Total Hip Replacement
Hip Replacement as explained by Dr. Mohit Vij, is a surgical procedure in which a damaged or worn-out hip joint is replaced with an artificial implant. The procedure is typically recommended for patients suffering from severe hip pain, stiffness, and limited mobility due to conditions like osteoarthritis, rheumatoid arthritis, or hip fractures. The goal of hip replacement surgery is to relieve pain, restore function, and improve the quality of life.
The surgery involves removing the damaged portions of the hip joint, including the ball (femoral head) and the socket (acetabulum), and replacing them with metal, ceramic, or plastic components. Dr. Mohit Vij emphasizes the importance of personalized care before and after the surgery to ensure a successful outcome, which often includes rehabilitation exercises and physical therapy to regain strength and mobility.

➤ Symptoms of Hip Replacement
The symptoms that may indicate the need for hip replacement surgery include:
Severe Hip Pain: Persistent pain in the hip joint that worsens with activity and doesn’t improve with medication or other treatments.
Stiffness: Limited range of motion in the hip, making it difficult to bend, walk, or perform everyday tasks like putting on shoes or getting in and out of a car.
Pain at Rest: Discomfort in the hip joint even when sitting or lying down, indicating that the condition has progressed.
Limping: A noticeable change in walking pattern due to pain or discomfort in the hip, which can also lead to muscle weakness and imbalance.
Difficulty Walking or Standing: Struggling to walk long distances or stand for extended periods due to joint pain, weakness, or instability.
Swelling or Tenderness: Inflammation or tenderness around the hip joint, especially after extended activity or movement.
Numbness or Tingling: If the hip pain radiates to the groin or down the leg, it could indicate nerve involvement or pressure on surrounding tissues.
➤ Treatment of Hip Replacement
The treatment for hip replacement involves both preoperative and postoperative care, with surgery being the main component for those who meet the criteria. Here’s an overview of how hip replacement is treated:
◈ Conservative Treatments
- Evaluation and Diagnosis:
A thorough examination by an orthopedic surgeon is performed, including X-rays or MRIs to assess the condition of the hip joint and determine the need for surgery.
- Conservative Treatments:
Before opting for surgery, non-surgical treatments like physical therapy, anti-inflammatory medications, pain management, and lifestyle modifications may be tried to relieve symptoms.
- Preparation for Surgery:
Patients are given detailed instructions on how to prepare for surgery, including possible dietary restrictions, medications, and arranging for post-surgery care.
◈ Surgical Treatment
- Hip Replacement Surgery:
- The procedure involves removing the damaged or diseased part of the hip joint, which typically includes the femoral head (the ball) and the acetabulum (the socket). These are then replaced with artificial components made of metal, plastic, or ceramic to mimic the natural function of the joint.
- The surgery can be done through traditional open surgery or using minimally invasive techniques, depending on the patient’s condition and surgeon’s expertise.
◈ Post-Surgery Treatment
- Hospital Recovery: After surgery, patients are usually monitored in the hospital for a few days. Pain management is provided, and physical therapy begins to restore movement and strength.
- Rehabilitation: Physical therapy is a key component of recovery, starting with gentle exercises to improve range of motion and gradually increasing strength. This helps patients regain mobility and independence.
- Gradual Return to Activity: Patients are advised to avoid high-impact activities for several months. Gradual reintroduction to normal daily activities, such as walking and light exercises, is encouraged.
- Long-Term Care: Regular follow-up appointments are scheduled to monitor the healing process and ensure the implant is functioning well. Lifestyle modifications, such as maintaining a healthy weight and regular low-impact exercise, are also recommended to support the longevity of the hip replacement.
- Precautions For Hip Replacement: After hip replacement surgery, it’s important to follow these precautions:
- Avoid Excessive Movement: Refrain from bending the hip past 90 degrees, crossing your legs, or twisting your body to prevent dislocation of the new hip.
- Use Assistive Devices: Use a walker, cane, or crutches as recommended to aid walking and maintain balance.
- Take Pain Medication: Follow your doctor’s instructions for pain management and avoid overexertion that may cause pain or stress on the joint.
- Physical Therapy: Perform prescribed exercises to regain strength and mobility, but avoid overexerting yourself during recovery.
- Avoid High-Impact Activities: Stay away from running, jumping, or other high-impact activities that can strain the new hip joint.
- Monitor for Infection: Watch for signs of infection, such as redness, swelling, or fever, and report them immediately to your doctor.
- Follow Up Regularly: Attend all post-surgery appointments to ensure proper healing and adjust any treatment plans as needed.