Total Hip Replacement Surgery

Hip replacement surgery, also called total hip arthroplasty, entails replacing diseased hip joint with a man made biocompatible artificial joint, called prosthesis, made of metal or ceramic. Hip prosthesis consists of a ball component, and a socket, which has an insert or liner made of plastic, ceramic or metal.

Hip replacement is advised for people with hip joint damage from arthritis or an injury to relieve pain and restore range of motion and function of your hip joint. Total Hip replacement surgery the second most common joint replacement procedure, closely following knee replacements.

Why is Hip Replacement Done?

The goal of hip replacement surgery is to relieve pain and increase the mobility and function of a damaged hip joint. Hip replacement is advised after other conservative treatments such as medications, injections, physical therapy and exercises have not worked on you.


Various conditions that damage the hip joint, necessitating hip replacement surgery, include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Broken hip
  • Bone tumor
  • Osteonecrosis, which occurs when there is inadequate blood supply to the ball portion of the hip join

Symptoms that may lead you to consider hip replacement:

  • Persistent pain, despite pain medication
  • Pain exacerbated by walking, even with a cane or walker
  • Poor sleep due to pain
  • Difficulty going up or down stairs
  • Trouble rising from a seated position
  • Inability to participate in formerly enjoyable activities because of pain

Benefits of hip replacement:

  • Improved quality of life with improved mobility without pain
  • Cost effective option
  • Age no bar to hip replacement benefits.

There are two major types of artificial hip replacements – Cemented Prosthesis and the Uncemented Prosthesis. Both types of prosthesis are widely used and the better suitable option for you shall be advised to you by the surgeon.

Rehabilitation and Physiotherapy

IMG_0025The next step after hip replacement surgery is to relieve you completely of pain and bring mobility is to restore range of motion in the joint and build a strong, sturdy support system for your new joint by strengthening your leg muscles. That’s where physical therapy comes in.

Physiotherapy and Rehabilitation services help you to return back to normal activity quickly after the surgery. When you’re healing from surgery, it’s vital to work with a physical therapist on your hip’s range of motion. There’s a window of time after surgery — usually a few weeks, although it varies from person to person — in which you have to restore the range of motion in your new hip.

Physical therapy also lowers your risk of dislocating your new joint by strengthening the muscles in your leg. This keeps your artificial hip in place after surgery. The first physical therapy session typically happens the day after surgery, while you’re still in the hospital. Your therapist will help you walk with your new joint. The type of surgery you’ve had will determine how much weight you can put on your hip.

Your therapist may give you exercises you can do in bed to avoid blood clots, such as tightening your thighs, squeezing your buttocks, or pointing your feet up and down.