Hip Replacement
Regain Your Mobility.
About your hip joint

Your hip is a ball and socket joint. Usually the ‘ball’ at the top of your thigh bone (femur) moves smoothly in the ‘socket’ of your pelvis that’s lined with smooth cartilage. If your cartilage is worn away, the underlying bone is exposed and your joint can become painful and stiff.

This can make walking and moving around painful. An operation to give you a new hip joint aims to help improve your mobility and reduce pain.

About your hip replacement

If you have a total hip replacement, the parts of your bones that are rubbing together will be removed. Your surgeon will put replacement pieces made from artificial materials in their place.

Hip replacements can be made of metal, ceramic or plastic. The most common combination is a metal head and a plastic cup. Hip joints can be fixed (‘cemented’) or pressed into place (‘uncemented’). If the hip is uncemented, the metal surfaces are often treated with a substance and roughened. This encourages your own bone to grow into the artificial joint and fix it in place. You may also have a hybrid replacement where only one piece is cemented in place.

Speak to your surgeon if you have any questions about the type of replacement you are having. You will meet them before your operation to discuss your care. It may be different from what’s described here as it will be designed to meet your individual needs.

Self Pay

For patients who want to pay for minimal waiting times, premium service and choice.  

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NHS

We accept NHS referrals. Patients receive NHS treatment at no cost in a premium environment.

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Insured

We partner all leading health insurers. Benefit from minimal waiting times and premium service.

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Contact Us

We are always happy to provide help, advice and answer any queries you may have.

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How you can access our services

Self pay patients can pay the hospital direct for rapid access to premium services. Pricing for hip replacements starts from £8,619.00. You will have a number of treatment options which may affect your final bill. Please contact us if you wish to discuss this further.

As an NHS patients you can choose to receive your treatment at St Hugh's through the Choose & Book system. This does not cost a penny and there is no additional cost to the NHS.

We partner all major health insurers. Where your policy provides cover you can visit us as a private patient for rapid access to premium services.


Preparing for your treatment

Smoking Cessation
Your surgeon will explain how to prepare for your operation. If you smoke, you will need to stop because it increases your risk of getting a chest and wound infection, which can slow your recovery.

Weight Loss
If you are overweight, it’s a good idea to try and lose weight. It may help to reduce the strain on your hip and lower your risk of complications of surgery.

Medication
If you take some types of medicines such as hormone replacement therapy, you might need to stop about four weeks before your operation. Tell your surgeon about any medicines you take so they can advise you.

Anaesthesia
The operation can be done under spinal or epidural anaesthesia. This completely blocks feeling from below your waist, but you will stay awake during the operation. Or you may be able to have the operation under general anaesthesia, which means you will be asleep during the operation. Your surgeon will let you know which type of anaesthesia is best for you.

Fasting
An anaesthetic can make you sick so it’s important that you do not eat or drink anything for six hours before a general anaesthetic. Follow your anaesthetist’s advice. If you have any questions, just ask.

Communication
Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand exactly what will happen.

Consent
You may be asked to sign a consent form. Your surgeon may also ask you to give your consent to have your name on the National Joint Registry. This is used to follow up the safety, durability and effectiveness of joint replacements and implants.

Compression Socks
You may need to wear compression stockings during the operation to help prevent blood clots forming in the veins in your legs - deep vein thrombosis (DVT). You may also need to have injections of a medicine (or tablets) to prevent DVT.

Your Questions
You might find it helpful to prepare some questions to ask about the risks, benefits and alternatives to the procedure. This will help to inform you about the procedure so you can give your consent for it to go ahead.


What we do during your surgery

A hip replacement operation usually takes less than two hours. Hip revision surgery will take longer. During the operation, your surgeon will make a cut (20 to 30cm long) over your hip and thigh. They will then divide your hip muscles and separate your ball and socket joint.

Your surgeon will remove the ball at the top end of your thigh bone and put a replacement ball on a stem into your thigh bone. They will then hollow out your hip socket to make a shallow cup and put an artificial socket into it. Your surgeon will then put your hip joint back together (they will put the ball into the socket).

Finally, your surgeon will close the cut in your skin with stitches or clips and cover it with a dressing.

What to expect afterwards

You might have some discomfort as the anaesthetic wears off. But you will be offered pain relief as you need it. You might not be able to feel or move your legs for several hours after a spinal or epidural anaesthetic.

A nurse may have to put a pillow between your legs to hold your hip joint still and stop it from dislocating (moving out of position).

A physiotherapist will usually visit you after your operation and will come back regularly afterwards. They will give you some exercises to do. It’s important to do these as often as they tell you to. They are designed to help your recovery by bringing back movement and strength in your hip.

You will need to stay in hospital until you are able to cope on your own at home. This is usually for between four and eight days but it might be sooner if you are recovering well. When you are ready to go home, ask a friend or your family to drive you. Your nurse will give you some advice about caring for your hip and a date for a follow-up appointment. This is usually about eight weeks after your operation. See our advice about Caring for Surgical Wounds.

A district nurse will need to remove your stitches after 10 days. If you have dissolvable stitches, they won’t need to be removed.

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Complications

The Risk of Complication is low
You will have the opportunity to discuss any complications with your surgeon during initial consultation and again prior to surgery.
Joint Dislocation
This is when the ball part comes out of the socket because your muscles haven’t fully healed. If this happens, it will most likely be in the early weeks and months after your surgery and you may need another operation to treat it.
Leg Length
Your leg may be slightly shorter or longer so you might need to wear a shoe insert on the shorter side to correct your balance. Your surgeon may prescribe you antibiotics during and after surgery to help prevent this.
Nerve Damage
It is possible that nerves in your leg and bottom can be damaged during the operation.
Blood Clot
Developing a blood clot, usually in a vein in your leg (DVT).
Hip Fracture
You can get tiny cracks in your bone while your surgeon is fitting the new joint. These might heal, but it is possible that you will need to have another operation.
Foreign Bodies
Particles of metal getting into your bloodstream from the metal parts.
Infection
Your surgeon may prescribe you antibiotics during and after surgery to help prevent this.
Joint Loosening
You may need another operation to fix this.

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Surgical Site Infections


What is a hip revision?

If you have had a hip replacement, it will usually last around 10 to 20 years, after which you may need to have it replaced. This is called a hip revision.

Your surgeon will advise you on what type of hip replacement (metal or ceramic head, cemented or uncemented) is most suitable for you.

Hip revision is more complicated than the original operation. This is because your surgeon will first need to take out the existing artificial hip joint. If your artificial hip has worn loose, this may not be too difficult. But sometimes your surgeon may need to reconstruct some of the bone and the operation will take longer.

Your new joint might not improve your life as much as your original hip operation. But even so, 8 out of 10 people who have this operation are happy with the results for 10 years or more.


Your Consultants

At HMT St Hugh's you will always see the same consultant throughout your patient journey.
We believe that this makes a world of difference to your experience with us.




"I would like to thank Mr Howell and all his staff for the excellent care and attention I received during my stay in St Hugh's, each and everyone of you should be proud of all the good work you do. Many thanks".

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