Hip Replacement in Ranchi
Surgical replacement of a severely damaged hip joint to reduce pain, improve mobility and restore day-to-day function when arthritis, fracture or other hip disease no longer responds adequately to non-surgical treatment.
What is hip replacement?
Hip replacement, also called hip arthroplasty, is a procedure in which damaged parts of the hip joint are replaced with artificial components. In a total hip replacement, both the femoral head and the socket are replaced. In selected cases, only the femoral side may need replacement.
When is hip replacement considered?
- Severe hip pain affecting walking, sleep or daily activities.
- Advanced osteoarthritis or other joint damage visible on imaging.
- Pain that persists despite medicines, physiotherapy or lifestyle modification.
- Hip stiffness that significantly limits movement.
- Femoral neck fracture in selected older patients.
- Avascular necrosis causing collapse of the femoral head.
- Inflammatory or post-traumatic arthritis with major joint damage.
Signs that hip disease may be advanced
Common symptoms
- Groin or hip pain.
- Pain while walking or standing.
- Difficulty putting on socks or shoes.
- Reduced hip movement.
- Night pain.
- Limping.
Functional impact
- Difficulty climbing stairs.
- Reduced walking distance.
- Need for a walking stick or support.
- Difficulty getting in and out of a car.
- Loss of independence in daily activities.
How is the hip evaluated?
Assessment usually includes history, physical examination and X-rays of the pelvis and hip. Additional imaging such as MRI or CT may be used in selected cases, especially for avascular necrosis, complex deformity or surgical planning.
Surgery is usually considered after appropriate non-surgical care
Pain-relieving or anti-inflammatory medicines may help control symptoms.
Strengthening and mobility exercises can improve function in many patients.
Reducing excess body weight may reduce load on the hip.
A stick or walker can reduce pain and improve safety in selected patients.
Used mainly in selected fracture cases where only the femoral head needs replacement.
Both sides of the joint are replaced when arthritis or damage is extensive.
Total versus partial hip replacement
Total Hip Replacement
The damaged femoral head and acetabular socket are replaced with prosthetic components. This is commonly used for advanced arthritis and avascular necrosis.
Partial Hip Replacement
Only the femoral side of the joint is replaced. This is commonly considered for selected femoral neck fractures, especially in older adults.
Your hip replacement journey
Spinal or general anaesthesia may be used depending on patient and anaesthesia factors.
The surgeon accesses the hip through a planned surgical approach.
The damaged femoral head is removed and the socket is prepared when total replacement is planned.
The femoral and acetabular components are positioned to recreate hip movement and stability.
The wound is closed and pain control, circulation, mobility and vital signs are monitored.
How are hip implants selected?
Hip implants may use cemented, uncemented or hybrid fixation depending on age, bone quality and anatomy. Bearing surfaces can also differ. Implant selection should be based on patient factors, expected activity, surgeon assessment and long-term evidence rather than brand alone.
Correct indication, implant positioning, infection prevention and rehabilitation are as important as implant brand.
Before hip replacement
- Clinical and X-ray evaluation.
- Pre-anaesthesia and medical fitness assessment.
- Blood tests and other investigations as advised.
- Review of diabetes, blood pressure and heart conditions.
- Medication review, especially blood thinners.
- Assessment for active infection.
- Prehabilitation or strengthening exercises where useful.
- Home planning for safe walking after discharge.
Recovery after hip replacement
Early recovery
Patients are usually encouraged to stand and walk with support soon after surgery. Pain control, blood-clot prevention and safe transfers are important early priorities.
Longer-term recovery
Walking confidence, strength and endurance improve over several weeks to months. Recovery varies with age, pre-operative mobility and the reason for surgery.
What movements may need temporary restriction?
Precautions depend on the surgical approach and surgeon preference. Some patients may be advised to avoid certain combinations of deep bending, twisting or crossing the legs for a period after surgery to reduce dislocation risk.
- Use elevated seating if advised.
- Avoid low chairs initially if instructed.
- Follow safe sleeping and turning positions.
- Use walking aids until balance and strength improve.
- Follow the exact precautions given by the surgical and physiotherapy team.
Rehabilitation after hip replacement
- Early walking with walker or support.
- Hip and leg strengthening exercises.
- Gait and balance training.
- Safe bed, chair and toilet transfers.
- Stair training when appropriate.
- Home exercise programme.
- Gradual return to routine activities.
What risks should patients understand?
Possible complications include infection, blood clots, bleeding, dislocation, leg-length difference, nerve or blood-vessel injury, fracture, implant loosening or wear, anaesthesia-related problems and the possible need for revision surgery in the future.
Understanding hip replacement cost
Final cost depends on total or partial replacement, implant category, fixation method, room type, investigations, medicines, physiotherapy, anaesthesia, medical conditions and length of stay.
Get exact estimateCoverage depends on diagnosis, medical necessity, implant rules, policy or scheme limits, empanelment and pre-authorisation.
Why choose Hopewell for hip replacement?
Pre-operative assessment, surgery and rehabilitation are coordinated in one programme.
Walking and physiotherapy begin early when medically safe.
Implant selection is matched to anatomy, bone quality and clinical need.
Structured peri-operative monitoring for older or medically complex patients.
Recovery planning continues beyond the operating theatre.
Support for cashless, TPA and eligible government scheme processes.
Meet the joint replacement specialist
Dr. Ashish Paal
Orthopaedics & Joint Replacement • Hopewell Hospital, Ranchi
Clinical focus may include hip replacement, knee replacement, arthritis care, fracture management, joint preservation and orthopaedic surgery.
Frequently asked questions
Hip replacement is usually considered when severe hip pain and stiffness continue despite appropriate non-surgical treatment and significantly affect daily life.
Hip pain limiting your walking and independence?
Book an orthopaedic consultation with Dr. Ashish Paal to understand whether physiotherapy, joint-preserving care, partial replacement or total hip replacement is appropriate.
*Procedure time, hospital stay and recovery are indicative and vary by individual clinical condition. This page is for patient education and does not replace medical consultation.