Hip replacement surgery: the procedure, recovery, and risks

Written in association with: Mr Sulaiman Alazzawi
Published: | Updated: 18/11/2024
Edited by: Conor Lynch

Hip replacement, or total hip arthroplasty, is a surgical procedure in which a damaged or diseased hip joint is replaced with a prosthetic implant, often due to severe arthritis or injury. This procedure aims to relieve pain, improve joint function, and increase mobility, allowing individuals to return to daily activities with reduced discomfort.

 

Hip replacements have become highly successful, especially in cases of osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis, which can significantly impact the quality of life by limiting mobility and causing persistent pain.

A typical hip replacement procedure

The procedure involves removing the damaged portions of the hip joint, including the ball (femoral head) and the socket (acetabulum), and replacing them with artificial parts typically made of metal, ceramic, or durable plastic. The new joint mimics the natural movement of the hip, restoring functionality and helping to relieve the constant friction and pain caused by the damaged cartilage.

 

Modern hip replacements are designed to be long-lasting, with most implants lasting 15-20 years or longer, depending on the individual’s activity level, weight, and general health.

 

Recovery

Patients generally recover in stages, beginning with hospital-based rehabilitation and progressing to home exercises. Physical therapy plays a crucial role in recovery, helping patients regain strength, flexibility, and balance.

 

By following a structured recovery plan, most individuals can walk independently within a few weeks and resume low-impact activities within a few months. High-impact activities, such as running or heavy lifting, may need to be modified or avoided to ensure the longevity of the implant.

 

Risks

Although hip replacement is highly effective, like any surgery, it carries risks, including blood clots, infection, dislocation, and, in rare cases, implant failure. However, advancements in surgical techniques and materials have significantly reduced complications, making it a safe and reliable solution for hip pain.

 

Hip replacement can be life-changing, offering patients relief from pain, restored movement, and improved quality of life. By enabling people to lead more active and independent lives, it remains one of the most successful procedures in orthopedic surgery, providing a durable and effective solution for chronic hip joint conditions.

By Mr Sulaiman Alazzawi
Orthopaedic surgery

Mr Sulaiman Alazzawi is a reputable consultant orthopaedic and trauma surgeon who attends to patients in South West London and Surrey. He is an expert in knee and hip replacements, including complex joint replacements, as well as treating failed, loose and painful joint replacements. Alongside his multi-disciplinary team he manages patients who require complex surgery or revision (re-do) joint replacements.

After achieving his bachelor’s degree (MBChB), Mr Alazzawi became a Member of the Royal College of Surgeons (MRCS). He then gained his masters degree from University College London before completing his trauma and orthopaedic Fellowship of the Royal College of Surgeons (FRCS Tr&Orth) at the Royal London Rotation, a renowned orthopaedic training centre.

Mr Alazzawi has completed international fellowships in Germany and Canada. His first, centred around trauma, was completed in Hannover, before moving to Vancouver, where he undertook an adult reconstruction fellowship. Mr Alazzawi’s passion for his profession also extends to teaching and research, he is regularly invited to contribute to research projects at some of the world’s most prestigious medical centres such as ENDO-Klinik Hamburg and the Hospital of Special Surgery, New York.

He has published over thirty research papers and contributed to numerous book chapters, most of which have been on hip and knee surgery. Mr Alazzawi is also a reviewer for various journals, such as the Bone and Joint Journal, The Knee and The BMJ.

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