When is hip replacement considered? The decision is based on symptoms, examination, X-rays and the effect of arthritis on quality of life. Severe radiographic arthritis alone does not automatically mean that an operation is required.
What does total hip replacement do? The damaged femoral head is replaced and the arthritic acetabular surface is reconstructed with prosthetic components, creating a new bearing surface intended to relieve arthritic pain and restore function.
Anterior or posterior approach? Both can be used successfully. The choice should reflect the individual patient, anatomy and the surgeon’s experience rather than assuming that one incision is universally superior.
What happens immediately afterwards? Modern recovery pathways emphasise multimodal pain management and early mobilisation. Appropriate patients may be able to return home on the day of surgery, while others are safer staying overnight or longer.
Recovery is individual. Walking and functional rehabilitation begin early, but the pace of recovery varies according to preoperative function, general health and the specifics of surgery. The pathway is adapted to the patient rather than forcing every patient through the same timetable.