Total Hip Replacement
Complete hip joint replacement for advanced hip disease.
Total hip replacement replaces both the socket and the ball of the hip joint with an artificial implant, and is the standard surgical treatment for advanced hip arthritis and other conditions that have destroyed the joint surface. It is among the most successful procedures in orthopaedic surgery, with a long track record of relieving pain and restoring mobility.
Types
Cemented Implant
The implant components are fixed to the bone using surgical bone cement.
Cementless (Press-Fit) Implant
The implant surface allows natural bone to grow into it over time, securing it without cement.
Hybrid Fixation
A combination approach, typically cementing one component while press-fitting the other.
Posterior Approach
A common surgical approach to the hip joint, accessing it from the back of the hip.
Anterior Approach
An alternative surgical approach accessing the hip from the front, used in select cases.
Common Causes
Total hip replacement is considered once the entire joint surface - both the socket and the femoral head - has been damaged enough to cause persistent pain and disability.
- Advanced osteoarthritis affecting the whole hip joint.
- Avascular necrosis causing collapse of the femoral head.
- Certain femoral neck fractures, particularly in older adults, where the joint surface cannot be preserved.
- Rheumatoid arthritis affecting the hip joint.
- Failed previous hip surgery requiring conversion to a full replacement.
Signs and Symptoms
- Persistent hip pain despite medication, injections, and physiotherapy
- Significant loss of hip movement affecting walking and daily tasks
- Reliance on a walking aid due to pain or instability
- Noticeable limb shortening on the affected side
- Pain present even at rest or during sleep
Diagnosis
X-rays showing advanced joint space loss, bone changes, or fracture, combined with a full clinical assessment of hip movement and gait, confirm suitability for total hip replacement.
Treatment Approach
The procedure replaces the damaged femoral head and hip socket with metal, ceramic, or plastic implant components designed to recreate smooth joint movement. Most patients begin walking with support within a day or two of surgery, followed by a structured physiotherapy programme. Dr. K. G. Gopalakrishna discusses implant choice, surgical approach, and recovery expectations individually with each patient before surgery.
Please note: This page is for general information only and does not replace a proper medical evaluation. Every case is different, and the underlying cause of your symptoms may not match what is described here. Please do not use this page to self-diagnose - consult Dr. K. G. Gopalakrishna or another qualified orthopaedic specialist for an accurate diagnosis specific to you.
← Back to Total Hip Replacement
Last reviewed: August 2026