Hip Replacement

Hip replacement may be recommended if you have:

• Severe osteoarthritis (OA) is a common condition involving cartilage breakdown and pain.
• Rheumatoid arthritis (RA) is an autoimmune condition that causes hip joint inflammation and damage.
• Post-traumatic arthritis occurs after a hip injury or fracture.
• Avascular necrosis happens when reduced blood flow to the hip bone resulting in bone death and joint damage.

• The surgery is usually done under general or regional anaesthesia.
• The surgeon removes damaged portions of the hip joint, replacing them with an artificial implant designed to mimic natural hip function.
• The implant may be fixed using special bone cement or by allowing natural bone growth to secure it in place.
   

Hip replacement surgery typically takes about 1–2 hours, depending on the patient’s condition and surgical approach.

Before surgery, preparation may include:

• Medical evaluation that includes a comprehensive assessment of overall health.
• Imaging tests such as X-rays or scans to plan implant size and position.
• Anaesthesia planning involves determining the most suitable type.
• Rehabilitation planning involves preparing for post-surgery rehabilitation.
• Lifestyle adjustments such as weight management and strengthening exercises may be advised.

Although hip replacement is generally safe, possible risks include:

• Infection
• Blood clots
• Tissue or nerve damage
• Fractures in the surrounding bone
• Loosening and/or dislocation of the implant
• Alterations in leg length

• Rehabilitation includes physical therapy that begins right after surgery to restore strength, mobility, and function.
• Pain management using medications and techniques to control post-operative pain and swelling.
• Lifestyle adjustments, such as use of assistive devices, and joint care guidance to support faster recovery and prevent complications.

• Regular follow-ups and routine check-ups with the orthopaedic surgeon to monitor the hip implant and joint health.
• Ongoing physical therapy to maintain flexibility and muscle strength, aiding long-term recovery.

Generally, hip replacement surgeries are associated with excellent patient outcomes. They greatly enhance the quality of life of most patients, markedly decreasing hip pain and enhancing hip mobility. Successful outcomes rely on thorough preoperative planning, surgical expertise, adherence to rehab protocols, and ongoing joint care. Often, complete recovery requires 3–4 months; of course, this duration varies from patient to patient. Surgeons recommend that patients avoid high-impact activities (jumping or running); nevertheless, low-impact activities, such as walking, swimming, and driving, are advised as forms of physical therapy. Usually, hip replacements can last for several years.