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Total Hip Replacement

Total hip replacement (total hip arthroplasty) is a surgical procedure that replaces the damaged hip joint with an artificial implant. The surgeon removes the damaged femoral head (ball) and acetabulum (socket) and replaces them with metal, ceramic, and/or plastic components. It is one of the most successful operations in medicine, with over 450,000 performed annually in the US.

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Who Needs Total Hip Replacement?

Hip replacement is recommended for patients with severe hip arthritis, avascular necrosis, hip fractures, or other conditions causing significant hip pain and disability that have not responded to conservative treatments. Most patients are 50-80 years old.

What to Expect

1
Pre-operative evaluation including X-rays and blood tests
2
Surgery takes 1-2 hours under spinal or general anesthesia
3
Anterior approach (from the front) is increasingly common, with faster recovery
4
The damaged ball and socket are replaced with implant components
5
Most patients walk within 24 hours of surgery
6
Hospital stay of 1-2 days (same-day discharge available for select patients)

Recovery Timeline

Day 1

Walking with a walker. Physical therapy begins in the hospital.

Weeks 1-2

Home recovery. Walking with a walker or cane. Gentle exercises to prevent stiffness.

Weeks 3-6

Transition to a cane. Outpatient physical therapy. Increasing walking distance daily.

Months 2-3

Most patients walk without assistive devices. Return to driving and desk work.

Months 3-6

Return to recreational activities: golf, cycling, hiking, swimming.

1 Year

Full recovery. Implant expected to last 20-25 years with normal activity.

Risks & Complications

  • Dislocation (2-3% risk, higher in first 6 weeks)
  • Infection (less than 1%)
  • Blood clots (DVT/PE)
  • Leg length difference
  • Implant loosening over time
  • Fracture around the implant (rare)

Frequently Asked Questions

How long does hip replacement surgery take?

Hip replacement surgery typically takes 1-2 hours. With the anterior approach, some surgeries are completed in under an hour. Total time at the hospital is usually 1-2 days.

What is the recovery time for hip replacement?

Most patients walk without a cane by 6 weeks and return to normal activities within 3-6 months. Full recovery with maximum strength and flexibility takes about 1 year.

How long does a hip replacement implant last?

Modern hip implants last 20-25 years for most patients. Some studies show 80-85% of implants still functioning well at 25 years. Younger, more active patients may need a revision sooner.

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Estimated Cost

$30,000 - $55,000 (before insurance). Covered by Medicare and most private plans when medically necessary.

Full cost breakdown

Related Specialty

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This information is for educational purposes only. Costs are estimates and vary by location, surgeon, and insurance. Always consult a qualified healthcare provider.