Procedure

Total Hip Replacement

One of the most successful operations in all of medicine — reliable pain relief and restored independence.

Reviewed by Dr. Niranjan Ghag ·

Do you actually need a hip replacement?

Hip arthritis is a master of disguise — it often presents as groin strain, thigh pain or even knee pain. Surgery is considered when:

  • Groin or thigh pain limits walking and disturbs sleep
  • Stiffness makes wearing socks, cutting toenails or sitting cross-legged difficult
  • X-ray confirms advanced arthritis or avascular necrosis (AVN)
  • Medication and physiotherapy no longer control the pain

What modern hip replacement looks like

The worn ball-and-socket joint is replaced with smooth, durable implants through a tissue-sparing approach. Most patients stand and walk within 24 hours, climb stairs within a week, and return to independent daily life within 4–6 weeks. Modern ceramic and highly cross-linked polyethylene bearings are expected to last 20–25 years or more — which is why hip replacement is now routinely offered to younger patients with AVN.

Why timing matters

Waiting too long weakens hip muscles, shortens the limb, and worsens bone quality — making surgery technically harder and rehabilitation slower. If pain has changed how you walk or what you can do, an evaluation with a standing X-ray gives you clear answers; surgery remains your decision.

Frequently Asked Questions

How long will the implant last?

Modern bearing surfaces are expected to last 20–25 years or longer. Registry data shows over 90% of hip replacements still functioning well at 15 years.

What is AVN and why do younger patients need hip replacement?

Avascular necrosis is loss of blood supply to the femoral head, common in 30s–40s, often after steroid use or alcohol excess. Early stages can be treated with preservation procedures; advanced collapse needs replacement — with excellent results.

Will I be able to sit on the floor afterwards?

With modern implants and surgical techniques, many patients regain floor-sitting. It depends on implant type and your anatomy — this is discussed honestly before surgery.

How soon can I return to work?

Desk work: typically 3–4 weeks. Standing or field work: 6–10 weeks depending on demands. Driving usually resumes around 4–6 weeks.

What is the cost of hip replacement in India?

Cost varies with implant material (metal, ceramic or highly cross-linked polyethylene), single vs. bilateral surgery, hospital tier and room category — government and private hospital pricing also differs significantly. You will get a clear, written estimate before deciding anything.

Is hip replacement covered by Mediclaim/health insurance?

Yes, in most cases — hip replacement is a standard inclusion in Indian health insurance policies, often available cashless at network hospitals. Pre-existing-condition waiting periods can apply, so it is worth checking your specific policy. See our insurance guide for the documents and process typically involved.

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Joshi's Neurotrauma Centre · Z5, Flower Valley Complex, Commercial Complex

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