Hip replacement surgery is commonly performed for patients with hip fractures or to treat hip arthritis that hasn’t responded well to non-surgical treatments. Hip arthritis can be caused by various conditions, such as osteoarthritis, rheumatoid arthritis, or avascular necrosis.

The Hip Joint and Replacement Procedure

The hip joint is a ball-and-socket joint, comprising the pelvis and the upper end of the thigh bone (femur). During a hip replacement, the damaged parts of the pelvis and femur are removed and replaced with an artificial hip joint. These artificial joints can be made from various materials, including metal, polyethylene, or ceramic components. The most suitable hip joint for each patient is chosen in consultation with the surgeon.

Watch video on Total Hip Replacement

Surgical Approaches

There are several "approaches" for performing hip replacements, which refer to the location of the incision around the hip. The direct anterior approach involves an incision at the front of the hip, the anterolateral approach involves an incision at the side, and the posterior approach involves an incision at the back. Dr Arakkal is experienced in performing hip replacements using all three approaches and will tailor the best method for each patient.

Pre-Surgery Assessment

Before surgery, it’s essential to carefully assess the patient for any undiagnosed medical conditions and ensure that chronic illnesses, such as diabetes and high blood pressure, are well controlled. This reduces the risk of complications following the surgery.

Enhanced Recovery Programme

Dr Arakkal offers an enhanced recovery programme following joint replacement surgery, including:

• Pain Management: Carefully selected medication provides effective pain relief, enabling patients to mobilise early without drowsiness.
• Early Physiotherapy: Patients start physiotherapy within hours of waking from surgery to regain strength and begin walking with crutches. Early mobilisation helps speed recovery and reduces the risk of complications such as blood clots, chest infections, and urinary retention.
• Diet and Fluids: Patients are encouraged to resume their normal diet and fluids as soon as possible after surgery.
• Avoiding Urinary Catheters: Routine use of urinary catheters is avoided, reducing the risk of infection and making it easier for patients to mobilise.

Most patients are ready to go home one or two days after their hip replacement. Post-operative checkups are usually scheduled two weeks and six weeks after surgery. By six weeks, most patients are walking without crutches. Full recovery from a hip replacement typically takes around 6 to 9 months.