Total hip replacement—also called total hip arthroplasty—removes the arthritic femoral head and damaged acetabular cartilage and replaces them with prosthetic components. It is the standard operation for end-stage hip osteoarthritis and is also used for avascular necrosis, inflammatory arthritis, and dysplastic hips when non-operative care no longer controls pain.
Total Hip Replacement (THR)
Total hip replacement—also called total hip arthroplasty—removes the arthritic femoral head and damaged acetabular cartilage and replaces them with prosthetic components. It is the standard operation for end-stage hip osteoarthritis and is also used for avascular necrosis, inflammatory arthritis, and dysplastic hips when non-operative care no longer controls pain.
Total Hip Replacement (THR)
Surgery Name
Total Hip Replacement (THR) / Total Hip Arthroplasty
Speciality
Orthopedic Surgery / Adult Reconstructive Hip Surgery
Duration
60–120 minutes (primary); longer for complex or revision cases
Anaesthesia
General, spinal, or regional with sedation
Hospital Stay
2–4 days (ERAS 1–2 days; selected same-day discharge)
Recovery Time
4–8 weeks desk work; 3–6 months heavy manual; full recovery 6–12 months
Patients who eventually require Total Hip Replacement (THR) often experience symptoms that progressively worsen over several years. The most common warning signs include persistent hip pain during walking, climbing stairs, or standing, pain at rest or during the night, and morning stiffness lasting more than 30 minutes.
Persistent hip pain during walking, climbing stairs, or standing.
Pain at rest or during the night that interrupts sleep.
Morning stiffness lasting more than 30 minutes.
Swelling that repeatedly returns despite treatment.
Reduced range of hip movement and grinding, clicking, or creaking sensations (crepitus).
Bow-legged or knock-kneed deformity, and difficulty sitting, squatting, or getting up from a chair.
Dependence on walking aids because of pain or instability, and failure of medications, injections, physiotherapy, or weight loss to relieve symptoms.
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What is Total Hip Replacement (THR)?
Hip osteoarthritis is a progressive degenerative joint disease in which the smooth articular cartilage covering the ends of the femur, acetabulum, and femoral head gradually wears away. As cartilage deteriorates, the bones begin to rub against each other, leading to chronic pain, stiffness, swelling, inflammation, and loss of joint function. It is the underlying cause in more than 90% of Total Hip Replacement (THR)s.
Types of Conditions Requiring Total Hip Replacement (THR)
Advanced Hip Osteoarthritis: Age-related wear and tear that gradually destroys joint cartilage - the leading indication for total hip replacement.
Rheumatoid Arthritis: A chronic autoimmune disease where inflammation destroys cartilage, bone, and ligaments, often affecting both knees at a younger age.
Post-Traumatic Arthritis: Joint damage following fractures, ACL/PCL injuries, meniscal tears, or ligament injuries that alter hip mechanics.
Osteonecrosis (Avascular Necrosis): Interrupted blood supply causes bone tissue to die and the joint surface to collapse.
Severe hip Deformity: Varus (bow legs) or valgus (knock knees) deformity that worsens joint wear and walking efficiency.
Severe Cartilage Degeneration: Diffuse cartilage destruction affecting multiple compartments of the hip, causing painful bone-on-bone contact.
Causes of Total Hip Replacement (THR)
Cartilage Wear from Aging: The risk of osteoarthritis rises significantly after the age of 50 as cartilage gradually loses its ability to repair itself. As the body ages, the joint lining becomes inflamed, bone spurs (osteophytes) form, and the cushioning effect of cartilage is progressively lost.
Obesity: One of the strongest modifiable risk factors. Every additional kilogram of body weight increases the load across the hip joint by approximately 3-4 kilograms during walking, accelerating cartilage and labral wear.
Previous hip Injury: A history of ACL tears, meniscal injuries, fractures, or ligament damage substantially raises the risk of post-traumatic osteoarthritis.
Genetics: A family history of osteoarthritis can increase susceptibility through inherited differences in cartilage structure, bone shape, and inflammatory responses.
Occupation and Lifestyle: Jobs involving frequent kneeling, squatting, heavy lifting, or repetitive impact - as well as a sedentary lifestyle that weakens supporting muscles - place greater mechanical stress on the hip over many years.
Metabolic Conditions: Diabetes, metabolic syndrome, and chronic low-grade inflammation are associated with faster progression of osteoarthritis and poorer joint health.
What is Total Hip Replacement (THR)?
Total Hip Replacement (THR), also known as Total hip Arthroplasty (THA), is a highly successful orthopedic procedure that replaces the damaged surfaces of the hip joint with artificial implants made from metal alloys, high-grade medical plastics, and, in some designs, ceramic components. Rather than replacing the entire hip, the procedure resurfaces only the damaged joint surfaces while preserving as much healthy bone and soft tissue as possible.
More than 90% of modern implants continue to function well for 15-20 years when appropriately selected and implanted.
Around 80-90% of patients report meaningful improvements in pain, function, and overall satisfaction after surgery.
Many patients begin walking within 24 hours, with recovery time and technique varying by the surgical approach chosen.
Do You Really Need Surgery?
Total Hip Replacement (THR) is generally considered when hip pain and stiffness become severe enough to interfere with everyday life and conservative treatments no longer provide adequate relief. Orthopedic surgeons do not recommend surgery based on age or X-ray findings alone. Instead, the decision is made by evaluating several factors:
Your symptoms: Severe pain that limits daily activities, persists despite medication or injections, and disturbs sleep is a strong indication for surgery.
Joint damage and function: Radiographic evidence of advanced joint degeneration, significant loss of joint function, and hip deformity that impairs walking mechanics.
Response to conservative care: When medications, physiotherapy, weight management, activity modification, walking aids, or injections have failed to restore mobility or relieve pain.
What Happens if You Delay Treatment?
Hip osteoarthritis is a progressive condition, and once cartilage has worn away the body cannot regenerate it. Postponing surgery despite severe symptoms can make both the operation and the recovery more challenging. The risks of delaying treatment include:
Progressive Cartilage Loss: Joint space continues to narrow, bones rub directly against each other, bone spurs enlarge, and hip movement becomes increasingly restricted.
Increasing Pain: Discomfort that once occurred only during activity progresses to night pain and constant pain even at rest, creating a cycle of reduced activity and muscle weakness.
Worsening Deformity and Muscle Weakness: Bow legs or knock knees worsen, and the hip abductors and supporting muscles weaken, leading to poor balance and a greater risk of falls.
More Complex Surgery: Advanced arthritis can cause greater bone loss, severe deformity, tight soft tissues, and ligament imbalance, sometimes requiring specialized implants and additional soft-tissue balancing.
Longer Recovery and Decline in Overall Health: Reduced mobility contributes to weight gain, poor cardiovascular fitness, and reduced mental well-being, while rehabilitation may take longer than in patients treated earlier.
Types of Procedures for Total Hip Replacement (THR)
Total hip arthroplasty is tailored by diagnosis, bone quality, deformity, and activity goals. Surgeons choose primary vs revision surgery, one vs both hips, fixation method (cemented, cementless, or hybrid), surgical approach (posterior, direct anterior, or lateral), bearing surface, and whether to use robotic or navigation assistance.
Primary Total Hip Arthroplasty
Standard THR for hip osteoarthritis, avascular necrosis (AVN), inflammatory arthritis, or developmental dysplasia replaces the damaged femoral head and acetabular cartilage with prosthetic components. Cementless porous-coated implants are common in younger patients with good bone stock; cemented stems remain valuable in older osteoporotic bone or certain femoral geometries.
Revision Total Hip Replacement
Revision THR removes and replaces failed implants due to loosening, infection, instability, fracture, or wear. It often requires modular or augmented components, bone graft, and longer operative time than primary THR.
Posterior approach is the most widely used worldwide. Direct anterior approach (DAA) may facilitate faster early mobility in selected patients but requires specific table/training. Anterolateral or hardinge lateral approaches are alternatives when anatomy or prior surgery dictates.
Comparison of Treatment Options
Treatment Option
Best For
Hospital Stay
Recovery Time
Advantages
Cost Range
Conservative care (PT, weight loss, aids, injections)
Mild–moderate hip OA, acceptable function
None
Ongoing
Avoids operative risk; may delay surgery
Low
Hip arthroscopy / FAI surgery
Labral tears, impingement without advanced arthritis
0–1 day
Weeks to months
Preserves joint when cartilage intact
Moderate
Hip resurfacing
Selected young active men with good bone stock
1–3 days
2–4 months for sport
Bone-conserving femoral component
Preparing for Total Hip Replacement (THR)
What Happens on the Day of Surgery?
Before and After Total Hip Replacement (THR)
Before Surgery
After Surgery
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How is Total Hip Replacement (THR) Performed?
Step 1
Step 1
Getting Ready
You receive anesthesia and the surgical area is prepared so the operation can begin safely and pain-free.
Anesthesia: The team administers spinal or general anesthesia, usually with a regional nerve block, so you feel no pain during the procedure.
The Setup: The skin is cleaned with antiseptic, sterile drapes are placed, and intravenous antibiotics are given within 60 minutes before the incision.
Step 2
Step 2
Risks and Complications of Total Hip Replacement (THR)
Complication
Risk Level
What It Is
How We Prevent / Treat It
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Recovery Timeline After Total Hip Replacement (THR)
Most patients mobilise with physiotherapy within 24 hours under enhanced recovery (ERAS) protocols. Desk-based work often resumes in 4–8 weeks; heavy manual labour may require 3–6 months. Full soft-tissue healing and maximal function commonly continue for 6–12 months, while modern implants frequently last 15–25+ years.
Time Period
Expected Recovery Milestones
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Postoperative Care
Follow-Up Visits After Total Hip Replacement (THR)
Regular follow-up visits allow the orthopedic surgeon to monitor recovery and implant function. A typical follow-up schedule includes:
1Around 2 weeks after surgery for wound assessment and removal of any non-dissolvable stitches or staples.
2Approximately 6 weeks to evaluate early recovery, and around 3 months to assess mobility and function.
3One year after surgery, followed by periodic long-term reviews - with imaging studies to evaluate implant position and performance.
Warning Signs to Watch After Total Hip Replacement (THR)
While complications are uncommon, you must monitor your body closely. Contact your surgeon or seek emergency care immediately if you notice any of these signs:
1Fever above 38 degrees Celsius accompanied by wound redness or drainage.
2Increasing redness, warmth, or swelling around the incision, or persistent wound drainage.
3Severe calf pain or swelling, which may indicate a blood clot (DVT).
4Sudden shortness of breath or chest pain, which may indicate a pulmonary embolism and needs emergency care.
5Increasing hip pain that does not improve with medication, especially after initial improvement.
6Difficulty bearing weight after a fall, or new numbness or weakness in the operated leg.
Questions to Ask Your Surgeon
Being an active participant in your healthcare is important. Here are useful questions to ask your surgeon during your consultation:
1Which type of total hip replacement is recommended for me, and why?
2Is robotic-assisted or computer-navigated surgery appropriate in my case?
3What type of implant will be used, and will it be cemented or cementless?
4What type of anesthesia will be used during my surgery?
5What are the expected benefits and possible risks in my case?
6How long will recovery take before I can return to my specific job?
7When can I return to driving, sports, or other activities I enjoy?
Frequently Asked Questions about Total Hip Replacement (THR)
What is total hip replacement (THR)?
THR (total hip arthroplasty) replaces the damaged femoral head and acetabular socket with metal, ceramic, and polyethylene components to relieve pain and restore mobility.
How long does hip replacement surgery take?
Primary THR usually takes about 60–120 minutes. Complex primary, bilateral, or revision cases may take longer.
What anaesthesia is used?
General anaesthesia, spinal anaesthesia, or regional blocks with sedation are all common; choice depends on your health and surgeon preference.
Find the Right Specialist for Total Hip Replacement (THR)
Why Choose SPEROW?
SPEROW connects you with experienced hip arthroplasty surgeons and accredited hospitals in Hyderabad—helping you compare approach, implant options, ERAS pathways, and transparent cost estimates before you commit.
Recent Clinical Studies Redefining Total Hip Replacement
Major hip registries and clinical practice guidelines continue to refine patient selection, implant choice, and enhanced recovery after THR. Evidence supports high satisfaction and durable implants when indications and surgical technique are appropriate.
Guideline / Registry
Focus
Key Takeaway for THR
AAOS Hip OA Clinical Practice Guideline
Non-operative and surgical management of hip osteoarthritis
Supports THR for persistent pain and disability when conservative care fails in advanced OA.
NICE NG157 (Joint Replacement)
Referral and commissioning for hip/knee replacement
Emphasises shared decision-making and referral when symptoms substantially limit daily life.
American Joint Replacement Registry (AJRR)
National US hip/knee arthroplasty outcomes
Tracks implant survivorship and complications to guide quality improvement.
Related Conditions
If you are dealing with hip arthritis, you might also want to learn about these related medical conditions:
Hip Osteoarthritis: The most common reason for total hip replacement, in which cartilage gradually wears away, causing bone-on-bone friction, groin or buttock pain, and stiffness.
Avascular Necrosis (AVN) of the Femoral Head: Loss of blood supply to the femoral head leading to collapse and end-stage arthritis, often in younger adults.
Rheumatoid or Inflammatory Arthritis of the Hip: Autoimmune inflammation that damages cartilage, bone, and soft tissues around the joint.
Developmental Dysplasia of the Hip (DDH): Abnormal hip socket development causing early wear and secondary osteoarthritis.
Post-Traumatic Hip Arthritis: Joint degeneration following femoral neck fractures, acetabular fractures, or prior hip surgery.
Related Procedures
Not every patient with hip pain requires Total Hip Replacement (THR). Depending on the underlying condition, these related procedures may preserve the natural joint or address specific problems:
Hip Resurfacing: Preserves more native bone by capping the femoral head; selected for younger, active men with good bone quality.
Partial Hip Replacement (Hemiarthroplasty): Replaces only the femoral head, commonly after displaced femoral neck fractures in older adults.
Revision Total Hip Replacement: Complex procedure to replace a failed implant due to loosening, infection, wear, instability, or fracture.
Hip Arthroscopy: Minimally invasive treatment for labral tears, impingement (FAI), or early cartilage damage before advanced arthritis.
Core Decompression for AVN: Early-stage procedure to relieve pressure in the femoral head and delay progression to THR.
Related Specialty
Department of Orthopedics and Joint Replacement Surgery (Arthroplasty)
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When Should You Not Delay Treatment? (Warning Signs)
While Total Hip Replacement (THR) is usually a planned, elective procedure, certain situations call for prompt orthopedic evaluation. See your surgeon without delay if you notice any of these signs:
Constant pain even at rest or night pain that repeatedly interrupts your sleep.
Rapidly worsening bow-leg or knock-hip deformity that is changing the alignment of your leg.
Persistent swelling, warmth, and repeated fluid accumulation that does not settle with medication.
A hip that feels unstable or gives way, increasing your risk of falls.
Loss of independence - being unable to walk comfortably, work, or perform routine daily activities.
Fever associated with a red, warm, painful hip, which may signal infection and needs urgent attention.
Know Your Insurance Benefits
Get clarity on your insurance coverage before your treatment, with guidance from our care team every step of the way.
Robotic THR combines CT-based planning with intraoperative guidance to improve acetabular cup positioning and leg-length planning. Bearing options include ceramic-on-polyethylene, ceramic-on-ceramic, metal-on-polyethylene, and highly cross-linked polyethylene liners—chosen to balance wear, stability, and patient activity.
Hip resurfacing, hemiarthroplasty, and arthroscopy address different disease stages: resurfacing suits selected young men with good bone; bilateral simultaneous or staged THR may be offered when both hips are end-stage; hemiarthroplasty is mainly for femoral neck fracture in the elderly; hip arthroscopy treats labral/FAI pathology without advanced arthritis.
Moderate–high
Hemiarthroplasty
Displaced femoral neck fracture (often elderly)
2–5 days
6–12 weeks mobility
Faster fracture solution; replaces femoral head only
Moderate
Primary total hip replacement (THR)
End-stage hip OA, AVN, inflammatory arthritis, DDH
2–4 days (ERAS 1–2 days)
4–8 weeks desk; 3–6 months heavy work
Gold standard pain relief and function for advanced arthritis
₹2,25,000 – ₹7,50,000+ (Hyderabad tiers)
Revision THR
Failed prior hip replacement (loosening, infection, instability)
3–7+ days
3–6+ months
Salvages failed arthroplasty with specialised implants
Higher than primary THR
Robotic vs conventional THR
Complex anatomy or centres with robotic expertise
Similar to conventional
Similar when ERAS used
May improve cup positioning accuracy; conventional remains standard of care
Robotic ₹4,50,000 – ₹7,50,000+ India
Doctor's Recommendation
There is no single best total hip replacement for every patient. Conventional Total Hip Replacement (THR) remains a safe, reliable, and cost-effective option for most patients. Robotic-assisted and computer-navigated techniques may offer advantages in complex deformities or when highly precise implant positioning is needed. After a detailed clinical examination and imaging studies, the orthopedic surgeon recommends the option that offers the best balance between pain relief, long-term function, implant longevity, and recovery.
Before scheduling surgery, your orthopedic surgeon performs a comprehensive assessment of your overall health, hip condition, and fitness for anesthesia. Common pre-operative investigations include:
Blood Tests: Complete Blood Count (CBC), blood sugar levels, kidney and liver function tests, electrolytes, coagulation profile, and blood grouping when indicated.
Imaging Studies: Standing weight-bearing X-rays of both knees, long-leg alignment X-rays when indicated, and occasionally MRI or CT scans for robotic-assisted or complex revision surgeries.
Cardiac Assessment: Electrocardiogram (ECG), echocardiography if indicated, and cardiologist consultation for high-risk patients.
Infection Screening: Evaluation for urinary tract, dental, skin, or respiratory infections, which must be treated before surgery to protect the implant.
Tell your surgeon about all medications, vitamins, and herbal supplements you take, and follow these guidelines to optimize healing:
Blood Thinners: Anticoagulants and certain antiplatelet medications may need temporary modification before surgery to reduce bleeding risk - always under your surgeon's guidance.
Diabetes Medications: Some diabetes medications may need adjustment, particularly on the morning of surgery while you are fasting.
Never stop prescription medications without medical advice - all adjustments should be made under your treating physician and surgical team.
Smoking and Alcohol: Stop smoking several weeks before surgery to reduce the risk of wound problems, infection, and blood clots, and limit alcohol in the weeks leading up to surgery.
Weight and Prehabilitation: Even modest weight reduction reduces stress on the joint, and strengthening the hip abductors, hamstrings, hip, and core muscles beforehand makes early rehabilitation easier.
Fasting: Follow the exact fasting instructions provided by your anesthesiologist and surgical team based on the type of anesthesia and hospital protocol.
On the day of surgery, patients should bring:
Government-issued identification and health insurance documents (if applicable).
Previous medical records, imaging, and a current medication list.
Comfortable loose-fitting clothing and walking aids if advised by the surgeon.
Avoid bringing valuables or jewelry to the hospital.
Knowing what to expect can significantly ease any anxiety before surgery.
Your identity and surgical site will be confirmed, and you will change into a clean hospital gown.
A nurse will insert an IV line to deliver fluids, antibiotics, and anesthesia.
The skin around the hip will be cleaned with antiseptic solution and, if necessary, hair will be trimmed.
The anesthesiologist will review your medical history and explain the anesthesia plan, usually spinal anesthesia with sedation and a regional nerve block for pain control.
Once you are in the operating theater, the procedure follows a standardized sequence that typically takes 60-120 minutes:
Anesthesia Delivery: You receive spinal or general anesthesia along with regional nerve blocks such as an adductor canal or IPACK block for pain relief while preserving muscle strength.
The Incision and Bone Preparation: The surgeon opens the joint, removes damaged cartilage, inflamed tissue, and osteophytes, and prepares the bone surfaces of the femur and acetabulum.
Ligament Balancing and Trial: The surrounding soft tissues are balanced, and temporary trial components are placed to check stability, range of motion, and alignment.
Implant Placement: The permanent femoral, acetabuluml, polyethylene insert, and (when needed) femoral headr components are secured, cemented or cementless depending on the surgical plan.
Closing the Wound: The site is irrigated, tissues are closed in layers with absorbable sutures or staples, and a sterile dressing is applied.
You will wake up in the Recovery Room, where specialized nurses monitor your blood pressure, heart rate, oxygen levels, pain, and the sensation and movement in your operated leg as the anesthesia wears off.
You may feel slightly groggy as the anesthesia wears off - this is normal and temporary.
Once medically stable, you will be transferred to your hospital room, and early mobilization often begins on the day of surgery or the following morning.
Carefully selected patients undergoing same-day total hip replacement may be discharged the same day after meeting specific recovery milestones.
Preparing the Joint
The surgeon accesses the joint, removes the damaged surfaces, and prepares the bone for the new implants.
Accessing the hip: An incision is made over the front of the hip, and damaged cartilage, inflamed tissue, loose fragments, and bone spurs are removed.
Bone Preparation: A thin layer of damaged bone and cartilage is removed from the femur, acetabulum, and (when indicated) the femoral head, preserving as much healthy bone as possible.
Step 3
Step 3
Fitting the Implant
The surgeon balances the ligaments, tests trial components, and secures the permanent implants.
Balancing and Trial: The surrounding ligaments are carefully balanced, and temporary trial components are used to confirm stability, range of motion, and alignment.
Implant Placement: The permanent femoral component, acetabuluml baseplate, polyethylene insert, and femoral headr button (when resurfacing is performed) are fixed with bone cement or as a cementless design.
Step 4
Step 4
Closing Up
The hip is checked through its full range of motion, then the wound is closed and dressed.
Final Assessment: The surgeon moves the hip through its full range to confirm stable movement, proper positioning, smooth bending, and correct femoral headr tracking.
Bandaging: The site is irrigated, tissues are closed in layers with absorbable sutures or staples, and a sterile dressing is applied to protect the wound.
How Long Does Total Hip Replacement (THR) Take?
Primary total hip replacement typically lasts 60–120 minutes under general or spinal anaesthesia. Revision, bilateral, or complex deformity cases may require additional time.
Expert Guidance, Every Step of the Way
Our dedicated care coordinators are here to answer your questions and guide you through every stage of your treatment.
Immediately after surgery you are moved to the Recovery Room, where specialized nurses monitor your blood pressure, heart rate, oxygen levels, pain control, and the sensation and movement in your operated leg as the anesthesia wears off.
You may feel groggy for a short time - this is normal and temporary.
Once medically stable, you are transferred to a regular hospital room, and Enhanced Recovery After Surgery (ERAS) protocols encourage early standing and walking within the first 24 hours.
Wound Care
Keep your incision clean and dry, and follow your surgeon's advice on showering and dressing changes.
Watch for increasing redness, warmth, swelling, or persistent drainage around the incision, and report these to your surgeon promptly.
Never apply unprescribed ointments or home remedies to the incision, as this can introduce bacteria.
Diet
Eat protein-rich foods (lean meat, fish, eggs, dairy, legumes) to support wound healing and muscle recovery.
Include fresh fruits and vegetables, whole grains, calcium-rich foods, vitamin D, and foods rich in vitamin C and zinc, with adequate fluids.
Maintain a healthy body weight to reduce stress on the new hip and support long-term implant survival.
Pain and Swelling
Manage pain with prescribed medications, ice therapy, and elevating the operated leg.
Wear compression stockings when advised, and keep up regular walking and physiotherapy exercises.
Swelling often improves over several weeks, though mild swelling may persist for months, particularly after increased activity.
Activity Guide
Allowed - Walking: The best exercise for recovery; increase your distance gradually as strength improves.
Allowed - Climbing Stairs: Practice with a physiotherapist using handrails, progressing to a normal alternating step pattern over 4 to 8 weeks.
Allowed - Driving: Usually 4 to 6 weeks after surgery, once pain is controlled, you are off strong opioid medication, and you can safely perform an emergency stop.
Allowed - Low-Impact Sports: Cycling, swimming, and golf are usually possible after 8 to 12 weeks with medical clearance.
Avoid - High-Impact Activities: Long-distance running, jumping sports, and contact sports should be avoided as they may accelerate implant wear.
Avoid - Deep Squatting: Deep hip bending and squatting (such as Indian-style toilets) may not be advisable, particularly in the first few months - discuss expectations with your surgeon.
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Will I need physiotherapy after surgery, and for how long?
9Will my health insurance cover the cost of the surgery and the implant?
10What symptoms should prompt me to seek urgent medical attention after discharge?
How long is the hospital stay?
Typical stay is 2–4 days. Enhanced recovery (ERAS) pathways often shorten this to 1–2 days, and selected patients may go home the same day.
When can I return to work?
Desk work is often possible in 4–8 weeks. Heavy manual labour may require 3–6 months depending on healing and job demands.
How long do hip implants last?
Modern implants frequently last 15–25+ years in registry follow-up, though individual wear and activity level matter.
What conditions are treated with THR?
End-stage hip osteoarthritis is most common; THR also treats AVN, rheumatoid or other inflammatory arthritis, and sequelae of developmental dysplasia of the hip (DDH).
Cemented vs cementless implants—what is the difference?
Cementless components rely on bone ingrowth into porous surfaces; cemented stems use bone cement for immediate fixation. Surgeons match fixation to age, bone quality, and deformity.
What is robotic hip replacement?
Robotic-assisted THR uses preoperative imaging and intraoperative guidance to plan cup position and leg length. It may improve accuracy; conventional THR remains the established standard.
What are hip precautions after surgery?
Precautions depend on surgical approach. Posterior approaches historically limit deep flexion and internal rotation early on; anterior approaches may have different restrictions—follow your surgeon’s protocol.
What does THR cost in India?
Broad ranges: government hospitals about ₹60,000–₹1,50,000; mid-tier private ₹2,00,000–₹3,50,000; premium ₹3,50,000–₹6,00,000+; robotic ₹4,50,000–₹7,50,000+.
What does THR cost in Hyderabad?
Standard private THR is often ₹2,25,000–₹3,75,000; advanced implants ₹3,50,000–₹5,50,000; robotic-assisted ₹4,75,000–₹7,50,000+ depending on hospital and implant tier.
Is hip replacement covered by insurance?
Most Indian health insurance and Ayushman Bharat–eligible packages cover medically indicated THR after waiting periods; pre-authorisation and implant caps vary by policy.
How does THR compare with hip resurfacing or hemiarthroplasty?
Resurfacing caps the femoral head for selected young patients; hemiarthroplasty replaces only the femoral head (mainly fractures). THR replaces both sides of the joint for advanced arthritis.
When should I consider surgery instead of injections or physiotherapy?
When hip pain and stiffness persist despite optimised non-operative care and imaging shows advanced joint damage limiting sleep, walking, or daily activities.
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