Hip Replacement
Total Hip Replacement in Surat
Total hip replacement at Vedaant Orthopaedic Center, Surat, by Dr Dev Padia, MS Ortho (USA) — what the surgery involves, recovery, and what affects the cost.
In short: A total hip replacement removes the worn ball of the thigh bone and the damaged socket, replacing both with an implant. It is used for advanced hip arthritis, avascular necrosis and some hip fractures. Most patients stand and walk with support within a day, and hip replacement is generally the most predictable of the major joint replacements.
What a total hip replacement is
The hip is a ball-and-socket joint. The ball sits at the top of the thigh bone, the socket is part of the pelvis, and both are lined with cartilage. When that cartilage is destroyed — by arthritis, or by the bone collapsing in avascular necrosis — bone grinds on bone and the joint becomes both painful and stiff.
In a total replacement the damaged ball is removed and a stem is fitted into the hollow of the thigh bone, carrying a new ball on top. The worn socket is prepared and a new cup is fitted into the pelvis, with a bearing surface between the two. Together they reproduce the mechanics of the original joint.
Fixation may be cemented, uncemented, or a hybrid of the two, decided mainly by your age and bone quality. Uncemented components rely on bone growing onto the implant surface, which suits good-quality bone; cement gives immediate fixation, which suits softer bone.
When a total hip replacement is considered
- Groin pain that persists despite medication and physiotherapy
- Pain when standing from a chair, or during the first steps after sitting
- Difficulty putting on socks and shoes, or cutting toenails
- A limp that has developed and is getting worse
- X-rays showing loss of joint space, or MRI showing avascular necrosis with collapse
- Night pain that disturbs sleep
When it may not be the right operation
- Pain that is not coming from the hip. Spinal nerve compression and sacroiliac problems both mimic hip pain. Replacing a hip that was not the source leaves the patient no better.
- Active infection anywhere in the body, which must be cleared before an implant is placed.
- Early avascular necrosis without collapse. Caught before the femoral head collapses, joint-preserving options may still be worth considering, particularly in a young patient.
- Non-surgical treatment not properly tried, where arthritis is still mild to moderate.
- Poor soft-tissue condition around the hip, which raises the risk of dislocation and changes what implant is appropriate.
How the surgery is performed
- Anaesthesia — usually spinal, sometimes general, decided with the anaesthetic team
- An incision over the hip, with the approach chosen to suit your anatomy
- The worn femoral head is removed
- The socket is prepared and the new cup fitted into the pelvis
- The thigh bone is prepared and the stem inserted
- Trial components used to check leg length, stability and range of movement
- Final components fitted, joint reduced, and the wound closed in layers
The operation typically takes around one to two hours. Leg length is checked during surgery, since restoring it is part of the goal.
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Groin pain limiting what you can do?
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Recovery after total hip replacement
| Stage | What to expect | What you can do |
|---|---|---|
| Day 1 | Pain in the hip and thigh, controlled with medication. Many patients notice the old arthritic pain has already gone. | Stand and walk a few steps with a walker, usually the same day. |
| Week 1 | Bruising down the thigh is normal. Precautions to avoid dislocation apply. | Walking indoors with support; sitting on a raised seat; avoiding deep bending and crossing the legs. |
| Week 2–6 | Wound healed; walking distance increasing steadily. | Support reduced to a stick, then none. Physiotherapy for hip abductor strength. |
| Month 3 | Most everyday activity comfortable; limp usually resolving. | Driving once control is reliable. Return to desk work. Socks and shoes usually manageable again. |
| Month 6+ | Settled function; many patients say they forget the hip is replaced. | Walking, cycling, swimming. High-impact sport generally discouraged. |
Recovery varies between individuals and depends on your age, general health and the state of the hip before surgery.
Risks and possible complications
- Dislocation. Uncommon, and the risk is highest in the first weeks while soft tissues heal. You will be given specific movements to avoid.
- Infection. Reduced by antibiotics at induction, theatre discipline and treating other infections first. An infected implant is serious and may need further surgery.
- Blood clots. Reduced by early walking, compression and blood-thinning medication where indicated.
- Leg length difference. Checked during surgery; small residual differences are usually managed with a shoe insert.
- Loosening or wear over time. Implants have a finite service life, shortened by higher weight and higher activity.
- Nerve injury. Rare, most often a temporary patch of numbness near the scar.
What affects the cost of hip replacement in Surat
- Implant and bearing surface. The largest variable, and the choice depends on your age and activity as much as on price.
- Cemented, uncemented or hybrid fixation.
- One hip or both.
- Length of hospital stay, which a fast-track pathway shortens for suitable patients.
- Anaesthesia and theatre time, longer where anatomy is distorted by previous surgery or childhood hip disease.
- Insurance cover and whether a cashless arrangement applies.
Call +91 6355 991 466 for an estimate based on your own assessment and insurance position.
Frequently asked questions
How soon will I walk after hip replacement?
Most patients stand and take a few steps with a walker on the day of surgery or the day after. Independent walking with a stick usually follows within the first couple of weeks.
What movements should I avoid at first?
In the early weeks you will be asked to avoid bending the hip beyond ninety degrees, crossing your legs, and twisting on the operated leg. These precautions protect against dislocation while soft tissues heal.
Can I sit on the floor or use an Indian toilet afterwards?
Deep hip flexion is restricted early on, and floor-sitting is generally discouraged in the first months. Many patients regain the ability later, but it depends on the implant and approach used. Raise this before surgery if it matters at home.
Will my legs be the same length?
Restoring leg length is part of the plan and is checked during surgery. Small differences can remain and are usually managed with a shoe insert. Large differences are uncommon.
How long does a hip replacement last?
Modern implants are designed for long service life, and the majority remain functional well beyond fifteen years. Age, weight and activity level all influence this.
Is hip replacement covered by insurance?
It is covered by most health insurance policies in India, subject to waiting periods and policy terms. The clinic can advise what documentation your insurer needs and whether cashless treatment applies.
When can I drive?
Usually once you can enter and exit the car without breaching hip precautions, control the pedals confidently, and are off strong painkillers. This is typically several weeks, and sooner for a left hip in a manual car.
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Visit the clinic
Vedaant Orthopaedic CenterUG/9B Galloping Corridor, GD Goenka School Road
(Canal Road – VIP Road)
Surat, Gujarat 395007
| Monday | 10:00 am – 8:00 pm |
|---|---|
| Tuesday | 10:00 am – 8:00 pm |
| Wednesday | 10:00 am – 8:00 pm |
| Thursday | 10:00 am – 8:00 pm |
| Friday | 10:00 am – 8:00 pm |
| Saturday | 10:00 am – 8:00 pm |
| Sunday | 10:00 am – 1:00 pm |
Medically reviewed by Dr Dev Padia, MS Ortho (USA)
Orthopaedic & Joint Replacement Surgeon, Vedaant Orthopaedic Center, Surat.
Last reviewed:
The information on this website is for general guidance and does not replace a personal medical consultation. Please consult a qualified doctor about your own symptoms.