Hip replacement surgery is a medical procedure in which a surgeon removes the damaged or diseased parts of the hip joint and replaces them with an artificial joint, called a prosthesis. This prosthetic joint is usually made from durable materials such as metal, ceramic, or high-grade plastic, and is designed to relieve pain and restore mobility. The surgery is typically recommended when conservative treatments—like physical therapy, medications, or lifestyle modifications—fail to provide relief from persistent hip pain and discomfort.
During the procedure, the surgeon makes an incision—either at the side or back of the hip—to access the joint. The damaged portions are removed, and the remaining bone is prepared to accommodate the new prosthetic joint, which is then carefully implanted and secured. The operation is carried out under regional or general anaesthesia and usually takes about one to one and a half hours per hip.
Following surgery, patients go through a recovery phase that involves physical therapy to rebuild strength and mobility in the joint. Pain-relief medications and antibiotics may also be prescribed to manage discomfort and prevent infection.
What are the types of hip replacement
Hip replacement surgery can be performed in different ways depending on the extent of joint damage:
- Total hip replacement
- Partial hip replacement
- Hip resurfacing
Total hip replacement
This is the most common type of hip replacement surgery. It involves replacing both the ball (femoral head) and the socket (acetabulum) with artificial components. It’s typically recommended for patients with severe arthritis or joint damage that affects mobility and quality of life.
Partial hip replacement
Also known as hemiarthroplasty, this procedure involves replacing only the femoral head (ball) of the hip joint. It is often performed in older patients who have suffered a hip fracture but whose socket remains intact.
Hip resurfacing
In hip resurfacing, the damaged bone and cartilage within the socket are preserved, and only the surface of the femoral head is capped with a metal covering. It is generally recommended for younger, more active patients with strong bone density.
When Is hip replacement surgery needed?
Hip replacement surgery is advised when other treatments fail to ease symptoms caused by:
- Severe osteoarthritis or rheumatoid arthritis
- Hip joint damage due to injury or fracture
- Persistent pain that limits daily activities
- Stiffness that reduces joint mobility
- Ineffectiveness of non-surgical therapies
How do you know if you need a hip replacement?
You may need a hip replacement if you experience:
- Chronic hip pain, even while resting
- Difficulty walking, climbing stairs, or getting up from a chair
- Reduced range of motion in the hip
- Persistent stiffness or limping
- No relief from medications, physiotherapy, or lifestyle changes
Cost of hip replacement surgery in India
The cost of hip replacement surgery in India can vary widely based on several factors. These include the type of procedure, the city where it's performed, the hospital's reputation, the surgeon’s expertise, and the type of implant used.
For example, a partial hip replacement may cost between Rs. 1 lakh to Rs. 1.5 lakhs, while a total hip replacement typically ranges from Rs. 2 lakhs to Rs. 3.5 lakhs per side. The cost for more complex procedures like hip resurfacing or revision surgeries can differ significantly, depending on the patient’s condition and surgical requirements.
The price is also influenced by:
The type of implant: cemented, uncemented, or hybrid
The bearing surface or articulation materials used
The surgical technique: single-incision procedures may cost less than dual-incision approaches
Beyond the surgery itself, patients should also factor in post-operative costs, such as physiotherapy, rehabilitation, medications, and follow-up consultations.
It’s advisable to consult both the surgeon and hospital administration in advance to get a detailed cost breakdown and understand available financing or insurance options. Doing thorough research can help patients make informed and financially sound decisions.
Factors affecting hip joint replacement surgery cost
Several factors can influence the cost of hip replacement surgery in India, including:
- Implant material: The type of material used for the hip prosthesis, such as metal, ceramic, or plastic, can impact the overall cost of the surery.
Hospital infrastructure: The quality and infrastructure of the hospital or clinic where the surgery is performed can affect the cost.
Surgeon's experience: The experience and expertise of the orthopedic surgeon performing the hip replacement surgery can influence the cost. Surgeons with specialised training and extensive experience may command higher fees for their services.
Medical complications: The presence of underlying medical conditions or complications during the surgery may increase the overall cost of hip replacement surgery.