Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Orthopaedics · Joint Replacement
Hip Replacement Surgery in Hyderabad: Expert Care at Lux Hospitals
Hip replacement has been described as the operation of the century, and the description is deserved. It reliably abolishes arthritic hip pain and restores walking, and patient satisfaction is higher than for almost any other elective procedure.
Recovery is also faster than most people expect: considerably faster than after a knee replacement. Our orthopaedic surgeons at Lux Hospitals, HITEC CITY perform total, partial and minimally invasive hip replacement with modern bearing surfaces built to last decades.
- Reliable Pain Relief
- Faster Recovery Than Knee
- Minimally Invasive Options
What is Hip Replacement Surgery?
Hip replacement removes the damaged ball-and-socket joint and replaces it with artificial components: a metal or ceramic ball on a stem fitted into the thigh bone, articulating with a cup lined with plastic or ceramic fitted into the pelvis.
There are several variants. A total hip replacement replaces both the ball and the socket, and is the commonest. A partial replacement replaces only the femoral head, and is used mainly for hip fractures in older patients. Hip resurfacing caps the femoral head rather than removing it, conserving bone in young active patients. Minimally invasive approaches use smaller incisions and disturb less muscle.
It differs from knee replacement in an important practical respect: recovery is quicker and the result feels more natural. Most hip replacement patients forget the joint is artificial within a few months, which is less consistently true after a knee.
What Causes Hip Damage
Osteoarthritis is the commonest cause, but avascular necrosis is a significant one in India and affects a much younger group.
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Osteoarthritis
Progressive loss of the cartilage lining the ball and socket, most often from midlife onward.
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Avascular necrosis
Loss of blood supply to the femoral head, which then collapses. Associated with steroids, alcohol and sickle cell disease, and it affects younger adults.
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Hip fracture
A displaced fracture of the femoral neck in an older patient is usually best treated by replacing the joint rather than fixing the bone.
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Rheumatoid and inflammatory arthritis
Immune-mediated destruction of the joint, often affecting both hips and at a younger age than osteoarthritis.
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Developmental dysplasia
A shallow socket present from childhood that loads the cartilage abnormally and causes early arthritis.
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Femoroacetabular impingement
Abnormal bone shape causing repeated impingement, which damages the labrum and cartilage over years.
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Previous injury or infection
Trauma or a childhood joint infection can leave a hip that wears out decades later.
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Ankylosing spondylitis
Inflammatory spinal disease that frequently involves the hips and can fuse them if untreated.
Avascular necrosis is worth highlighting because it presents in the thirties and forties. Caught before the femoral head collapses, joint-preserving surgery may still be possible.
When Hip Replacement is Considered
Hip arthritis characteristically causes groin pain rather than pain over the outer hip, and it commonly refers down to the knee.
Symptoms suggesting it may be time
- Deep groin pain on walking or weight-bearing
- Pain referred down the front of the thigh to the knee
- Stiffness making it hard to put on socks or cut toenails
- A limp, or needing a stick to walk any distance
- Pain at night that disturbs sleep
- Grinding or catching sensations in the hip
Findings on assessment
- Restricted rotation of the hip on examination
- Advanced joint space loss on X-ray
- Shortening of the affected leg
- Avascular necrosis with collapse of the femoral head
- A displaced fracture of the neck of the femur
- Failure of non-surgical treatment to control symptoms
Pain felt in the buttock or outer hip is more often from the spine or the trochanteric bursa than from the joint. Distinguishing these matters, because replacing the hip would not help either.
Diagnosis & Preparation
The assessment confirms the hip is the source of the pain, plans the implant, and gets you into the best condition for surgery.
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Physical examination
Hip mobility, particularly internal rotation, along with gait, leg length and an examination of the spine, which commonly refers pain to the hip.
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X-rays
Show joint space loss, deformity and bone quality, and are used to template the implant size and restore leg length.
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MRI scan
The test for avascular necrosis before the femoral head collapses, and for assessing the labrum and soft tissues.
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Blood tests and medical review
Screening for anaemia, infection and diabetes control, plus review of blood thinners and other medication.
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Fitness assessment
Cardiac evaluation and anaesthetic review, with spinal anaesthesia usually preferred for its lower complication rate.
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Prehabilitation and home preparation
Strengthening exercises beforehand, and arranging handrails, a raised toilet seat and a high chair at home in advance.
Preparing your home before surgery matters more than people expect. The hip precautions in the first six weeks are much easier to keep with the right seat height and handrails already in place.
Treatment Options for Hip Arthritis
Non-surgical treatment helps early hip arthritis, though less reliably than in the knee. Several surgical options exist beyond total replacement.
Non-surgical
Non-surgical treatment
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Physiotherapy
Strengthening the hip abductors and maintaining range of motion reduces pain and improves gait, particularly in earlier arthritis.
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Weight reduction
Reduces load through the joint substantially and improves both symptoms and surgical outcomes.
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Analgesia
Paracetamol and anti-inflammatories, used with awareness of long-term risks.
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Image-guided injection
Steroid injected into the hip joint under X-ray or ultrasound guidance: both therapeutic and diagnostic, since relief confirms the hip as the pain source.
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Walking aids
A stick used in the opposite hand reduces load through the hip by a substantial proportion.
Surgical
Surgical options
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Total hip replacement
Replacing both the ball and socket. The most common and most predictable option, with excellent pain relief and modern bearings lasting twenty years or more.
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Partial hip replacement
Replacing only the femoral head. Used mainly for displaced femoral neck fractures in older, less active patients.
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Hip resurfacing
Capping the femoral head rather than removing it, conserving bone. An option for young, active men with good bone quality.
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Minimally invasive hip replacement
Smaller incisions with less muscle disturbance, giving faster early recovery in suitable patients.
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Core decompression
Drilling the femoral head to relieve pressure in early avascular necrosis, before collapse: a joint-preserving option in younger patients.
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Revision hip replacement
Replacing a loose, worn or infected implant. Considerably more complex than the primary operation.
In early avascular necrosis, before the femoral head has collapsed, core decompression may preserve the joint entirely. Once collapse has occurred that option closes, which is why early MRI matters in younger patients.
What Hip Replacement Involves
A sixty to ninety minute operation through a single incision over the hip, with a two to three night stay and walking on the day of surgery.
Total hip replacement
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Anaesthesia
Spinal anaesthesia with sedation is usually preferred, being associated with less blood loss and fewer complications than a general anaesthetic.
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The incision
A single incision over the hip. The approach (posterior, lateral or anterior) is chosen for your anatomy and the surgeon’s experience.
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Removing the damaged joint
The worn femoral head is removed and the socket reamed to a smooth hemisphere, ready to accept the new cup.
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Placing the socket
A metal cup is fitted into the pelvis, with a plastic or ceramic liner inserted into it. Cup position determines both stability and wear.
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Placing the stem and head
A stem is fitted into the femur, cemented or press-fitted according to bone quality, and a ball fitted onto it.
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Checking stability and leg length
The joint is reduced and tested through a full range for stability, with leg length compared against the other side.
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Closure and mobilisation
Closed in layers, and you are stood up and walking with a physiotherapist the same day.
Restoring leg length and offset accurately is what makes the hip feel normal and prevents a limp. It is checked on the table rather than left to the post-operative X-ray.
Why Choose Lux Hospitals for Hip Replacement?
Hip replacement is judged on pain relief, leg length and how natural the joint feels. Here is why patients trust us:
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Experienced joint surgeons
A dedicated orthopaedic team performing hip replacement regularly, including revision and minimally invasive approaches.
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Modern implants
Bearing surfaces matched to your age and activity, from standard polyethylene through to ceramic-on-ceramic for younger patients.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Rehabilitation
Hip replacement recovery is noticeably quicker than knee replacement. Most patients walk without aids by four to six weeks.
- Day 0–1
Standing and walking with a frame within hours of surgery. Pain is usually well controlled, and often less than the arthritis pain beforehand.
- Days 2–3
Walking further, practising stairs, and learning the hip precautions. Home once safe and independent.
- Weeks 1–6
Progressive walking and physiotherapy. Hip precautions are observed to protect against dislocation while the soft tissues heal.
- Weeks 6–12
Walking without aids, driving from around six weeks, and returning to desk work. Precautions are relaxed at six weeks.
- Months 3–12
Full activity including swimming, cycling and golf. Most patients stop being aware of the hip altogether.
Aftercare
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Observe hip precautions
For the first six weeks: no bending past ninety degrees, no crossing your legs, and no twisting on the operated leg. These prevent dislocation.
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Walk regularly
Frequent short walks from day one, building distance progressively. Walking is the main rehabilitation for a hip.
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Use the right seat height
A raised toilet seat and a high firm chair for six weeks. Low soft seating forces the hip past the safe range.
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Take clot prevention seriously
Blood thinners as prescribed with regular ankle exercises. Clots are the main early risk after hip surgery.
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When to call us
Sudden severe hip pain with inability to weight-bear, a leg that looks shortened or rotated, fever, wound discharge, or calf swelling.
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Protect the implant
Maintain a healthy weight, favour low-impact exercise, and mention your implant to dentists and doctors.
Dislocation is the complication the precautions exist to prevent, and the risk is highest in the first six weeks while the soft tissues heal. After that the hip becomes considerably more stable.
When Should You Consider Hip Replacement?
Book a consultation if any of the following apply.
- Deep groin pain on walking or weight-bearing.
- Stiffness making it hard to put on socks or shoes.
- A limp, or needing a stick to walk any distance.
- Hip pain at night that disturbs your sleep.
- Non-surgical treatment that is no longer controlling the pain.
- A diagnosis of avascular necrosis: assess this early.
Cost of Hip Replacement in Hyderabad
The implant and bearing surface are the largest cost components. These are the ranges our patients fall into.
| Procedure | Estimated Cost |
|---|---|
| Consultation & assessment Per visit | ₹800 – ₹1,500 |
| Pre-operative workup X-rays, MRI where needed, bloods and cardiac review | ₹8,000 – ₹20,000 |
| Total hip replacement Three nights’ stay, standard implant | ₹2,00,000 – ₹3,50,000 |
| With ceramic-on-ceramic bearing Three nights’ stay, for younger patients | ₹2,80,000 – ₹4,50,000 |
| Partial hip replacement Usually for femoral neck fracture | ₹1,40,000 – ₹2,40,000 |
| Revision hip replacement Five to seven nights’ stay | ₹3,50,000 – ₹6,50,000 |
| Post-operative physiotherapy Six to twelve weeks of rehabilitation | ₹12,000 – ₹30,000 |
What changes the estimate
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Bearing surface
Metal-on-polyethylene, ceramic-on-polyethylene and ceramic-on-ceramic differ considerably in price and in expected longevity.
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Cemented or uncemented
The choice depends on your age and bone quality, and affects both the implant cost and the operating time.
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Primary or revision surgery
Revision surgery is substantially more complex, needs specialised implants, and involves a longer stay.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Benefits of Hip Replacement
What patients treated here can expect:
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Reliable pain relief
Among the highest satisfaction rates of any elective operation.
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Quick recovery
Walking the same day, and without aids by four to six weeks.
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Long-lasting
Modern implants routinely last twenty years or more.
Other Orthopaedics Treatments
Our Surgeons
Hip Replacement Specialists at Lux Hospitals
The orthopaedic and joint replacement surgeons who perform hip replacement at our HITEC CITY hospital.
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Dr. Sai Kishan Sirasala
Consultant Orthopaedic Surgeon: Joint Replacement & Arthroscopy
MS (Ortho), FIJR, FIASM (UK), FIKS (Italy), FIRJR
8 years experience
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Dr. Bathini Hithesh
Consultant Orthopaedic Surgeon
MBBS, MS, FIJR
6 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for hip, knee and orthopaedic conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Sai Kishan Sirasala on joint replacement and orthopaedic care.
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Best Knee Replacement Surgeon in Hyderabad: What to Look For
Dr. Sai Kishan Sirasala
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Best Knee Replacement Surgery in Hyderabad
Dr. Sai Kishan Sirasala
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Knee Arthroscopy for Cartilage Damage: Benefits & Care
Dr. Sai Kishan Sirasala
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Untreated Bone Fracture: Risks, Symptoms & Treatment
Dr. Sai Kishan Sirasala
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Rotator Cuff Tear vs Frozen Shoulder: Symptoms & Treatment
Dr. Sai Kishan Sirasala
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Knee Arthroscopy vs Open Knee Surgery: Key Differences
Dr. Sai Kishan Sirasala
Got Questions?
Frequently Asked Questions
Common questions about hip replacement, its recovery, and what surgery costs at Lux Hospitals.
What is the success rate of hip replacement surgery?
It is among the most successful operations in medicine, with satisfaction rates above ninety per cent. It has been called the operation of the century for good reason: pain relief is reliable and the restoration of walking is dramatic in most patients.
How long does a hip replacement last?
Modern implants routinely last twenty years or more, and many last considerably longer. Longevity depends on the bearing surface, your age at surgery, your body weight and your activity level. Ceramic bearings in younger patients are chosen specifically for their durability.
Can I live a normal life after hip replacement?
Yes, and most patients do. Walking, cycling, swimming, golf and travel are all fine. High-impact activities such as running and jumping are generally discouraged because they accelerate wear, but ordinary daily life is fully restored.
Is hip replacement surgery painful?
The surgery is painless under anaesthesia. Afterwards there is discomfort for the first one to two weeks, managed with medication. Many patients notice the post-operative pain is actually less than the arthritis pain they had beforehand, and recovery is easier than after a knee replacement.
When can I start walking after hip replacement?
The same day, usually within hours of surgery. Early walking with a frame or crutches is part of the treatment rather than a milestone to work toward: it reduces clot risk and speeds recovery. Most patients walk without aids by four to six weeks.
What are the hip precautions and how long do they last?
For the first six weeks: avoid bending the hip past ninety degrees, do not cross your legs, and do not twist on the operated leg. They protect against dislocation while the soft tissues heal, and are usually relaxed at six weeks.
Are there risks involved in hip replacement?
As with any major surgery there are risks: infection, blood clots, dislocation, leg length difference and, in the long term, implant loosening or wear. These are uncommon, and each is specifically guarded against through antibiotics, blood thinners, hip precautions and careful intraoperative measurement.
What is avascular necrosis and can it be treated without replacement?
Avascular necrosis is loss of blood supply to the femoral head, which then collapses. It affects younger adults and is associated with steroids, alcohol and sickle cell disease. Caught early on MRI before collapse, core decompression may preserve the joint. Once collapse has occurred, replacement is usually needed.
What is the cost of hip replacement surgery at Lux Hospitals?
Total hip replacement ranges from about ₹2,00,000 to ₹3,50,000 with a standard implant including the stay, and ₹2,80,000 to ₹4,50,000 with a ceramic-on-ceramic bearing. Revision surgery is ₹3,50,000–₹6,50,000. Most is covered by insurance and we handle the pre-authorisation.
How can I book an appointment for hip replacement surgery at Lux Hospitals?
You can book an appointment by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Bring any previous X-rays or MRI scans of the hip with you.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book Your Hip Consultation in Hyderabad
Expert hip replacement with modern implants and early mobilisation, and a fixed-cost estimate before treatment begins.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032