recovery and return to most activities typically by 3–6 months.
❓ Frequently Asked Questions
How long will my hip replacement last?
Modern implants last 15–25 years in most patients. About 5–10% require revision (replacement) surgery after 15–20 years due to wear.
When can I drive after hip replacement?
Usually 6–8 weeks after surgery for an automatic car, or when your surgeon confirms the operated hip has adequate strength and control to perform an emergency brake.
Can I return to sport after hip replacement?
Low-impact activities like swimming, cycling, and golf are recommended. High-impact sports (running, jumping) are generally discouraged to prolong implant life.
🏥 Hip Replacement at Iswarya Hospital
At the forefront of advancements, offering robotic-assisted surgery for unmatched precision, safety, and faster recovery.
ℹ️ This information is for educational purposes only and does not constitute medical advice. Individual treatment plans may vary. Always consult a qualified healthcare professional before making any medical decisions.