Hip replacement Q&A 

What is a hip replacement?

Hip replacement is a treatment for severe arthritis of the hip. Three-quarters of hip replacements are done for people with osteoarthritis (a type of arthritis) in their hips.

Why do I need this operation?

Most people with arthritis of the hip do not need surgery. You and your doctor should consider a hip replacement only if your arthritis is so bad that, for example, you are in constant pain or unable to do everyday things such as getting out of the bath.

What make of new hip should I choose?

There are more than 60 different makes of new hip available in the UK. The well-established makes are recommended by the National Institute for Clinical Excellence (NICE). The most commonly used of these is called a Charnley hip prosthesis.

How can a hip replacement help?

If you have a hip replacement operation there is a very good chance that the pain and stiffness in your hip will get better or go away completely, allowing you to move around and perform your normal daily activities more easily. In studies, at least 7 in 10 people find that their new hip lasts at least 10 years.

Can anything go wrong with a hip replacement?

A hip replacement is a major operation and a number of problems can occur. These include urine infections, blood clots in your legs, blood clots in your lungs, damage to the nerves in your leg, or a broken hip.

What will happen if I choose not to have a hip replacement?

A painful hip will not shorten your life, but if you have bad symptoms that are stopping you from enjoying life, research suggests that it is better to have surgery.

What other treatments are there?

There are a number of things you can do to help manage your arthritis without drugs. These include staying active and keeping your weight down. Painkillers can also be used to control the pain.

What can I expect after hip replacement surgery?

You will have a large scar, which will be covered with a waterproof dressing following the procedure. You will have pain from your operation and will need painkillers.

There will be a pad or pillow between your legs to keep them apart, and protect your new hip. You may have a tube in your bladder to drain urine into a bag by your bed.

What is life like after hip surgery?

Most people go home from hospital after eight to 10 days. Your physiotherapy will probably start on the second day. It may be three months before you feel back to normal. There are lots of aids and appliances to help you manage at home after the operation, such as a hand rail in the shower. Ask to see an occupational therapist before you go into hospital, so he or she can assess what you need and arrange it for you.