Introduction

Hip replacement surgery, also known as total hip arthroplasty, is a widely performed operation involving the replacement of a damaged hip joint with an artificial implant. In the UK, it has become increasingly common for those struggling with severe hip problems that reduce mobility and affect their quality of life. Understanding why this surgery is recommended and what it involves is vital for anyone considering the procedure. Since patient experiences can differ greatly, expert clinicians play a crucial role in offering clear advice and support. This article shares valuable insights into the main reasons for hip replacement surgery and what patients should expect along the way.

The Most Common Medical Reasons for Hip Replacement

Hip replacement is usually suggested when pain and mobility issues become persistent and other treatments have stopped helping. The leading cause is osteoarthritis, a condition where the cartilage cushioning the hip joint gradually wears away, causing pain and stiffness. Other causes include rheumatoid arthritis, a condition where inflammation damages the joints; trauma from accidents; avascular necrosis, which occurs when the blood supply to the hip bone is disrupted; and some birth defects affecting the hip.

Most people needing hip replacement are aged between 65 and 70, but younger patients in their 50s may also require it if the joint damage is severe. Women often have surgery slightly earlier than men. Notably, a study of older women found that “elderly women accurately reported hip replacements and whether the surgery was for arthritis or a hip fracture,” demonstrating how common these conditions are in this group (Parimi et al., 2010).

Symptoms that lead to surgery usually include constant hip pain that doesn’t improve with medication or physiotherapy, limited hip movement, and difficulties in day-to-day tasks. Professor Paul Lee, an experienced orthopaedic surgeon, highlights the importance of thorough examinations and scans to pinpoint the problem and recommend the best treatment.

Quality of Life: When Hip Pain Becomes Life-Limiting

Living with ongoing hip pain does more than cause discomfort — it can restrict everyday activities, reduce independence, and affect mental wellbeing. Many patients reflect on their journeys and wish they had known more about recovery and life after surgery beforehand.

At MSK Doctors, there is a strong focus on supporting patients through these challenges. Through careful assessments and open conversations about all treatment options, patients learn how surgery can improve their lives, not only physically but emotionally and socially too.

Considering Risks, Alternatives, and Preventative Measures

Like any major operation, hip replacement comes with benefits and risks. Overall, the risk of death from surgery is very low but varies depending on factors like age and health. Importantly, research reveals that “the impact of reoperation on life expectancy is more obvious for infection/dislocation and periprosthetic fracture” (Cnudde et al., 2019), meaning some complications carry a higher risk than others.

Modern hip implants, commonly made of titanium, can last from 15 to 20 years or more. Nonetheless, some patients may need further surgery. The same study also found that “relative survival following 1st- and 2nd-time reoperations in elective THR patients differs by reason for reoperation," emphasising that the cause of the problem affects outcomes (Cnudde et al., 2019).

One serious concern is infection, particularly when caused by antibiotic-resistant bacteria. As Van Houwelingen et al. (2012) warn, “infection after a primary total-joint replacement can be devastating,” and these resistant organisms “are becoming increasingly common in periprosthetic joint infection.” This highlights the importance of infection prevention and careful management.

To delay or even avoid surgery, conservative approaches like weight control, regular low-impact exercise, and physiotherapy can make a significant difference. Tips such as “5 powerful ways to avoid hip replacement” often focus on strengthening muscles around the hip and keeping joints flexible. Professor Paul Lee encourages patients to weigh up all options carefully and to discuss all concerns openly before deciding on surgery.

Navigating the Path: Costs, Experiences, and Recovery

In the UK, many patients have their hip replacements through the NHS, though waiting times can vary depending on how urgent the case is and where patients live. Some choose private treatment, which can be quicker but is more costly. Common questions include “how much does a hip replacement cost privately?” or “what does hip replacement with Bupa insurance cost?”

The journey usually starts with an assessment, then the surgery itself, followed by a tailored rehabilitation plan. Patients often wonder about issues such as “why is my hip replacement hurting after five years?” or “what causes pain after ten years?” Follow-up care with physiotherapists and orthopaedic specialists is vital to manage these concerns and ensure smooth recovery.

MSK Doctors provide comprehensive care every step of the way, with a team of experts working together to help patients regain mobility and improve their quality of life.

Conclusion and Responsible Advice

Hip replacement surgery is most often performed to relieve pain and restore mobility in people with damaged hips caused by arthritis, injury, or other joint problems. Deciding to have the surgery should be a personalised choice made with the support of experienced orthopaedic specialists. Professionals like Professor Paul Lee and the MSK Doctors team offer expert advice and compassionate care, helping patients make informed decisions about their treatment.

Their patient-centred approach ensures each individual receives tailored support and guidance, helping them navigate the surgery and recovery process with confidence.

For personalised medical advice, please consult a qualified healthcare professional.

References

• Cnudde, P., Bülow, E., Nemes, S., Tyson, Y., Mohaddes, M., & Rolfson, O. (2019). Association between patient survival following reoperation after total hip replacement and the reason for reoperation: an analysis of 9,926 patients in the Swedish Hip Arthroplasty Register. Acta Orthopaedica, 90(3), 226–230. https://doi.org/10.1080/17453674.2019.1597062
• Parimi, N., Lane, N. E., Bauer, D. C., Hochberg, M. C., & Nevitt, M. C. (2010). Accuracy of self‐reported diagnosis of hip replacement. Arthritis Care & Research, 62(5), 719–724. https://doi.org/10.1002/acr.20111
• Van Houwelingen, P. A., Donald, S., Masri, B. A., & Duncan, C. P. (2012). Methicillin-resistant infection after hip and knee replacement: Reason to change practice? Journal of Orthopaedics Trauma and Rehabilitation, 16(1), 9–12. https://doi.org/10.1016/j.jotr.2011.07.001