HIP SURGERY
Total Hip Replacement
Persistent hip pain caused by arthritis or injury can profoundly affect your quality of life. Total hip replacement is one of the most successful operations in orthopaedic surgery, offering lasting relief and a genuine return to the activities you love.
What is Total Hip Replacement?
Total hip replacement, also known as hip arthroplasty, is a surgical procedure in which the damaged surfaces of the hip joint are removed and replaced with a prosthetic implant. The implant typically consists of a metal or ceramic ball, a metal stem inserted into the femur, and a smooth cup fixed into the pelvis. Together, these components recreate the natural movement of a healthy hip joint.
Surgery is generally considered when pain and loss of function cannot be adequately managed by non-surgical treatments such as physiotherapy, anti-inflammatory medication, or activity modification. Dr David Kitchen will discuss all options with you thoroughly before recommending any surgical intervention.
About the Surgery
Dr David Kitchen uses different surgical techniques depending on your unique anatomy, bone quality, and lifestyle needs. The two primary methods are the Anterior and Posterior approaches.
Direct Anterior Approach
The anterior approach involves an incision at the front of the hip. This technique is often referred to as "muscle-sparing" because it is between the muscle planes rather than detaching them from the bone.
- Recovery Focus: Many patients experience a quicker initial recovery in the first six weeks and may have fewer post-operative movement restrictions.
- Precision: This approach is performed with the patient lying on their back, which can assist with accurate implant positioning and leg-length measurement.
Posterior Approach
The posterior approach is a highly versatile and widely used technique involving an incision at the side or back of the hip. It involves a small release of the short rotator muscles, which are repaired at the end of the procedure.
- Versatility: This method provides great visibility of the joint and is suitable for almost all patients, including those with complex hip deformities or higher body mass index (BMI).
- Proven Reliability: It is a time-tested approach with a long history of successful outcomes, especially for patients requiring more complex reconstructions, remaining the most commonly used approach.
Potential Benefits of Total Hip Replacement
Total hip replacement is one of the most consistently successful procedures in orthopaedics. For appropriately selected patients, the benefits can be significant and long-lasting.
Pain Management
Often, the most noticeable benefit for most patients is a reduction in hip pain, allowing for more comfortable walking, standing, and rest that was previously impossible.
Improved Mobility
Patients regain a much greater range of movement, making everyday activities, such as climbing stairs, bending, and walking longer distances, largely more manageable.
Quality of Life
Reduced pain and greater independence have a meaningful impact on mental well-being, allowing patients to re-engage with work, sport, and social life.
Long-Lasting Results
Modern hip implants are designed for durability. The majority of patients can expect their replacement to function well for 15-20 years or more with appropriate care.
Recovery & Rehabilitation
Many patients report noticeable improvement in pain and mobility in the weeks following hip replacement surgery. Recovery varies from person to person and is a gradual process. Dr David Kitchen and his team provide ongoing support and guidance throughout each stage of rehabilitation to support your recovery.
Day
1 - 3
Hospital Stay
Most patients are up and walking with assistance within 24 hours of surgery. You will typically spend 1-3 days in hospital, during which physiotherapy will begin, and pain will be closely managed.
Week
1 - 6
Early Recovery at Home
You will return home with walking aids, a personalised physiotherapy program, and clear guidelines on activity and movement restrictions. Most patients manage stairs and light activities comfortably within the first few weeks.
Week
6 - 12
Return to Normal Activities
The majority of patients resume most daily activities, including driving, light exercise, and work (depending on role), within 6-12 weeks. Walking aids are typically no longer needed by this stage.
Month
3 - 6
Full Recovery
Full recovery and the complete benefit of the procedure is typically realised by 3-6 months. Many patients are more mobile than before.
Risks & Complications
Revision surgery is more involved than a primary replacement. Potential complications include:
Frequently Asked Questions
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Specialist hip care to improve mobility.
Consulting at sportsmed Stepney & Henley Beach · A GP referral is required.