Hip replacement: what should I expect?

Chronic hip pain can significantly impact your quality of life, making everyday activities such as walking, climbing stairs, and even sitting uncomfortable. For many individuals, especially those who have tried other treatments without success, hip replacement surgery offers a promising solution. Leading consultant orthopaedic surgeon Mr Ian Osborne provides a clear and comprehensive overview of hip replacement surgery, addressing common questions and concerns to help you make an informed decision about your health and mobility.

What Is hip replacement surgery?

Hip replacement surgery, or hip arthroplasty, is a procedure where a damaged hip joint is replaced with an artificial one. This is typically necessary when the hip joint has been severely damaged by conditions such as arthritis, fractures, or other degenerative diseases. The primary goal of this surgery is to relieve pain and restore function and mobility.

When may a hip replacement be necessary?

Patients generally consider hip replacement surgery when other treatments have failed to provide relief. This includes medication, physical therapy, and lifestyle modifications. Conditions like osteoarthritis, rheumatoid arthritis, and osteonecrosis (bone death caused by poor blood supply) are common reasons for needing a hip replacement. If you experience persistent hip pain that interferes with daily activities and reduces your quality of life, hip replacement may be a viable option.

How Is a hip replacement performed?

The surgery involves removing the damaged sections of the hip joint and replacing them with parts usually made from metal, ceramic, or plastic. The procedure is performed under anaesthesia, ensuring you are asleep and pain-free. During the operation, the surgeon makes an incision over the hip, removes the diseased bone and cartilage, and inserts the new joint components. The entire procedure typically takes a few hours.

What are the benefits of hip replacement?

The primary benefit of hip replacement surgery is the significant reduction in pain. Many patients also experience improved mobility and a better quality of life. Post-surgery, activities that were once difficult or impossible become manageable again. This can include walking, climbing stairs, and engaging in low-impact sports. Additionally, a successful hip replacement can help you maintain independence and participate in daily activities with greater ease.

What are the risks and complications?

As is the case with any surgical procedure, hip replacement surgery carries certain risks. These can include infection, blood clots, and dislocation of the new joint. Some patients may experience differences in leg length, and there is also the risk of the new joint wearing out over time. It is crucial to discuss these potential risks with your surgeon and understand the measures taken to minimise them.

How Is recovery managed?

Recovery from hip replacement surgery involves several stages, starting with a hospital stay of a few days. During this time, you will begin physical therapy to aid in regaining movement and strength in the hip. Once discharged, continuing physical therapy at home or in a rehabilitation centre is essential. Most patients can resume normal activities within three to six months, although this varies depending on individual circumstances.

What should you expect long-term?

The long-term outlook for hip replacement patients is generally positive. Most artificial hips can last 15 to 20 years or more, depending on factors such as activity level and overall health. Regular follow-up appointments with your surgeon will help monitor the condition of the new joint and address any issues that may arise. With proper care, a hip replacement can significantly enhance your quality of life and allow you to return to many of the activities you enjoy.

If you are considering a hip replacement and would like to book a consultation with Mr Osborne, simply visit his Top Doctors profile today.