Partial Hip Replacement Surgery: Procedure, Recovery Time

Partial Hip Replacement

Treatment Duration

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60 Minutes

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90 Minutes

Treatment Cost

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1,25,000

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3,00,000

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Partial Hip Replacement

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Hip fractures among older adults are a significant public health concern. The global occurrence of 1.7 million hip fractures in 1990 is expected to surge to 6.3 million by 2050. Procedures like hemiarthroplasty are emerging to address the condition.

It is an effective solution for restoring mobility and alleviating pain. Read below to know more about hemiarthroplasty, its benefits, risks, and recovery timeline.

Procedure Name

Hemiarthroplasty

Alternative Name

Partial Hip Replacement 

Conditions Treated

Fractured Hip, Severe Arthritis

Benefits of Procedure

Alleviates Pain, Restores Mobility

Treated By

Orthopaedic Surgeons

You can check Partial Hip Replacement Cost here.

What is hemiarthroplasty?

Hemiarthroplasty is a surgical procedure used to treat hip fractures or severe arthritis in the hip joint. The term "hemi" refers to "half," indicating that only part of the hip joint is replaced.  It involves replacing only the ball portion of the hip joint, leaving the socket intact. This partial hip replacement is done to improve mobility and alleviate pain.

Anatomy of the Hip Joint

The hip joint plays a crucial role in weight-bearing activities and is essential for overall mobility and stability. It is located where the thigh bone (femur) meets the pelvis bone (acetabulum), forming a ball-and-socket joint. 

The femoral head, or the "ball," fits into the acetabulum, or the "socket," allowing for a wide range of motion. The anatomy includes:

  1. Articular Cartilage: It covers the surfaces of the femoral head and acetabulum, providing smooth movement and cushioning.

  2. Ligaments: These surrounding the hip joint provide stability and support, helping to hold the bones together.

  3. Muscles and Tendons: It is placed around the hip joint help with movement, including walking, running, and bending.

  4. Synovium: The synovial membrane lines the joint capsule, producing synovial fluid to lubricate and nourish the joint.

Conditions Treated with Hemiarthroplasty


Hip joints exhibit considerable strength and stability. Contact sports and frequent running can increase the risk of hip joint injuries due to the significant force exerted on the joints. 

The conditions that require hemiarthroplasty surgery are:

  1. Fractured Hip: This procedure is frequently recommended for individuals who have sustained a fractured femoral neck or head. 

  2. Osteoarthritis: It helps patients suffering from degenerative joint disease by replacing the damaged femoral head while preserving the acetabulum.

  3. Rheumatoid Arthritis: In cases where this condition primarily affects the femoral head, hemiarthroplasty can provide relief. It replaces the damaged portion of the joint with an artificial component.

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Benefits of Hemiarthroplasty Surgery

When understanding bipolar hemiarthroplasty vs total hip replacement, it is imperative to understand the advantages of each. 

Hemiarthroplasty surgery restores joint function by replacing damaged joint surfaces, allowing for increased mobility and range of motion. It enhances joint stability, reducing the risk of falls and instability-related injuries. 

Below are the benefits of hemiarthroplasty:

  1. Faster Recovery: Compared to more extensive joint replacement procedures, hemiarthroplasty typically involves a shorter recovery time, enabling patients to return to their daily activities sooner.

  2. Minimally Invasive: With advancements in surgical techniques, hemiarthroplasty can often be performed using minimally invasive approaches, resulting in smaller incisions and reduced tissue damage.

  3. Preservation of Healthy Tissue: This surgery preserves healthy bone and tissue, minimising the need for extensive bone removal and preserving natural joint anatomy.

  4. Long-Term Durability: Hemiarthroplasty implants are designed to be durable, providing long-term joint function and stability for years to come.

Hemiarthroplasty Procedure

Hemiarthroplasty takes 60 to 90 minutes under general anaesthesia. Below are the procedure steps in the operation theatre:

  1. Anesthesia Administration: General anaesthesia is administered to keep the patient comfortable during the procedure.

  2. Patient Positioning: The patient is positioned on their side, known as the lateral decubitus position. It provides optimal hip joint access while ensuring comfort and safety.

  3. Surgical Site Preparation: The surgical team sterilises and prepares the area around the hip joint to minimise the risk of infection during the procedure.

  4. Femoral Neck Incision: An incision is made at the top of the femur, specifically at the femoral neck, to access and treat the damaged portion of the bone.

  5. Templating the Implant: A test implant is temporarily positioned to check fit and alignment.

  6. Femur Preparation: The femur is prepared to receive the implant, which may involve removing damaged tissue and shaping the bone to accommodate the implant securely.

  7. Cement Application: Once the optimal position is confirmed, cement is applied to the femoral canal to secure the implant. The final implant is then carefully positioned for optimal function and longevity.

  8. Attachment of Head and Neck Implants: The artificial ball and socket components are attached to complete the hip replacement, ensuring proper joint function and stability.

  9. Range of Motion Testing: The surgeon assesses the range of motion of the new hip joint to ensure smooth movement without any issues.

  10. Muscle Repair: Any muscles or soft tissues are repaired and reattached to restore stability and function to the hip joint for a smooth recovery.

The incision is closed, and the patient is sent to the recovery room for further observation.

Before and On the Day of Hemiarthroplasty

Understanding what happens before and on the day of hemiarthroplasty surgery can prepare a patient both physically and mentally. This minimises the risks and optimises outcomes.

Before Surgery 

Before undergoing hemiarthroplasty surgery, patients undergo several preparatory steps to ensure a safe and successful procedure.

Parameter 

Pre-Requisites

Pre-op Assessment


  1. Diagnostic tests (X-ray, MRI scan)

  2. Blood tests

Risk Evaluation

  1. Allergies

  2. Procedural risk vs benefits

  3. Check for abnormalities (fractures, joint degeneration, dislocations)

Anaesthesia Selection

General 

Fasting

  1. No eating before 6 hours

  2. Stop smoking

On the Day of Surgery

Patients undergo essential pre-operative procedures on the day of surgery to ensure their safety and readiness. This ensures a smooth transition into surgery, with patients fully informed.

Parameter

Pre-requisites

Consent

Mandatory

Surgical Preparation

  1. Changing into a gown 

  2. Preparing the surgical area

Physical Evaluation

Checking for vital signs (blood pressure and stress test)

Anaesthesia administration

General

After Surgery and Recovery

After hemiarthroplasty surgery, patients can expect a full recovery in 6 weeks. The doctor will make rehabilitation plans based on the patient's individual needs. 

The Recovery Process in Hospital 

During this phase, patients receive specialised care and support for a smooth transition towards mobility. The key aspects of the recovery process in the hospital are:

  1. Pain Management: Patients are closely monitored, and appropriate pain relief medications are administered as needed.

  2. Physical Therapy: Therapists initiate early mobilisation and rehabilitation exercises to prevent stiffness and regain mobility.

  3. Wound Care: Healthcare providers check the surgical incision site for signs of infection.

  4. Assistive Devices: Patients may be provided with walkers or crutches to aid mobility.

Recovery Process/Expectation After Hospital Discharge 

Upon discharge from the hospital, patients continue their recovery at home, adapting to the daily life post-surgery. Proper nutrition and hydration are emphasised to support the healing process. 

Patients are encouraged to consume a balanced diet rich in vitamins and minerals and stay hydrated to aid tissue repair and recovery. The following are post-discharge recommendations for recovery at home:

  1. Wound Care Instructions: Patients receive detailed instructions on how to care for the surgical incision at home, including keeping it clean and dry, changing dressings as directed, and monitoring for signs of infection.

  2. Pain Management: Doctors prescribe pain medication to be taken as directed to manage post-operative discomfort. Patients are advised on the proper dosage and frequency of medication.

  3. Physical Therapy Exercises: Patients are provided with specific exercises to perform at home to improve joint mobility, strength, and flexibility. These exercises are essential for facilitating recovery and restoring function in the affected joint.

  4. Mobility Aids: During the early stages of recovery, assistive devices such as crutches, walkers, or canes can be used to aid in walking and prevent falls. The doctor explains the proper usage and adjustment of these aids.

  5. Activity Restrictions: Guidelines are given on which activities to avoid during the recovery period, such as heavy lifting, high-impact exercises, and certain household chores. Following these restrictions helps prevent complications and promotes healing.

First Follow-Up Appointment

The doctor evaluates the patient's progress and inquires about any post-operative concerns. The key aspects are:

  1. Incision Assessment: The surgical incision site is examined for signs of healing, infection, or complications.

  2. Physical Examination: Healthcare providers conduct thorough tests, such as straight leg raises, to assess range of motion and strength.

  3. Imaging Studies: X-rays may be performed to evaluate the position and stability of the prosthetic implant.

Risks and Complications of Hemiarthroplasty

While bipolar hemiarthroplasty is generally a safe and effective procedure, it's essential to understand the potential risks involved. The risks  associated are:

  1. Infection: There is a risk of developing a surgical site infection, which may require antibiotic treatment or additional surgery.

  2. Dislocation: The prosthetic hip joint may disconnect, particularly in the early postoperative period, requiring revision surgery.

  3. Implant Loosening: The prosthetic may wear out over time, necessitating surgery.

When to consult a doctor?

Knowing when to seek medical attention after hemiarthroplasty surgery is crucial for ensuring prompt treatment. The signs and symptoms that warrant a visit to the doctor are:

  1. Persistent or worsening ache in the hip joint or surgical site, especially if not relieved by prescribed pain medications.

  2. Swelling, redness, or warmth around the incision site may indicate an infection.

  3. Increased difficulty walking, bearing weight on the operated leg, or performing daily activities.

  4. Any other concerning symptoms, such as numbness, tingling, weakness, or drainage from the operated site.

Risks of Delaying Hemiarthroplasty

Chronic joint pain and functional limitations can have a significant impact on overall physical and mental health, leading to decreased mobility, increased dependency, and reduced quality of life.

Below are the risks of delaying the procedure:

  1. It can worsen joint pain and discomfort, make daily activities more challenging, and affect quality of life.

  2. Over time, the underlying joint condition may deteriorate further, leading to increased joint damage and deformity, which can complicate surgical outcomes.

  3. Delaying treatment can decrease joint mobility and range of motion, making it more difficult to perform everyday tasks and activities.

  4. Reduced joint stability and mobility increase the risk of falls and related injuries, such as fractures or dislocations, especially in older adults.

  5. Advanced joint degeneration and associated complications can make surgical intervention more challenging and increase the risk of post-operative complications.

Cost of Hemiarthroplasty

The cost of hemiarthroplasty varies based on several elements. Understanding these factors is essential to make informed decisions. The general overview is as follows:

Hemiarthroplasty

Estimated Cost

Maximum

₹ 1,25,000 

Minimum

₹ 3,00,000

Note: The above values are approximate and subject to change. Contact HexaHealth for the pricing structure.

Factors that may affect the cost of hemiarthroplasty include:

  1. Hospital Fees: The cost of the surgical facility, including operating and recovery room charges, contributes significantly to the overall bill.

  2. Doctor's Fee: The expertise and experience of the orthopaedic surgeon performing the procedure may impact the price of hemiarthroplasty.

  3. Implant Cost: The type and quality of the prosthetic implant used in hemiarthroplasty surgery can vary, leading to different expenses. Unipolar hemiarthroplasty is the preferred option over bipolar hemiarthroplasty due to its lower cost.

  4. Diagnostic Tests: Preoperative examinations such as X-rays, MRI scans, and blood tests may incur additional costs.

  5. Postoperative Care: Expenses related to follow-up appointments, physical therapy sessions, and medication costs should also be considered.

Takeaway

Hemiarthroplasty is one of the most advanced solution for hip joint replacement. It minimises surgical trauma, resulting in lower blood loss. By specifically targeting the damaged femoral head, it enhances a patient's quality of life. 

HexaHealth can guide you for the best hemiarthroplasty surgery with its wide network of doctors and advanced hospitals. We ensure seamless access to quality healthcare every step of the way. Get in touch!

Suggested Reads

Arthritis in Hindi Fracture Treatment
Revision Hip Replacement Hip Arthroscopy

Frequently Asked Questions (FAQ)

Hemiarthroplasty is a surgical procedure in which only the femoral head is replaced with a prosthetic component. The term "hemi" signifies that only half of the joint is replaced, preserving the acetabulum.

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Yes, hemiarthroplasty is also referred to as a partial hip replacement. In this procedure, only the damaged femoral head is replaced with a prosthetic component.

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Hemiarthroplasty involves replacing only the femoral head while preserving the acetabulum. In contrast, total hip replacement replaces the femoral head and acetabulum, mostly recommended for advanced arthritis.

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Yes, the hemiarthroplasty procedure is covered under insurance policies. However, coverage for prosthetic implant components may vary depending on the specific plan. Patients must review their policies. Consult HexaHealth to understand the coverage.

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Partial hip replacement surgery costs from ₹ 1,25,000 to ₹ 3,00,000. The average is ₹ 2,12,500. Please note that these figures are estimated. Contact HexaHealth for transparent pricing.

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Hemiarthroplasty is recommended for specific hip joint conditions that impair mobility and cause significant discomfort. The indications are:

  1. Fractured hip

  2. Severe arthritis localised to the femoral head

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Recovery time after hemiarthroplasty surgery varies depending on individual factors such as age and overall health. Patients can expect a complete healing in 4-6 weeks.

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Hemiarthroplasty, like any surgical procedure, carries potential complications. The common risks associated with this method are:

  1. Infection

  2. Dislocation

  3. Implant loosening

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Partial hip replacement can be performed using either cemented or uncemented techniques. Cemented hemiarthroplasty involves securing the prosthetic femoral head with bone cement. The latter relies on press-fit fixation into the bone for stability.

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Hemiarthroplasty has two main types: Unipolar and Bipolar. Both are tailored to treat specific hip joint problems. Unipolar is recommended when only the femoral head needs replacement, while bipolar replaces both the femoral head and acetabulum.

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Bipolar hemiarthroplasty involves replacing both the femoral head and the acetabulum with prosthetic components. It is used in cases of hip fractures or arthritis with compromised acetabular.

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To understand unipolar vs bipolar hemiarthroplasty, it is important to understand the usage of each method. These are listed below:

  1. Unipolar: Only the femoral head is replaced with a prosthetic component, and the acetabulum remains untouched.

  2. Bipolar: Replaces both the femoral head and the acetabulum with prosthetic components. 

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Yes, hemiarthroplasty can be performed on both hips if needed. However, it is recommended for one hip at a time to minimise post-operative complications and facilitate recovery.

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Hemiarthroplasty and total hip replacement are both highly successful procedures. The average success rate for hemiarthroplasty is 92%, whereas THR is 97%.

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Long-term outcomes of hemiarthroplasty typically involve reduced pain, improved mobility, and enhanced quality of life. However, results may vary depending on age and adherence to postoperative rehabilitation programs.

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While hemiarthroplasty is a commonly used surgical intervention, alternative treatments are available. These include:

  1. Hip resurfacing surgery

  2. Total hip replacement

  3. Non-surgical treatments such as physical therapy

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Modular bipolar hemiarthroplasty allows for independent adjustments of the femoral head and the acetabular cup. It offers greater flexibility in handling varying patient anatomies and optimising hip joint function.

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Implant options for hemiarthroplasty surgery offer a range of choices tailored to patient needs. The common ones available are:

  1. Unipolar 

  2. Bipolar

  3. Modular 

  4. Cemented 

  5. Uncemented

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Post-operative care for hemiarthroplasty patients is essential to ensure optimal recovery and successful outcomes. The key aspects include:

  1. Pain management

  2. Wound care

  3. Rehabilitation exercises

  4. Follow-up appointments

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While hemiarthroplasty offers numerous benefits, there are also some disadvantages associated with the procedure. The major drawbacks are:

  1. Limited treatment of acetabular pathology

  2. Potential for dislocation 

  3. May not fully resolve underlying hip joint degeneration

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References

All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.


  1. Vaidya SV, Jogani AD, Pachore JA, Armstrong R, Vaidya CS. India Joining the World of Hip and Knee Registries: Present Status—A Leap Forward. Indian Journal of Orthopaedics. 2020 Sep 16;55(S1):46–55.link
  2. Hip - Hemiarthroplasty - AOA Orthopedic Specialists [Internet]. www.arlingtonortho.com.link
  3. Cleveland Clinic. Hip Joint: Anatomy & How It Works [Internet]. Cleveland Clinic. 2023.link
  4. Roland J. What to Expect from Hemiarthroplasty [Internet]. Healthline. Healthline Media; 2017.link
  5. Li X, Luo J. Hemiarthroplasty compared to total hip arthroplasty for the treatment of femoral neck fractures: a systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research. 2021 Mar 3;16(1).link
  6. Hemiarthroplasty: Procedure, Recovery, Complications, and More [Internet]. Healthline. 2017.link
  7. Mayo Clinic. Hip fracture - Diagnosis and treatment - Mayo Clinic [Internet]. Mayoclinic.org. 2018.link
  8. Hip replacement recovery: Timings and what to expect [Internet]. www.medicalnewstoday.com. 2022 [cited 2024 Apr 12].link
  9. Chaplin V, Matharu G, Knebel R. Complications following hemiarthroplasty for displaced intracapsular femoral neck fractures in the absence of routine follow-up. Annals of The Royal College of Surgeons of England [Internet]. 2013 May 1;95(4):271–4.link
  10. Mardani-Kivi M, Kazemnejad Leili E, Haghparast Ghadim-limudahi Z, Darabipour Z, Azari Z. Delayed Hemiarthroplasty in Elderly Patients With Intertrochanteric and Femoral Neck Fractures. Anatomical Sciences Journal [Internet]. 2021 Aug 10 [cited 2024 Apr 12];18(2):59–65.link
  11. Team OS. Here’s Why You Shouldn’t Delay Your Hip Replacement Surgery [Internet]. TOPS Specialty Surgical Hospital. 2021 [cited 2024 Apr 12].link
  12. Aljizani A, Baawad F, Almaghrabi A, Alshehri A, Alhawash A, Alzahrani J, et al. Total hip replacement versus hemiarthroplasty in intracapsular fracture of the elderly. International Journal Of Community Medicine And Public Health [Internet]. 2018 Jun 22 [cited 2024 Apr 12];5(7):2606.link
  13. Hip Replacement Recovery: Q&A with a Hip Specialist [Internet]. www.hopkinsmedicine.org. 2022.link

Reviewer

Dr. Prince Gupta

Dr. Prince Gupta

MBBS, MS Orthopaedics, Fellowship in Arthroplasty, MCh Orthopaedics, Fellowship in Joint Replacement

18 Years Experience

Dr Prince Gupta is a well-known orthopaedic surgeon currently associated with Manipal Hospital, Gurugram. He has 18 years of experience in orthopaedics and worked as an expert in different cities of India. He has worked in many reputed h...View More

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Sangeeta Sharma

Sangeeta Sharma

BSc. Biochemistry I MSc. Biochemistry (Oxford College Bangalore)

6 Years Experience

She has extensive experience in content and regulatory writing with reputed organisations like Sun Pharmaceuticals and Innodata. Skilled in SEO and passionate about creating informative and engaging medical conten...View More

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