Hip Replacement

musculoskeletal

Description

Total hip replacement (arthroplasty) replaces the damaged hip joint with an artificial implant consisting of a metal stem, ball, and socket. It is one of the most reliable surgical procedures, with over 95% of implants lasting 15-20 years. The procedure is indicated for severe hip osteoarthritis, avascular necrosis, hip fractures, and rheumatoid arthritis that have not responded to conservative management. Modern approaches include anterior, posterior, and lateral techniques, with the anterior approach allowing faster recovery and fewer post-operative restrictions. Robotic-assisted surgery improves component positioning and may reduce complication rates.

What to Expect

Surgery takes 1-2 hours under general or spinal anesthesia. Hospital stay is typically 2-4 days, with some centers offering same-day discharge for select patients. Physical therapy starts within hours of surgery. Most patients walk with a walker on the day of surgery. Your team will use blood clot prevention measures and monitor for infection. Anterior approach patients have fewer movement restrictions immediately after surgery.

Recovery Information

Week 1: Hospital stay with walker-assisted walking and stair training. Weeks 2-4: Home recovery with daily physical therapy exercises, gradual transition from walker to cane. Weeks 4-8: Progressive strengthening, most patients drive by week 4-6. Months 2-3: Return to most daily activities and light work. Months 3-6: Full recovery with continued strengthening. Hip precautions (avoiding deep bending and crossing legs) apply for 6-12 weeks with posterior approach. Most patients return to golf, swimming, and cycling by 3-6 months.