logo
Expert Orthopedic Treatment · Jaipur

Hip Replacement Surgery in Jaipur

Total & Partial Hip Arthroplasty by Dr. Hemendra Agrawal

15+ Years Exp.
20,000+ Surgeries
Minimally Invasive
Dr. Hemendra Agrawal – Orthopedic Surgeon in Jaipur

Dr. Hemendra Agrawal

MBBS, MS (Orthopedics) · Consultant, Narayana Hospital

Overview

What is Hip Replacement Surgery?

Hip Replacement Surgery, also known as Hip Arthroplasty, is a surgical procedure in which the damaged or diseased hip joint is replaced with an artificial prosthetic implant. The hip joint is a ball-and-socket joint where the head of the femur (thigh bone) articulates with the acetabulum (socket) of the pelvis. When arthritis, injury, or disease damages this joint, it can cause debilitating pain, stiffness, and loss of mobility that significantly impacts quality of life.

Dr. Hemendra Agrawal performs both total hip replacement (replacing both the ball and socket) and hemiarthroplasty (replacing only the femoral head, commonly done for hip fractures in elderly patients). He utilizes advanced bearing surfaces including ceramic-on-ceramic, ceramic-on-polyethylene, and oxidized zirconium-on-polyethylene, selecting the optimal combination based on each patient's age, activity level, and anatomy.

Using the direct anterior approach when appropriate, Dr. Agrawal performs hip replacement through a muscle-sparing technique that accesses the hip joint between muscles rather than cutting through them. This approach allows faster recovery, reduced risk of dislocation, less post-operative pain, and earlier return to normal activities compared to traditional posterior or lateral approaches.

Advanced uncemented (press-fit) implants with porous-coated surfaces encourage biological bone ingrowth, providing long-term fixation without cement. For elderly patients with poor bone quality, cemented fixation provides immediate stability. Dr. Agrawal's comprehensive approach — from pre-operative optimization through rehabilitation — ensures optimal outcomes for every patient.

Hip Replacement Surgery in Jaipur — advanced diagnosis and evaluation

Precise diagnosis using advanced imaging & evaluation

20,000+

Successful Surgeries

When It's Needed

Conditions & Indications

When is this procedure recommended? These are the conditions where Hip Replacement Surgery typically offers the best outcome.

Experiencing these symptoms?

An accurate diagnosis is the first step. Get an expert evaluation from Dr. Hemendra Agrawal.

Book a Consultation

Osteoarthritis of the hip — the most common reason, causing progressive cartilage destruction and bone-on-bone contact

Avascular necrosis (AVN) of the femoral head — bone death due to disrupted blood supply, often from steroid use, alcohol, or trauma

Rheumatoid arthritis causing chronic inflammation and progressive hip joint destruction

Hip fractures in elderly patients (femoral neck fractures) — requiring hemiarthroplasty or total hip replacement

Post-traumatic arthritis following acetabular fractures, hip dislocations, or femoral head fractures

Ankylosing spondylitis with hip joint involvement causing progressive stiffness and fusion

Developmental dysplasia of the hip (DDH) with secondary arthritis in adults

Failed previous hip surgeries including osteotomy, internal fixation, or prior hip replacement

Step by Step

How is Hip Replacement Surgery Performed?

A detailed walkthrough of the surgical process

1

Step 01 / 05

Pre-Operative Assessment

Complete medical evaluation, hip and pelvic X-rays (AP pelvis, lateral hip), MRI for complex cases, CT scan for 3D planning in dysplastic or revision cases. Templating for implant sizing. Medical optimization of diabetes, hypertension, and cardiac conditions. Pre-operative physiotherapy to strengthen hip abductors and improve walking ability.

2

Step 02 / 05

Surgical Approach — Direct Anterior Approach

Through a 10-12 cm incision over the front of the hip, the joint is accessed through the interval between the sartorius/rectus femoris and tensor fascia latae muscles — no muscles are cut or detached. This inter-nervous, inter-muscular approach preserves the hip abductors and external rotators, providing inherent stability against dislocation.

3

Step 03 / 05

Acetabular (Socket) Preparation

The damaged cartilage and bone of the acetabulum are removed using hemispherical reamers of progressively increasing size. The acetabular component (cup) is press-fit into the prepared socket at the optimal angle — approximately 40-45 degrees of inclination and 15-20 degrees of anteversion. Screws may be added for supplementary fixation. A ceramic or polyethylene liner is inserted into the cup.

4

Step 04 / 05

Femoral (Ball) Preparation

The femoral neck is cut at a precise level, and the femoral head is removed. The femoral canal is prepared with broaches of increasing size to accommodate the femoral stem. A trial stem and head are placed to check leg length, offset, stability, and range of motion. The final femoral stem (titanium, uncemented) is impacted into the canal, and a ceramic or metal femoral head is placed on the taper.

Step 05 / 05

Joint Reduction & Closure

The hip joint is reduced (ball placed into socket) and tested for stability in flexion, extension, internal rotation, and external rotation. Range of motion and leg length are verified. The incision is closed in layers. With the anterior approach, no precautions against posterior dislocation are needed, allowing earlier mobilization and fewer movement restrictions.

Facilities & Care

Advanced Surgery & Personalized Care

From a state-of-the-art operation theatre to attentive post-operative recovery — you're in expert hands at every step.

Modern Operation Theatre

Modern Operation Theatre

Precision Surgery in Progress

Precision Surgery in Progress

Attentive Post-Operative Care

Attentive Post-Operative Care

Personalized Patient Support

Personalized Patient Support

The Outcome

Key Benefits

How this procedure transforms your life

01

Dramatic pain relief — 97% of patients report significant or complete pain relief after surgery

02

Restored hip mobility — sitting, walking, climbing stairs, putting on shoes, and crossing legs

03

Correction of leg length discrepancy (if present) for balanced, comfortable walking

04

Anterior approach — muscle-sparing technique with lower dislocation risk (0.5% vs. 3-5% with posterior approach)

05

Advanced bearing surfaces (ceramic-on-ceramic) — virtually wear-free, ideal for younger active patients

06

Uncemented implants with biological fixation — designed to last 30+ years in appropriate patients

07

Earlier return to activities — many patients walk without support within 2-4 weeks

08

Improved overall health — increased physical activity improves cardiovascular fitness, mood, and bone density

Your Journey

Recovery Timeline

What to expect during your recovery journey, step by step

Day 0-1Phase 1

Immediate Post-Op

Walking with walker within 6-24 hours. With anterior approach, no hip precautions needed. Ankle pumps, quadriceps sets, and gluteal squeezes initiated.

Day 2-4Phase 2

Hospital Recovery

Independent walking with walker, stair climbing, bathroom independence. Discharge typically on day 2-3 with anterior approach. Home exercise program and physiotherapy referral provided.

Week 1-4Phase 3

Early Home Recovery

Walker to cane transition by week 2-3. Driving at 2-4 weeks. Daily exercises for hip strengthening. Outpatient physiotherapy twice weekly. Suture removal at 2 weeks.

Week 4-8Phase 4

Strengthening Phase

Walking without aids, return to desk work, light recreational activities. Swimming and cycling permitted. Progressive hip abductor and extensor strengthening.

Month 3-6Phase 5

Full Recovery

Return to all normal activities. Low-impact sports — golf, cycling, swimming, hiking. Avoid high-impact activities. Follow-up with X-rays at 6 months.

FAQ

Frequently Asked Questions

Get answers to common questions about this procedure

The surgery typically takes 60-90 minutes. With the direct anterior approach, the procedure may be slightly quicker as it avoids muscle detachment. Total time including anesthesia preparation and recovery room is approximately 3-4 hours.
The direct anterior approach accesses the hip through the front, working between muscles without cutting any muscles or tendons. Benefits include lower dislocation risk (0.5% vs. 3-5%), no post-operative hip precautions (no restrictions on bending, crossing legs, or sitting in low chairs), faster recovery, and earlier return to activities.
Modern hip replacements with advanced bearing surfaces have excellent longevity. Studies show 95% survival at 15 years and 85-90% at 25 years. Younger patients receiving ceramic-on-ceramic bearings can expect even longer implant life, potentially 30+ years.
With the anterior approach and right hip replacement, most patients can drive an automatic car within 2-3 weeks. For left hip replacement (with automatic transmission), driving may resume even earlier. Manual transmission driving takes 4-6 weeks.
Yes, low-impact sports are encouraged after full recovery. Recommended activities include swimming, cycling, golf, walking, hiking, yoga, and doubles tennis. High-impact activities like running, jumping, basketball, and football should be avoided to protect the implant.

Ready to Take the First Step?

Book a consultation with Dr. Hemendra Agrawal to discuss your condition and explore the best treatment options for you.

Call NowBook Appointment