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Hip Replacement (Total Hip Arthroplasty)

Hip replacement surgery is performed to relieve pain and restore mobility in advanced hip joint damage. In this procedure, the damaged hip joint is replaced with an artificial prosthesis. It is particularly effective for patients experiencing significant pain and limited movement that severely impact quality of life.

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Why is Total Hip Replacement Performed?

Total hip replacement can be performed in the following situations:

  • Hip osteoarthritis (degeneration of the hip joint)

  • Rheumatic diseases (rheumatoid arthritis, ankylosing spondylitis)

  • Hip fractures (especially in elderly patients)

  • Avascular necrosis (loss of blood supply to the bone)

  • Congenital hip dislocation (developmental dysplasia of the hip)

  • Post-traumatic joint deformities

Types of Hip Replacement

  1. Total Hip Replacement: Both the head of the femur and the socket (acetabulum) of the hip joint are replaced with a prosthesis. This is the most commonly performed type of hip replacement.

  2. Surface Replacement (Hip Resurfacing): Only the surface of the femoral head is replaced with a specialized coating, preserving most of the bone. It is mainly preferred in younger patients with good bone quality.

  3. Partial Hip Replacement (Hemiarthroplasty): Only the femoral head is replaced, while the acetabulum is preserved. This is generally used in elderly patients and in cases of hip fractures.

Benefits of Hip Replacement Surgery

  • Relief from severe pain

  • Improved mobility and range of motion

  • Easier performance of daily activities such as walking, sitting, and climbing stairs

  • Long-lasting results (typically 15–20 years or longer)

  • High patient satisfaction and significant improvement in quality of life

Note: The success of hip replacement surgery depends not only on surgical technique but also on the patient’s adherence to rehabilitation and lifestyle adjustments.

Frequently Asked Questions – Hip Replacement

  1. How long does a hip replacement last?
    Modern hip prostheses typically last 15–20 years. With proper use and regular follow-ups, this period can be even longer.

  2. When can I start walking after surgery?
    Most patients are encouraged to stand on the first day after surgery. Assisted walking begins immediately, with support gradually reduced over time.

  3. Is physical therapy necessary?
    Yes. Early physical therapy is crucial to strengthen muscles and ensure proper adaptation of the prosthesis.

  4. Can I play sports after a hip replacement?
    Low-impact activities such as swimming, walking, and stationary cycling are generally recommended. Contact or high-impact sports should be avoided.

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