What to expect from total hip replacement for hip osteoarthritis

Hip osteoarthritis wears down the smooth cartilage covering the joint surfaces. This can cause groin or thigh pain, stiffness after rest and difficulty with walking, stairs or putting on shoes. In total hip replacement, the damaged femoral head is replaced with an artificial ball and the socket receives an artificial lining, allowing the joint to move without the original worn surfaces rubbing together.

The operation does not restore every muscle immediately. Early recovery includes soreness, swelling and reduced stamina. A physiotherapist teaches safe transfers, walking and exercises, then progresses strength and balance as healing allows.

Before admission, organise transport, help at home and a chair that is high and stable enough for easy standing. After surgery, follow the prescribed medicine and wound-care plan, use your walking aid correctly and respect limits on bending, crossing the legs or twisting if these apply to your surgical approach. Complete the exercises regularly without forcing painful movement.

Increase activity in small stages. Keep follow-up visits, where the team can check the incision, gait and hip movement and address concerns such as persistent stiffness or a limp.

Report fever, spreading redness, wound drainage, increasing pain, new weakness or difficulty bearing weight. Seek urgent care for chest pain, breathing difficulty, faintness, or significant calf swelling and pain. After a fall or sudden twist, stop and seek advice if you develop severe hip pain, a new deformity or an inability to walk.

Ask which surgical approach is planned and which movements need protection. Clarify the walking-aid plan, physiotherapy schedule, wound review, driving and work restrictions, sleeping positions, exercise choices and what to do if pain or swelling changes.