Total hip replacement (THR) is a highly effective orthopedic procedure designed to relieve long-standing hip pain and restore smooth joint movement. It involves surgically removing the damaged portions of the hip joint and replacing them with artificial components known as prostheses. The natural hip joint works as a ball-and-socket mechanism, where the femoral head forms the ball and the acetabulum of the pelvis forms the socket. When either of these structures becomes worn out or damaged due to disease or injury, movement becomes painful and restricted. THR restores function by replacing both components, allowing patients to regain mobility and significantly improve their quality of life.
Total hip replacement surgery in Chennai is commonly recommended for individuals suffering from advanced osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fractures, or severe injuries that interfere with daily activities and independence.
Signs That Indicate the Need for Hip Replacement
Deciding to undergo hip replacement surgery is a major step and depends on several clinical and lifestyle factors. Certain warning signs suggest that conservative treatments may no longer be effective:
Persistent Hip Pain: Continuous pain that does not subside with medications, rest, or physiotherapy and may worsen at night or during activity.
Reduced Mobility: Difficulty walking, climbing stairs, standing from a seated position, or performing routine movements comfortably.
Joint Stiffness: Limited range of motion that makes it difficult to bend, rotate, or cross the legs.
Impact on Daily Life: When hip discomfort affects sleep, work performance, social activities, or overall independence, surgical intervention may be required.
Early evaluation by an orthopedic specialist helps determine the right time for surgery and prevents further joint deterioration.
Preparing for Total Hip Replacement Surgery
Successful hip replacement outcomes depend greatly on proper preparation. This includes both physical readiness and mental preparedness.
Comprehensive Medical Evaluation: Before surgery, the orthopedic surgeon conducts a detailed assessment using X-rays, MRI scans, and blood tests to evaluate joint damage and overall health.
Medication and Lifestyle Adjustments: Certain medications may need to be stopped before surgery. Patients may also receive guidance on nutrition, smoking cessation, and home preparation.
Pre-operative Physiotherapy: Strengthening exercises for the hip and surrounding muscles can enhance recovery speed and post-operative stability.
Understanding Recovery Expectations: Knowing what to expect after surgery—including mobility restrictions and rehabilitation timelines—helps patients feel confident and mentally prepared.
What Happens During the Surgery?
Total hip replacement is typically performed under general or spinal anesthesia and usually lasts between one and two hours.
Surgical Access: The surgeon makes a precise incision near the hip joint and carefully moves muscles aside to reach the damaged joint.
Removal of Diseased Bone: The worn-out femoral head and the damaged socket are removed with specialized instruments.
Implant Placement: A prosthetic ball made of metal or ceramic is inserted into the femur, while a durable socket made of plastic, ceramic, or metal is secured into the pelvis.
Closure: Muscles and tissues are repositioned, and the incision is closed using sutures or staples.
Advanced surgical techniques help minimize tissue damage, blood loss, and recovery time.
Benefits and Possible Risks of THR
Benefits
Long-Term Pain Relief: Most patients experience dramatic pain reduction or complete relief.
Improved Joint Function: Increased mobility allows patients to walk, sit, and move comfortably.
Better Quality of Life: Many individuals return to normal routines and low-impact activities following recovery.
Risks
Infection: Though uncommon, surgical site infections can occur and require prompt treatment.
Blood Clots: Deep vein thrombosis (DVT) is a potential risk, managed with medications and early mobilization.
Dislocation or Implant Wear: Improper movement or long-term use may cause loosening or dislocation, sometimes requiring revision surgery.
Discussing risks with the surgeon helps patients make informed decisions.
Post-Surgery Care and Rehabilitation
Following surgery, patients are carefully observed to support a safe and steady recovery process
Immediate Recovery: Patients spend time in a recovery room before being shifted to a hospital room.
Pain Control: Medications, cold therapy, and guided exercises help manage discomfort.
Early Physiotherapy: Gentle movements usually begin within 24–48 hours to restore strength and flexibility.
Wound Care: Properly maintaining the surgical incision by keeping it clean and dry plays a crucial role in reducing the risk of infection.
Consistent follow-up appointments allow the care team to monitor healing progress.
Recovery Timeline After Hip Replacement
Recovery varies from person to person, but most patients follow a general timeline:
Hospital Stay: Typically 1–3 days, depending on individual recovery and mobility.
Assisted Walking: Use of a walker or crutches is common during the initial weeks.
Ongoing Physiotherapy: Rehabilitation continues for 3–6 months to regain full strength.
Return to Normal Activities: Most patients resume daily activities within 6–12 months, including low-impact sports.
Patience and adherence to rehabilitation plans are key to long-term success.
Activities to Avoid After Surgery
To protect the new hip joint, patients should avoid:
High-Impact Movements: Running or jumping may accelerate implant wear.
Excessive Bending: Bending the hip beyond 90 degrees can increase dislocation risk.
Sudden Twisting Motions: Rotational stress may strain the joint and surrounding tissues.
Following post-operative precautions ensures implant longevity and comfort.
How Long Does a Hip Replacement Last?
Modern hip implants are designed to last 15 to 20 years or longer. Longevity depends on factors such as implant material, activity level, body weight, and bone health. Younger and highly active patients may require revision surgery later in life, while older patients often enjoy lifelong benefits from a single procedure.
Conclusion
Total hip replacement is a reliable and well-established procedure that restores mobility, relieves chronic pain, and improves overall quality of life. For patients considering total hip replacement surgery in Chennai, consulting Dr. Vijay Sohanlal, an experienced orthopedic specialist with over 18 years of expertise, ensures personalized care from diagnosis through rehabilitation. With proper preparation, skilled surgery, and structured recovery, patients can confidently return to active and independent living. Read more: https://drvijaysohanlal.com/orthopaedic-care/partial-hip-replacement/