Total Hip Replacement: What To Expect Before, During & After Surgery

Introduction

Total hip replacement surgery is a life-changing procedure for individuals suffering from chronic hip pain, arthritis, or joint damage. It helps restore mobility, reduce pain, and improve quality of life.

If you or a loved one is considering hip replacement surgery, it’s essential to understand what to expect before, during, and after the procedure. This guide covers everything—from the cost of hip replacement surgery to the types of hip replacement procedures and post-surgery exercises to aid recovery.

What is Hip Replacement Surgery?

Hip replacement, also called hip joint replacement or total hip replacement (THR), is a surgical procedure where a damaged hip joint is replaced with an artificial prosthesis.

This procedure is commonly recommended for patients with:

• Severe osteoarthritis (m
• Hip fractures
• Avascular necrosis (bone death due to poor blood supply)
• Congenital hip conditions

The surgery helps patients regain mobility, ease pain, and resume normal activities.

Read Also: How Long are You on Bed Rest After a Hip Replacement?

Types of Hip Replacement Surgery

There are different types of hip replacement procedures based on the extent of damage and surgical approach.

• Total Hip Replacement (THR): The most common procedure, replacing both the ball (femoral head) and socket (acetabulum) with prosthetic components. Ideal for severe arthritis or extensive joint damage.
• Partial Hip Replacement (Hemiarthroplasty): Replaces only the ball of the hip joint, mainly for elderly patients with hip fractures.
• Hip Resurfacing: Preserves more natural bone, making it a preferred option for younger, active patients.
• Minimally Invasive Hip Replacement: Involves smaller incisions, reducing pain and speeding up recovery, though not suitable for all patients.

Read Also: Essential Information For Those Considering Hip Replacement

Hip Replacement Prosthesis: What Are They Made Of?

The artificial hip prosthesis is designed to mimic the natural joint and is made of durable materials like:

• Metal-on-plastic – Most common, with a metal ball and plastic socket
• Ceramic-on-ceramic – Less wear but risk of fracture
• Metal-on-metal – Durable but rarely used due to metal toxicity concerns

Your surgeon will determine the best prosthesis based on your age, activity level, and overall health.

Read Also: Hip Replacement Surgery Cost in Delhi, India

Hip Replacement Surgery Cost

The cost of hip replacement surgery depends on several factors, including:

• Hospital and surgeon’s fees
• Type of implant (prosthesis) used
• Pre-surgery tests and rehabilitation costs
• Location (India vs. international hospitals)

In India, the cost ranges from ₹2.5 lakhs to ₹5 lakhs, while in Western countries, it can be ₹8-15 lakhs ($10,000-$30,000). Many insurance companies cover hip replacement, so check your policy beforehand.

Read Also: Is It Safe to Get Hip Replacement Done at a Young Age?

What to Expect Before Hip Replacement Surgery

Undergoing hip replacement surgery requires careful preparation to ensure a successful procedure and smooth recovery. Here’s what you can expect before the surgery:

1. Medical Evaluation & Tests

Before surgery, a thorough medical evaluation and tests are essential to ensure a safe procedure. Your doctor will conduct blood tests and an ECG to assess heart health, along with X-rays or an MRI to evaluate joint damage. Additionally, a consultation with an anesthesiologist will help determine the best anesthesia plan for you.

2. Lifestyle Adjustments

Making necessary lifestyle adjustments before surgery can improve outcomes and speed up recovery. It is important to stop smoking and avoid alcohol, as these can interfere with healing. Losing excess weight helps reduce stress on the new joint, while gentle pre-surgery exercises can strengthen leg muscles, making post-surgery mobility easier.

3. Home Preparation

Preparing your home in advance will ensure a smooth recovery process. Keep frequently used items within easy reach to minimize unnecessary movement. Installing handrails and anti-slip mats can prevent falls, while arranging for assistance from family or a caregiver will provide the necessary support during the initial recovery period.

What Happens During Hip Replacement Surgery?

Hip replacement surgery takes 1.5 to 3 hours. It begins with anesthesia (general or spinal), followed by an incision in the hip. The damaged joint is removed, replaced with an artificial prosthesis, and the incision is closed. Patients stay in the hospital for 2 to 5 days for recovery.

Recovery After Hip Replacement Surgery

Recovery after hip replacement surgery happens in stages, requiring gradual progress and proper care.

• Hospital Stay & Initial Recovery: Within 24 hours after surgery, you’ll be encouraged to walk with support. Pain is managed through medications and ice packs, while early physiotherapy helps prevent stiffness.
• At-Home Recovery (First 6 Weeks): Use a walker or crutches for support and avoid bending beyond 90 degrees. Sleep with a pillow between your legs and follow a healthy diet to promote healing.
• Long-Term Recovery (3-6 Months): Full recovery takes 3 to 6 months, depending on age and fitness. Gradually resume low-impact exercises like swimming and cycling, but avoid high-impact activities such as running or jumping.

Best Exercises After Hip Replacement

Regular exercise after hip replacement helps strengthen muscles and improve flexibility.

Early Recovery Exercises (First Few Weeks)

• Ankle Pumps – Move ankles up and down to prevent blood clots
• Quad Sets – Tighten thigh muscles for 5 seconds
• Glute Squeezes – Strengthen buttock muscles

Intermediate Exercises (4-6 Weeks Post-Surgery)

• Leg Raises – Lift leg while lying flat
• Heel Slides – Bend and straighten the knee slowly
• Standing Hip Abduction – Lift leg sideways for hip strength

Advanced Exercises (After 3 Months)

• Swimming and Cycling – Low-impact cardio
• Light Squats & Step-Ups – Improve joint mobility
• Avoid high-impact sports and twisting movements to protect the new hip joint.

How to Prolong the Life of Your Hip Replacement

Most hip replacements last 15-20 years, but with proper care, they can last even longer.

Dos:

• Maintain a healthy weight (reduces joint stress)
• Follow a regular exercise routine
• Use proper body mechanics when bending or sitting

Don’ts:

• Avoid jumping or running
• Do not twist the hip forcefully
• Avoid sitting in low chairs

When to Call Your Doctor?

After hip replacement surgery, it’s important to monitor for any signs of complications. Seek immediate medical attention if you experience severe swelling, redness, or fever, as these could indicate an infection. Sudden, intense hip pain or difficulty walking may signal a problem with the implant or joint stability. Additionally, unusual clicking sounds from the implant should not be ignored, as they could suggest misalignment or loosening.

Conclusion

Total hip replacement surgery is a highly effective procedure for those suffering from hip joint pain and mobility issues. With proper preparation, post-surgery care, and regular exercise, most patients can lead an active, pain-free life.

If you're considering hip replacement, consult with a qualified orthopedic surgeon to discuss the best options for your condition.