Dr. Basavaraj C M- Best Orthopedic Surgeon

The hip is the core of our body, enabling us to perform the most flexible and basic movements

The truth is, the hips have a very difficult job to do. Take care of your HIP

Best Hip Replacement Surgeon in RR Nagar



Walking, getting up, squatting, running, etc. are some of the activities which are not possible without the proper hip joint. This hip joint is also known as a ball and socket joint. Any deformity and inflammation in the hip joint will result in pain and immobility. Today, the deformed or inflamed joint can be removed and replaced surgically with an implantable prosthetic joint resulting in relief from hip joint pain and mobility.

Total Hip Replacement Surgery:

Total hip replacement surgery is also known as hip replacement arthroplasty where the problematic/ inflamed hip joint is removed and replaced with an implantable ball & socket joint made up of a metal and plastic combination mimicking the natural hip joint in functionality. 

In the hip joint, the head of the femur bone (thigh bone) acts as a ball and its socket is present in the pelvis bone which is also known as the acetabulum. The hip joint is well supported by muscle, cartilage, tendons, and nerves. The implantable prosthetic joint is made of 3 parts – the ball, the socket, and the stem made up of a metal (titanium/chromium) and plastic combination.

X-ray, the radiological image is taken routinely whereas in complex cases CT scan imaging is suggested which helps in better understanding the joint anatomy, and 3D reconstruction is prepared for step-by-step surgery planning. Sometimes, a 3-D printing model is processed for formulating a patient’s need-based customized implant, in terms of size and shape to suit the individual joints’ needs.

The prosthetic implant for hip replacement is selected based on the age of the patient, activity level of the patient, and affordability for replacement surgery. These implants are made up of multiple combinations like metal-on-polyethylene (MoP) or Ceramic-on-Ceramic (CoC) or Ceramic-on-Polyethylene (CoP) or Metal-on-Metal (MoM) or Ceramic heads with Metallic inserts.  The wear of the implant depends upon the material and ceramic-made implant has shown the least wear and lasts longer because of this it is a preferred choice for younger age patients. 

Total Hip Replacement Surgery Procedure:

The surgeon discusses the step-by-step surgery plan with his team and checks the surgery preparation. The surgery is performed under anesthesia and takes around 1-2 hours. The step-wise surgery proceeding can be understood as –

  • Depending upon the type of approach plan, the patient is positioned and the incision is done.
  • The damaged femoral head is reached and removed. The implantable ball along with its stem is fixed in the femur.
  • The damaged cartilage in the acetabulum is removed and the plastic socket is fixed.
  • The ball is fixed inside the socket
  • The weight-bearing axis is checked
  • The joint movement is checked by bending & moving the leg
  • The tendons and muscles are repaired
  • The surgical wound is closed with staples

Frequently Asked Questions

Some of the notable advantages of total hip replacement surgery are –

  • Relief from the pain except for the surgery-related one which subsides with healing
  • Improvement in mobility
  • Ability to do daily chores and live normal life independently
  • Improved quality of life – physically, emotionally, and socially

After the discharge, if the patient encounters any of the following clinical situations, report to the surgeon on an immediate basis –

  • Fever/breathlessness/chest pain
  • Increase or continuation of pain/swelling/redness in the incision site after a few days of surgery
  • Any drainage from the incision site
  • Pain or swelling in the lower leg which is not related to the surgery incision

The risk can be as listed below –

  • Bleeding/need of blood transfusion/blood clot
  • Infection
  • Pain & swelling
  • Injury to nerves
  • Need of re-surgery in case of early wear & tear of implant

Patients who could not benefit in spite of long-term non-surgical treatments like medications, physiotherapy, or changes in lifestyle/body movement, etc. And the stiffness, and pain impacting day-to-day independent chores of life and quality of life (emotional & social). Total hip replacement surgery is indicated in the following medical conditions –

  • Osteoarthritis (OA)
  • Rheumatoid arthritis (RA)
  • Hip osteonecrosis (ON) in the age group of 35-50 years
  • Congenital Hip dysplasia
  • Avascular necrosis
  • Hardware failure after internal fixation of hip fractures

Total hip replacement surgery is contra-indicated to the following type of patients –

  • Patients with severe vascular dysfunction
  • Any ongoing infection/bacteremia
  • Some of the hip condition (structural) or weight balance axis etc

Post-surgery, the patient’s stay in the hospital may be for 4-8 days depending upon his/her ability to progress with rehabilitation. Once the patient is able to carry on his/her basic daily chores, discharge is processed.

The total hip replacement surgery takes place in 1-2 hours depending upon the type of surgical approach and the hip’s clinical condition

The reasons for considering ceramic implants for younger aged patients are as follows –

  • Least wear particles over a period of time
  • Lasts longer than other material implants
  • Smooth movement of the joint
  • Greater resistance to damage
  • reliable durability of the implant

. Some of the arrangements at home will make the rehabilitation and recovery phase smooth for the patient –

In bathroom:

  • Hand railings/safety bar
  • Stool/chair for the bathing session
  • Long-handled sponge/hose

In toilet:

  • Raised toilet seat

In living space:

  • Firm pillows on sitting area(sofa/chair)
  • Stable chair near the bed with a firm cushion
  • Floors free from loose electrical wires/cords, carpets, and placement of any sharp items on the floor

Dr. Basavaraj C M- Best orthopedic surgeon

Interesting Facts about Bone

There are 206 bones in the human body.  However, babies are born with 300 bones…how is that?

You may be wondering if an adult has 206 bones in the body, where do all of the bones go? The answer is that the bones don’t disappear; instead, the tiny bones fuse together to form the larger bones in the skeletal system

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