Hip Replacement Surgery

What Is a Hip Replacement?

Hip replacement is a surgical procedure performed when the hip joint is severely damaged due to wear, degeneration, or conditions like osteoarthritis. During the operation, the damaged parts of the hip joint are removed and replaced with artificial components made of metal or ceramic.

This surgery is typically done to reduce pain, restore mobility, and improve quality of life. Thanks to hip replacement surgery, daily activities such as walking, sitting, and climbing stairs become significantly more comfortable.

Who Is a Candidate for Hip Replacement Surgery?

Hip replacement surgery is usually recommended for patients with significantly limited mobility and chronic pain due to conditions like advanced osteoarthritis, rheumatoid arthritis, hip fractures, hip dysplasia, or avascular necrosis.

Although more common in individuals over 60, younger patients may also require hip replacement depending on the severity of their condition. Before deciding on surgery, patients usually try medications, physical therapy, and other conservative treatments. If these fail to provide relief, surgery is planned.

How Is Hip Replacement Surgery Performed?

Hip replacement surgery is typically performed under spinal or general anesthesia and takes around 1.5 to 2 hours. The surgeon makes an incision in the hip area to access the joint. The damaged femoral head and acetabulum (hip socket) are removed and replaced with prosthetic components made of metal, ceramic, or plastic.

The implants can be fixed to the bone either using bone cement (cemented) or by press-fitting (cementless), allowing natural bone growth over time. A drain may be placed, and the incision area is covered with a sterile dressing. Recovery begins quickly, and patients are usually mobilized within 2–3 days.

Types of Hip Prostheses

There are different types of hip prostheses depending on the material and the fixation method used. The main types include:

  • Total Hip Replacement: Both the socket and the femoral head are replaced
  • Cemented Prosthesis: The implant is fixed to the bone using medical-grade bone cement.
  • Cementless Prosthesis: The implant is press-fitted into the bone, which grows around it over time.
  • Prosthesis surface materials: Ceramic, metal, or polyethylene surfaces are chosen based on durability and wear resistance.

The choice of prosthesis depends on several factors including the patient’s age, activity level, and bone quality, and is determined by the orthopedic surgeon.

Preoperative Preparation for Hip Replacement Surgery

Before undergoing hip replacement surgery, the patient is thoroughly evaluated. This includes a physical examination and imaging tests such as X-rays and MRI scans. The patient’s systemic health—including heart, lungs, and kidney function—is assessed. Blood tests and an anesthesiology consultation are also performed.

Surgery will not be scheduled until any infections—particularly in the teeth, urinary tract, or skin—are treated. Patients should avoid habits that slow recovery, such as smoking and alcohol consumption, and begin any recommended preoperative exercises.

Recovery Process After Hip Replacement Surgery

Recovery progresses quickly when the patient adheres to the surgeon’s recommendations and follows a consistent physical therapy program. Most patients are mobilized the day after surgery using a walker.

During the initial weeks, physical therapy exercises are performed with guidance. Within 3–6 weeks, many patients can walk without assistance. During the first 3 months, patients should avoid crossing their legs, bending down to pick objects, or making sudden hip movements. Full recovery generally takes between 3 to 6 months.

Risks and Complications of Hip Replacement Surgery

Hip replacement surgery is generally safe, but like all surgical procedures, it carries certain risks, such as:

  • Infection
  • Blood clot formation
  • Loosening or dislocation of the implant
  • Nerve or vascular injury

Less common complications include leg length discrepancy, hip dislocation, and allergic reactions to implant materials. Early diagnosis and proper management can successfully resolve these issues. The experience of the surgeon and regular follow-up significantly reduce the risk of complications.

Postoperative Considerations After Hip Replacement

Following surgery, patients should follow specific precautions to speed up healing and extend the lifespan of the prosthesis:

  • Do not cross your legs or sit on low chairs for the first 6 weeks.
  • Avoid slippery surfaces and use caution when climbing stairs.
  • Follow your prescribed physical therapy plan without interruption.
  • Maintain proper wound care and contact your doctor if signs of infection appear.
  • Avoid high-impact physical activities and attend regular check-ups.

Hip Replacement Surgery Costs in 2025

As of 2025, hip replacement surgery costs vary depending on the hospital’s facilities, the surgeon’s experience, the type of implant used, and the patient’s overall health.

In private hospitals, the price range is typically between 90,000 and 160,000 TRY. In public hospitals under SGK coverage, the financial burden on patients is significantly reduced. An accurate cost estimate can only be given after a personal consultation and individualized treatment planning.

Any questions? We're here to help

Why is a hip prosthesis used?

Hip prostheses are used to improve the quality of life in individuals experiencing pain and limited mobility due to advanced osteoarthritis, fractures, or joint deterioration.

Who needs a hip replacement?

Hip replacement surgery is suitable for patients who have chronic hip pain and movement limitations that do not respond to medication or physical therapy—often due to advanced arthritis or hip fractures.

How long does a hip prosthesis last?

With proper use and regular monitoring, a hip prosthesis can function effectively for 15 to 25 years.

How long does it take to recover from hip replacement surgery?

The first 6 weeks are critical for initial recovery. Full recovery usually occurs within 3 to 6 months.

Is hip replacement surgery dangerous?

Hip replacement surgery is very safe when performed by experienced surgeons. Risks such as infection or blood clots can be minimized with preventive care and early intervention.

Is a hip prosthesis permanent?

Hip prostheses can last for many years under proper conditions. However, in case of wear or loosening, a revision surgery may eventually be needed.

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