Site Map

Hip joint replacement

Hip arthroplasty; Total hip replacement; Hip hemiarthroplasty; Arthritis - hip replacement; Osteoarthritis - hip replacement

Hip joint replacement is surgery to replace all or part of the hip joint with a man-made joint. The artificial joint is called a prosthesis.

Images

Hip fracture
Osteoarthritis vs. rheumatoid arthritis

Presentation

Hip joint replacement - Series

I Would Like to Learn About:

Description

Your hip joint is made up of 2 major parts. One or both parts may be replaced during surgery:

The new hip that replaces the old one is made up of these parts:

You will not feel any pain during surgery. You will have one of the following types of anesthesia:

After you receive anesthesia, your surgeon will make a surgical cut to open up your hip joint. This cut is often over the buttocks or the side of your hip. Then your surgeon will:

This surgery takes about 1 to 3 hours.

Why the Procedure Is Performed

The most common reason to have this surgery is to relieve arthritis. Severe arthritis pain can limit your activities.

Most of the time, hip joint replacement is done in people age 60 and older. Many people who have this surgery are younger. Younger people who have a hip replaced may put extra stress on the artificial hip. That extra stress can cause it to wear out earlier than in older people. Part or all of the joint may need to be replaced again if that happens.

Your health care provider may recommend a hip replacement for these problems:

Other reasons for replacing the hip joint are:

Before the Procedure

Always tell your provider what medicines you are taking, even medicine, supplements, or herbs you bought without a prescription. Your provider may also want you to lose weight prior to having surgery.

During the 2 weeks before your surgery:

Practice using a cane, walker, crutches, or wheelchair correctly to:

On the day of your surgery:

Your surgeon will tell you when to arrive at the hospital.

After the Procedure

You will stay in the hospital for 1 to 3 days. During that time, you will recover from your anesthesia and from the surgery itself. You will be asked to start moving and walking as soon as the first day after surgery.

Some people need a short stay in a rehabilitation center after they leave the hospital and before they go home. At a rehab center, you will learn how to safely do your daily activities on your own. Home health services are also available.

Outlook (Prognosis)

Hip replacement surgery results are very often excellent. Most or all of your pain and stiffness should go away.

Some people may have problems with infection, loosening, or even dislocation of the new hip joint.

Over time, the artificial hip joint can loosen. This can happen after as long as 15 to 20 years. You may need a second replacement. An infection can also occur. You should check with your surgeon periodically to ensure your hip is in good condition.

Younger, more active people may wear out parts of their new hip. It may need to be replaced before the artificial hip loosens.

Related Information

Prosthesis
Intravenous
Over-the-counter pain relievers
Cuts and puncture wounds
Blood clots
Pulmonary function tests
Community-acquired pneumonia in adults
Urinary catheters
Broken bone
Muscle function loss
Mononeuropathy
Confusion
Osteoarthritis
Rheumatoid arthritis
Hip pain
Osteonecrosis
Bathroom safety for adults
Surgical wound care - open
Preventing falls
Getting your home ready - knee or hip surgery
Hip replacement - discharge
Taking care of your new hip joint
Hip or knee replacement - after - what to ask your doctor
Hip or knee replacement - before - what to ask your doctor
Preventing falls - what to ask your doctor

References

American Academy of Orthopaedic Surgeons website. OrthoInfo. Treatment: total hip replacement. orthoinfo.aaos.org/en/treatment/total-hip-replacement/. Updated June 2020. Accessed August 23, 2023.

Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S. Hip replacement. Lancet. 2018;392(10158):1662-1671. PMID: 30496081 pubmed.ncbi.nlm.nih.gov/30496081/.

Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 3.

Rizzo TD. Total hip replacement. In: Frontera WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 61.

BACK TO TOP

Review Date: 8/12/2023  

Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

ADAM Quality Logo
Health Content Provider
06/01/2025

A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complied with the HONcode standard for trustworthy health information from 1995 to 2022, after which HON (Health On the Net, a not-for-profit organization that promoted transparent and reliable health information online) was discontinued.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2024 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.