Total Hip Replacement in Navi Mumbai

Total Hip Replacement in Navi Mumbai

Total Hip Replacement: Step-by-Step Guide, Procedure, Recovery

Living with chronic hip pain can feel like carrying a weight you never put down. Every step, every turn, even sitting or sleeping becomes a reminder that something isn’t right. When medications, physiotherapy, and lifestyle changes no longer bring relief, Total Hip Replacement becomes one of the most effective, long-term solutions to restore mobility and eliminate pain.

In this article, we shall discuss all that you should know about total hip replacement right from understanding when you may need the surgery to how it is performed, the recovery timeline, and why choosing a specialised centre like Fortis Hospitals, Vashi ensures exceptional outcomes.

When Do You Need A Total Hip Replacement?

Total Hip Replacement (THR), also known as Total Hip Arthroplasty, is recommended when the hip joint becomes severely damaged, limiting your daily activities and quality of life.

Common Conditions That Lead To THR Include: 

Osteoarthritis

Osteoarthritis is the most common reason for total hip replacement. In this condition, the protective cartilage that cushions the hip joint gradually wears away due to age, repetitive stress, obesity, or genetic factors. As the cartilage thins out, the bones start rubbing directly against each other, causing bone-on-bone friction, chronic stiffness, reduced range of motion, and persistent pain that worsens over time. When medications, physiotherapy, and lifestyle changes no longer help, hip replacement becomes the most reliable option for long-term relief.

Rheumatoid Arthritis

A progressive autoimmune disease, rheumatoid arthritis is a condition where the immune system mistakenly attacks the joint lining (synovium). This leads to intense inflammation, swelling, cartilage erosion, and eventually joint deformity. Over time, the hip joint becomes painful even at rest, and mobility can severely decline. When medical therapy fails to control structural damage, hip replacement helps restore function and reduces debilitating pain.

Avascular Necrosis (AVN)

Avascular Necrosis is a condition where the blood supply to the femoral head (the ball of the hip joint) is disrupted due to injury, steroid use, excessive alcohol intake, or certain medical conditions. Without proper blood flow, the bone becomes weak and gradually collapses. This collapse changes the shape of the femoral head, causing severe pain and joint dysfunction. In advanced stages, total hip replacement is the most effective, long-term treatment, as the damaged bone cannot regenerate.

Post-Traumatic Arthritis

Post-traumatic arthritis develops after previous injuries such as fractures, dislocations, or ligament damage involving the hip. Trauma can disturb the normal joint alignment and accelerate cartilage wear. Over time, patients experience chronic pain, reduced movement, stiffness, and difficulty with weight-bearing activities. When conservative measures fail, hip replacement helps restore smooth joint motion and reduces long-standing pain caused by earlier trauma.

Hip Fractures in Older Adults

Hip fractures in older adults is commonly seen and is often caused due to osteoporosis or age-related bone weakness. When the femoral head or neck is fractured beyond repair, blood supply to the bone can be compromised, making healing difficult or impossible. In such cases, total hip replacement helps restore mobility, prevents long-term complications like non-healing fractures or avascular necrosis, and significantly improves the patient’s quality of life.

If pain affects your sleep, makes walking difficult, or limits basic movements like getting in and out of a chair or climbing stairs, your orthopedic specialist may recommend THR.

Types of Hip Implants

Hip implants differ based on material, movement design, and fixation method. Your surgeon chooses the best one based on age, bone quality, lifestyle, and diagnosis.

Cemented Implants

Fixed in place using special surgical cement.
Recommended For: Older adults with weaker bone quality.

Uncemented (Press-Fit) Implants

Designed with a porous surface that allows bone to grow into it naturally.

Recommended For: Younger, active patients with good bone strength.

Dual-Mobility Implants

These have two points of movement, offering greater stability and reducing the risk of dislocation.

Recommended For: Those with mobility challenges or high dislocation risk.

Ceramic-on-Ceramic Implants

Highly durable with minimal wear.

Recommended For: Young, active patients.

Metal or Ceramic on Polyethylene Implants

A widely used, reliable option offering smooth movement and good longevity.

Preparing for Total Hip Replacement

Preparation helps improve outcomes and ensures a smoother recovery.

Your surgeon may advise:

• Blood tests, ECG, X-rays, and MRI to assess overall health and joint damage.
• Stopping certain medications like blood thinners.
• Physiotherapy sessions to build strength before surgery.
• Weight management if needed to reduce stress on the new joint.
• Home modifications, such as installing handrails or organizing items within easy reach.

A well-planned preparation leads to a safer surgery and faster rehabilitation.

Step-by-Step: How Total Hip Replacement Is Performed

Anaesthesia

You receive either spinal anaesthesia or general anaesthesia. The anesthesiology team monitors heart rate, blood pressure, and breathing throughout the procedure.

Positioning and Incision

You are positioned on your side or back.
The surgeon makes an incision either posterior, lateral, or anterior, depending on the chosen approach.

Accessing The Hip Joint

Soft tissues are gently parted, and the surgeon exposes the hip joint without damaging nearby muscles and nerves.

Removing The Damaged Femoral Head

The worn-out femoral head (the ‘ball’ of the hip joint) is removed using precise surgical instruments.

Preparing The Hip Socket (Acetabulum)

The damaged cartilage is cleaned out, and the socket is reshaped to fit the artificial cup.

Inserting The Artificial Cup

The acetabular cup usually made of metal is fixed into the socket.
A plastic, metal, or ceramic liner is placed inside to allow smooth movement.

Preparing The Femur

The surgeon shapes the femoral canal to insert the stem securely.

Inserting The Femoral Stem

A titanium or steel stem is fitted inside the femur (cemented or uncemented).

Attaching The New Femoral Head

A ceramic or metal ball is placed on top of the stem, forming the new “ball” joint.

Checking Stability and Movement

The surgeon tests the new joint for:

• Range of motion
• Stability
• Leg length alignment

Adjustments are made if needed.

Closing The Incision

Layers of tissues are closed carefully to reduce the risk of infection. A dressing is applied, and drainage tubes may be used temporarily to prevent fluid accumulation.

The entire procedure typically takes 1.5 to 2 hours.

Recovery After Hip Replacement Surgery

You are shifted to the recovery room where the medical team monitors your vitals closely. Pain management starts immediately using medication.
Most patients begin walking with support within 24 hours, which helps reduce complications and speeds up recovery.

Timeline After Total Hip Replacement

Day 1 to Week 2

• Start walking with a walker or crutches.
• Begin physiotherapy to strengthen muscles and restore movement.
• Follow hip precautions to avoid dislocation.

Weeks 3 to 6

• Noticeable reduction in pain.
• Improved walking ability with minimal support.
• Begin light activities like climbing stairs.

6 Weeks to 3 Months

• Most patients resume daily routines.
• Stiffness decreases significantly.
• Strength and balance continue improving.

3 to 6 Months

• Hip movements become natural.
• Patients return to driving, office work, and low-impact exercises.

1 Year

• The artificial joint fully integrates with the bone.
• You enjoy pain-free mobility and renewed quality of life.

Possible Risks and Complications

THR is a highly successful surgery, but like any procedure, it carries rare risks:

• Infection
• Blood clots
• Dislocation
• Leg length difference
• Nerve injury
• Implant wear over time

Choosing an experienced surgical team significantly reduces these risks.

Tips for a Faster Recovery

• Follow your physiotherapy plan consistently.
• Use walking aids until your doctor approves otherwise.
• Avoid crossing your legs or bending too far initially.
• Keep your wound clean and dry.
• Maintain a balanced, protein-rich diet.

Why Choose Fortis Hospitals, Vashi for Total Hip Replacement?

Fortis Hospitals, Vashi is one of the leading centres for joint replacement in Maharashtra, offering advanced orthopedic care supported by cutting-edge technology and experienced specialists.

• Experienced orthopedic surgeons specialising in hip replacement
• Advanced operation theatres with global-standard sterilisation
• High-precision implants designed for longevity
• Comprehensive physiotherapy & rehabilitation support
• Infection-controlled environment
• Patient-centric care for comfort, recovery, and long-term outcomes

When precision, safety, and expertise matter, Fortis ensures a superior surgical experience.

Frequently Asked Questions

How long does a hip replacement last?

Modern implants last 15–25 years or more with proper care.

When can I walk after surgery?

Most patients walk within 24 hours using support.

Is the surgery painful?

Pain is well managed with medications, and discomfort reduces within days.

Can I drive again?

Usually after 6–8 weeks, once your surgeon approves.

Are there activities I should avoid?

High-impact sports, running, and sudden twisting movements should be avoided early on.