Hip replacement

A hip replacement is an operation in which the damaged parts of your hip joint are replaced with artificial parts made of metal, plastic or ceramic [1]. The aim is to reduce pain and help you move more easily [1].

A hip replacement is usually recommended when a hip joint has become worn or damaged — most often by osteoarthritis — and the pain and loss of movement are affecting your daily life, once other treatments and lifestyle changes have not helped enough [1].

Before surgery you will usually have an appointment to check your general health and discuss what to expect [1]. It helps to plan ahead for your recovery at home, for example by arranging support and making everyday items easy to reach [1].

The operation is carried out in hospital, usually under a general or spinal anaesthetic [1]. The surgeon removes the damaged joint surfaces and fits the new artificial parts [1]. Depending on your circumstances you may need to stay in hospital for a few days afterwards [1].

Recovery is gradual and can take several months before you are back to your normal activities [1]. A physiotherapist will usually help you get moving again with exercises to build strength and movement in the new joint [1]. A modern hip replacement is expected to last at least 15 years and can greatly improve quality of life [1].

Most hip replacements are successful, but as with any major operation there are some risks [1]. These can include blood clots, infection, and the new joint coming out of position (dislocation) [1]. Your surgeon will talk through the risks with you before you decide to go ahead [1].