HIP Replacement

Hip replacement surgery is a procedure that involves removing damaged or worn parts of the hip joint and replacing them with artificial joints, to improve mobility and reduce pain. It is commonly performed for conditions such as osteoarthritis of hip fractures, which can make daily tasks difficult, such as getting dressed, bathing, or walking. Additionally, chronic pain can also affect the quality of sleep and overall enjoyment of life.

Avian- In early stages of Avian hip a salvage procedure known as core decompression plus biological supplementation can be considered.

During the surgery, the new joint components are attached to the bones using acrylic cement. However, for more active individuals, an option exists to fix one or both parts without cement. This is achieved by roughening or coating the implant surface with a special material that promotes natural bone growth and fusion with the implanted prostheses.

Hip replacement surgery involves replacing damaged or worn parts of the hip joint with artificial components. These components can be made from various materials such as ceramic, metal or plastic, and are typically secured to the bones using acrylic cement. However, for more active individuals, a non-cemented option may be used, where the implant surface is roughened or coated to encourage bone growth and fusion with the prosthesis. The most common type of prosthesis is a metal ball and plastic socket, but a ceramic ball with a ceramic or plastic socket may also be used, particularly for younger or more active patients. The goal of this procedure is to reduce pain and improve function.

Recommend the best option for you by considering:

  • How active you are now and plan to be in the future
  • The shape of your hip
  • Your age
  • Your natural hip size

It’s even possible to have implants tailor-made for an even better fit.


The leading cause of hip joint pain and damage is chronic degenerative osteoarthritis, which results in the destruction of cartilage. The second most common cause is avascular necrosis, also known as osteonecrosis, which is caused by a reduced or interrupted blood supply to the hip bone. Rheumatoid arthritis, an autoimmune disease, post-traumatic arthritis, a condition that arises after a fracture, and structural hip problems such as hip dysplasia, where the hip socket is not deep enough to hold the femoral head, can all lead to the need for a hip replacement surgery.


  • Begin engaging in strength-building exercises to facilitate your recovery at home.
  • Maintain a nutritious diet.
  • Consult with both your primary physician and surgeon regarding any medications you currently take. Identify any that should be discontinued prior to the procedure.
  • Continue with your strengthening exercises.
  • Practice your breathing exercises daily.
  • Inform your surgeon of any changes in your health such as a cold, flu, or skin infection.
  • Verify your insurance coverage and understand what will be covered and what will be your responsibility. Also, check if any special equipment required for surgery is covered by your insurance.
  • If you have any questions, make a note and ask them at your pre-operative visit. For any queries regarding surgery, reach out to the surgeon’s office.


  • You can expect to experience a reduction or elimination of pain after the surgery.
  • Moving your hip will no longer require significant effort.
  • Your daily activities will no longer be restricted by pain.
  • However, these improvements will not occur immediately after the operation.
  • You will likely need to stay in the hospital for at least six days and may be required to remain in bed with a V-shaped cushion between your legs to maintain proper positioning of the new hip joint.
  • Physical therapy plays a crucial role in the success of joint replacement surgery as it aims to prevent muscle contraction, enhance patient education, and strengthen the muscles surrounding the hip joint.
  • Moving after surgery is crucial in promoting blood flow, which reduces the likelihood of blood clots.
  • Physical activity enhances balance and strengthens muscles.
  • As you continue to recover, you will be provided with additional exercises to improve hip strength and mobility.

Before being discharged, you will need to accomplish several goals, such as:

  • Being able to walk by yourself.
  • Pain control.
  • Able to eat, drink, and use the loo.
  • Walking with a cane, walker, or crutches on a level surface and being able to climb three stairs.
  • Being able to perform exercises suggested by the doctor.


Everyone is different and your recovery will depend on:

  • How fit you were before surgery
  • The condition of your joints and muscles
  • The type of work or other activities you do
  • Your age

After a total hip replacement, you will require assistance to walk for the first 1-2 days and guidance from a physical therapist. Typically, patients are discharged from the hospital after 3-5 days. Within 1-2 weeks, individuals can begin to walk more independently with the aid of a walking device. As recovery progresses, 2-6 weeks later, more exercises such as swimming and cycling can be incorporated. Desk-based work can typically be resumed after 6-8 weeks, and the need for a walking aid may no longer be necessary. With the guidance of your surgeon, driving may also be resumed. Sexual activity can be resumed but positions that may cause hip dislocation should be avoided. For manual labor, a return to work can be expected around 12 weeks post-surgery, at which point individuals should feel normal and able to perform all their regular activities.