Hip replacement surgery
Don't put up with hip pain. Get help today.
Hip replacement surgery is a procedure during which your Consultant removes your painful hip joint and replaces it with an artificial hip. This artificial hip is usually constructed of metal, ceramic or plastic material (or a combination of the three).
If you are battling the often-distressing effects of a painful hip joint, you’ve landed in the right place.
Hip replacement surgery could be the best treatment option to get you back doing the activities that make you you – whether that be cycling, snorkeling, or simply walking without pain.
We explain more about hip replacement surgery, including in-depth information on hip replacement recovery time and the many benefits of physiotherapy after surgery. We also have a network of dedicated, results-driven Consultant Orthopaedic Surgeons available to treat your hip pain. Discover more.
It involves replacing your painful hip joint with an artificial hip joint (also known as a prosthesis). There are several types of hip replacement surgery available to improve your hip pain. We explore the types of hip replacement surgery in more detail further on this page.
Hip replacement surgery: a successful procedure performed since the 60s
Hip replacement surgery has been performed since the 1960s, a testimony to its success and longevity as a form of treatment and pain relief for hip pain, lasting for up to 15 years in some cases.
A recent 2020 study by The National Institute for Health Research (NIHR) shows that around 95% of hip replacements last beyond a decade, helping people live fulfilled, pain-free lives after ten years post-surgery.
The study also found that around 95% of people still experience the many benefits of hip replacement surgery after ten years post-surgery. These benefits include large and long-lasting improvements in pain, strength and your range of movement.
This study by The NIHR reflects the many benefits of having orthopaedic surgery, as well as the importance of knowing that hip replacement surgery could be the best treatment option for you.
Orthopaedic surgery: the specialism defined
Orthopaedic surgery is a form of medical specialism concerned with the treatment of injuries and disorders of your joints and their associated soft tissues. This associated soft tissue includes your ligaments, nerves and muscles. These components make up your musculoskeletal system, which helps support your bodily functions, protect your skeletal muscles and aid your movement.
There are many forms of traumatic injury and joint conditions that result in damage to your musculoskeletal system. This damage can cause pain, inflammation, swelling and stiffness in your affected joint, which can (in turn) dramatically impact your overall quality of life. While pain from an injury or a joint condition may be widespread, affecting your entire body, it is often localised in one joint, such as your knee, wrist, ankle or hip.
Hip joint pain: finding the right treatment for you
If you are suffering from pain in your hip joint, finding the right form of pain relief can be challenging and understandably upsetting as a result. You might have tried:
Hip injection therapy: Also known as steroid injection therapy, this form of pain relief involves the injection of steroid (corticosteroid) medication into your painful hip joint. This can effectively reduce pain and inflammation in your hip joint. This form of pain relief may be recommended if you are unable to tolerate oral anti-inflammatories.
Oral anti-inflammatories: These will be prescribed by your GP or Consultant. Your doctor might also recommend using heat therapy (in the form of icepacks or heat pads) to reduce swelling or numb your joint pain. This alternative method can be used in addition to anti-inflammatory medication.
Physiotherapy for joint pain: This is an effective form of pain relief involving a specialist exercise programme built and managed for you by your Physiotherapist. Physiotherapy (also known as physical therapy) usually also involves the use of specialist equipment to strengthen your joint muscles and improve your mobility. It can be a highly effective form of joint pain relief.
If the forms of pain relief listed above do not effectively alleviate your joint pain symptoms, then your GP might refer you to an Orthopaedic Surgeon to discuss the possibility of having hip replacement surgery.
The final price of your hip replacement will be confirmed in writing following your consultation and any necessary diagnostic tests.
Hip resurfacing surgery ranges from £13,737 to £15,011.
Complex hip replacement ranges from £12,184 to £16, 464.
Primary hip replacement ranges from £11,063 to £16,689.
Fortunately, paying for surgery with us is an easy process.
We offer many flexible easy payment options. These help you to spread the cost of your payment across a timeline that suits your needs. These payment options include:
The BMI card: The BMI Card helps you borrow a pre-agreed fixed sum that is paid to us directly. The card can be used at various points throughout your treatment journey, so you can spread the cost further, if needed.
Monthly installments: Our flexible payments option from Chrysalis Finance means you can pay a series of monthly repayments over a period that suits your schedule.
Private medical insurance: If you are using private medical insurance for treatment, you need to speak to your insurance provider to obtain authorisation about any excess on your claim.
Paying for your hip replacement shouldn’t be hard, which is why our easy payment options are there for you to benefit from. To find out more about the process of paying for your treatment, you can speak to a trusted member of our advisory team on 0141 300 5009
Osteoarthritis: This is a form of arthritis that causes your joints to become painful and stiff, which has an impact on your overall mobility. It is the most common type of arthritis in the UK that occurs when the smooth cartilage across your joint surface wears out over time.
Symptoms of osteoarthritis include joint pain and stiffness, tenderness and a grating sound that occurs when you move your affected joint or joints.
Arthritis affects each person differently. Some people suffer from severe symptoms, while others find their pain more manageable and only experience ‘flare-ups’ occasionally. The treatment options you receive for arthritis will depend on the severity of your symptoms and how frequently they occur.
Rheumatoid arthritis: Rheumatoid arthritis (RA) currently affects more than 400,000 people in the UK, a reflection of how common arthritis is. Rheumatoid arthritis (RA) is an inflammatory joint condition caused by an autoimmune process. An autoimmune process occurs when your body attacks its healthy cells by mistake. This often causes pain, swelling and inflammation in your joints. Joints affected by RA are commonly surrounded by inflamed tissue, which often results in chronic pain.
A hip fracture: Hip fractures happen when cracks occur at the top of your thigh bone (femur) in the hip joint. They are usually caused by a traumatic injury such as a contact sports injury, but they can sometimes be caused by a condition that weakens your hip bone such as osteoporosis.
Septic arthritis: This is a severe joint infection that can be caused by a traumatic injury to your joint, including a bite or wound. This also occurs when a bloodstream infection from elsewhere in the body settles in the joint. This form of arthritis requires immediate medical attention. The damage caused by septic arthritis can lead to the need for hip replacement surgery.
There is a broad scope of hip arthritis symptoms you might experience that could mean you require hip replacement surgery. This is especially the case if you have tried other treatment options to manage your hip pain symptoms but have found these to be unsuccessful. These symptoms include:
• Hip or groin pain;
• Hip pain when exercising and walking;
• Hip pain during sex;
• Stiffness and restriction of movement;
• Hip pain when walking and night time;
• An inability to support your body weight on one leg, and
• Limited relief from other treatment options tried.
Living with persistent hip pain can impact your sleep patterns and romantic relationships, as well as your ability to function in work and in everyday life. You might find that your ability to stay active is limited, or simple everyday tasks such as driving or carrying shopping bags are becoming more difficult to carry out efficiently.
According to our Joint Pain Matters 2020 report, which analyses the often-devastating impact of joint pain on the lives of over 8,000 survey respondents, 66% of people with joint pain find it difficult to sleep and 50% said joint pain has affected their romantic relationships. These challenges induced by joint pain can have a direct impact on your mental wellbeing, leading to feelings of understandable upset and frustration.
If you suffer from any of the symptoms listed above, or if your mental health has suffered as a result of battling chronic hip pain, you might require hip replacement surgery.
To determine whether hip replacement surgery is the right treatment option for you, you need to speak with a specialist, who will be able to evaluate your symptoms and help you manage them effectively. To find out more, you can speak directly with one of our dedicated Orthopaedic Surgeons by calling us on 0141 300 5009 or booking an appointment with one online.
Your Orthopaedic Surgeon will also be able to recommend whether you require a partial hip replacement, or a total hip replacement.
Partial vs total hip replacement surgery
There are two main types of hip replacement surgery: total hip replacement and partial hip replacement. These use slightly different surgical techniques to improve your hip pain.
Partial hip replacement: In partial hip replacement surgery, your Orthopaedic Surgeon will only remove and replace your femoral head. Your femoral head is the upper end of your femur (your thigh bone). During partial hip replacement surgery, your femoral head will be removed and replaced with a prosthesis (an artificial femoral head). This is usually a metal ball attached to a metal stem. This is usually carried out for conditions only involving the head, such as fractured hips.
Total hip replacement (also called total hip arthroplasty): This form of surgery involves the removal of your femoral head and relining the socket (together, this is known as your ball and socket joint, because it resembles a ball fitted into a socket). The socket and head can be removed and replaced with a prosthesis comprising cemented or uncemented material. Both forms of material work well to secure your prosthesis. This is an invasive form of hip replacement surgery, because it involves the removal of both your ball and socket.
At your initial consultation, your Consultant will ask about your general health and take a detailed examination of your medical history. They will want to know about existing medical conditions you suffer from, as well as the current hip pain symptoms you are experiencing. They will also want to know how these symptoms impact your everyday life, how often they occur and whether you have tried treatment options for them already.
In order to assess your symptoms and make an accurate diagnosis of your hip pain, your Consultant will gently carry out a physical examination of your joint(s), or an X-ray, if required. This will be carried out by a Radiologist.
After your Consultant has determined the cause of your hip pain through diagnostic testing, they will share more information about hip replacement surgery and whether it might be the right treatment option for you. It is important to remember that your initial consultation is a positive step in your journey toward improved mobility and reduced joint pain. Your Consultant is there to answer any questions you might have about hip replacement surgery and ease any concerns you might experience about undergoing surgery (if applicable).
The timeframe between your initial consultation and undergoing treatment depends on your individual circumstances and whether you have been diagnosed with a joint pain condition or traumatic injury prior to your consultation.
After your initial consultation, your Consultant and multidisciplinary team of healthcare professionals will ensure you understand the next steps in your journey and how to prepare for hip replacement surgery, if needed.
Preparing for hip replacement surgery
Your Orthopaedic Surgeon might recommend you incorporate certain lifestyle factors in preparation for hip replacement surgery. These can include:
Lose any excess weight: If you are overweight, your Consultant might ask that you lose weight through maintaining a balanced diet and exercise regime before surgery. This is because losing weight can decrease the risk of complications occurring during surgery.
It can also help you recover faster after surgery.
Stay active: Staying active not only helps you maintain a balanced diet, but also strengthens the muscles around your hip, which will aid your recovery. This exercise does not have to be high-impact exercise. It can include walking and swimming in the weeks or months leading up to your surgery. In this instance, you might be referred to a Physiotherapist, who can guide you through specialist exercises to carry out before surgery. These will be tailored to your individual needs, helping aid your hip replacement recovery.
Avoid drinking alcohol before surgery: You should avoid drinking alcohol for at least 48 hours before having hip replacement surgery. Please speak with your Consultant about this in more detail.
Discuss food requirements with your Consultant: Your Consultant will discuss the sort of food you should eat before surgery, as well as whether there are any foods you should avoid consuming beforehand. If needed, you can work with a Dietician to build a tailored food plan to adhere to before and after your surgery. Please discuss this with your Consultant in more detail.
Discuss medication requirements with your Consultant: Your Consultant will also share in-depth information about whether you should avoid taking your usual medication before going into hospital, or the kind of medication you might need to take after.
Eliminate tripping hazards at home: Remember to eliminate any tripping hazards such as uneven floor tiling or general mess in your home before your surgery. This is to ensure your safety and general health after undergoing surgery.
Ensure you have plenty of food and resources at home: In the weeks after your surgery, your mobility might be limited as you recover and regain strength. This means it is important to stock up your house with food and resources or arrange for a friend or family member to do so. This is the same for your travel. In the days leading up to your surgery, you'll need to organise travel arrangements for getting to and from the hospital, whether that be through a friend or family member (or whoever makes up your support system).
Fortunately, your Orthopaedic Surgeon and healthcare team will keep you informed on all information, including travel arrangements, what to bring to the hospital, any pre-operative testing required, as well as how best to manage any lifestyle changes recommended in preparation for surgery.
Regardless of which procedure you receive, you will either be administered general anaesthetic or spinal beforehand, which will numb your lower body and prevent you from feeling any pain or discomfort.
A Consultant Surgeon can access your hip joint from different approaches depending on your history (the front, back or side).
In the case of partial hip replacement surgery, your Consultant Orthopaedic Surgeon will make an incision on the side of your hip and remove your damaged femoral head, which will then be replaced with an artificial joint. Whether this is a cemented or uncemented ceramic hip replacement (a ceramic ball attached to a metal stem) or a fully metal replacement is dependent on which material your Consultant decides is the best option for you. Sometimes, the prosthesis is a combination of different materials.
In the case of a total hip knee replacement, your Consultant will remove your damaged femoral head and socket and replace each with their respective artificial component.
Whether you receive partial or total hip replacement surgery, your Consultant will bend and move your leg after making the replacement to ensure your mobility is as it should be. They will then close their incision with stitches that dissolve. The outermost layer of your skin will be closed with glue or sutures.
How long does a hip replacement last?
A hip replacement operation typically lasts for one to two hours.
After surgery you will be taken to a recovery room to be monitored and then transferred to your bedroom.
Every individual’s hip replacement recovery timeline looks slightly different depending on their individual health and circumstances. Other factors include:
• How fit you were before having hip replacement surgery;
• Your usual everyday activities;
• The nature of your job, and
• Your age.
Your Orthopaedic Surgeon will understand your personal circumstances better and be able to advise what your hip surgery recovery timeline looks like.
After only one or two days after surgery, most people can get out of bed and walk using aids such as crutches or a walker. Your Physiotherapist will help you get out of bed and take your first steps following the procedure.
Most people can leave hospital after up to two to three days, but you will need a friend or family member to collect you. Within a couple of weeks, you will be able to walk more regularly, but you will require the use of a walking aid.
After two to six weeks, you can start incorporating gentle exercise such as long walks into your everyday routine. You can also usually return to work at this stage, depending on the type of work you do (if you have an office job, you can return to the office).
Walking unaided after hip replacement surgery is possible after up to eight weeks. You should speak to your Consultant about whether you can drive again, as this will depend on the progress of your recovery.
You can have sexual intercourse around eight weeks after surgery, but you should do this carefully to avoid dislocating your hip.
A hip replacement scar is natural. This scar will be situated in the region of your hip where your Consultant has made an incision. Its size depends on the size of your hip. This scar tissue will heal and fade naturally over time.
Speak with your Orthopaedic Surgeon about how best to accelerate the healing of your scar tissue. It is important to remember that our team will be contactable when you are home after surgery. If you have any questions about your recovery process, you can call them directly for advice and guidance.
6-12 weeks after hip replacement surgery, you should be well on the way to a full recovery and able to carry out everyday activities with ease of mobility.
Specialist exercises after hip replacement surgery
Your Physiotherapist will work with you to build a specialist exercise plan tailored to your needs following surgery. These exercises will strengthen your hip muscles and improve your mobility, accelerating your recovery in turn. They will also help you incorporate exercise into your daily routine at home.
Your Physiotherapist will advise how regularly you should perform these exercises outside of your sessions, as well as any equipment you might need to facilitate them.
You might wonder how much walking after hip replacement is healthy. One of the best forms of exercise you can do following hip replacement surgery is simply walking. It maintains your fitness levels and ensures you strengthen your hip muscle. Ask your Consultant or Physiotherapist how regularly you should be walking per day to best support your recover timeline. They might set you dedicated recovery point objectives to achieve through exercises and movement.
You might require specialist home equipment following your surgery, such as a raised toilet seat or shower stool. These can help you avoid bending your hip and slowing down your recovery time.
Pain after hip replacement: what is normal?You might want to know whether pain after hip replacement is normal. Some initial pain and swelling around your hip joint are normal following hip replacement surgery.
Your Consultant can advise how to reduce this pain and swelling through physiotherapy, heat therapy and medication. They can also advise how much pain is normal for you to experience and next steps to take if your pain level is unusually high.
Potential complication during a surgical procedure include:
• Infection in the surgical wound;
• Excessive bleeding;
• Blood clotting;
• Chest infection;
• Difficulty passing urine;
• Heart attack, and
Specific complications that can occur during a hip replacement surgery include:
• Split in your femur;
• Damage to your nerves;
• Damage to blood vessels;
• Infection in your hip;
• Bone forming in the muscles around your hip replacement;
• Persistent pain around your greater trochanter (the tip of your femur);
• Loosening of your joint;
• Hip dislocation, and
• Leg length discrepancy.
Serious complications as a result of hip replacement surgery are rare. If you have any concerns about these, speak with your Consultant. They will be able to discuss their likelihood with you in more detail and put some of your worries at ease.
You might require revision surgery to repair an artificial joint that has been damaged over time. This is rare, because hip replacement success rates are high.
This lasted for more than a decade. He managed his pain through medication and physiotherapy, but while these options helped treat his pain, Richard remained in constant pain.
As a result of his pain, Richard found sleeping and socialising challenging. His mental health took a toll and he felt isolated and unhappy.
Richard’s Consultant Consultant Orthopaedic Surgeon, Mr Mohan confirmed that total hip replacement surgery would be the best treatment option for him. Richard was delighted by the support and reassurance provided by Mr Mohan. He said: “he told me what the operation would involve, the recovery period and the aids that I would need while I was recuperating. He put my mind at rest and was totally confident about what the outcome would be. I was absolutely delighted.”
Following hip replacement surgery, Richard now leads an active and fulfilled life with no pain. He cycles regularly and runs a successful local business.
Richard urges anyone struggling with hip pain to seek treatment and undergo hip replacement if needed. It might just change your life.
“Don’t let your hip get to the point where it is affecting your life so badly that you have no life – have the operation. The recovery period is short, and you do get better quickly.” — Richard Linley
To find out more about Richard’s treatment and recovery journey, read his case study here.
Booking your first consultation to discuss hip replacement surgery with us is a fast and simple process.
You can begin your journey with us by calling us directly on 0141 300 5009 or by booking a consultation with an Orthopaedic Surgeon online.
With affordable pricing packages and easy payment options, we are here to make your treatment journey fast, accessible and high-quality.