Glossary term · Treatment
Total hip replacement (also: THR, Hip arthroplasty, Hip joint replacement): Total hip replacement is surgery that replaces the damaged ball and socket of the hip with a prosthetic joint to relieve pain and restore movement.
Total hip replacement is surgery to replace the hip joint with an artificial ball-and-socket joint. MedlinePlus says the new hip has a socket with a liner, a metal or ceramic ball and a metal stem anchored in the thigh bone. It is mainly done to relieve arthritis pain that limits walking, sleep or daily tasks.
Why is it done?
MedlinePlus lists reasons including arthritis pain, hip pain that disrupts sleep or daily activities, walking problems that need a cane or walker, thigh bone fractures and, less often, tumours. Your orthopaedic surgeon decides whether surgery is right for you.
What does surgery involve?
Under general or regional anaesthesia, the surgeon removes the damaged head of the thigh bone and arthritic bone. The new socket, liner, stem and ball are then fitted. Muscles and tendons are repaired. MedlinePlus says patients are asked to start moving as early as the first day after surgery.
What risks are mentioned?
MedlinePlus notes that some people have problems with infection, loosening or dislocation of the new joint. Over many years the joint may loosen and need a second operation. Your surgeon will explain movement precautions to protect the new hip.
How should you prepare before travelling?
- List every medicine and supplement. MedlinePlus says some blood thinners and immune-suppressing drugs may need stopping about two weeks before, but only on your surgeon’s instruction.
- Stop smoking, which slows wound and bone healing, and limit alcohol.
- Report any cold, flu or fever before surgery.
- Practise with a walker, crutches or cane.
- Plan an attendant and accommodation with easy access after discharge.
Ask the surgeon to confirm in writing when you can fly and how to manage clot risk on the journey.
Questions people ask
How long does a hip replacement last?
MedlinePlus says that over 15 to 20 years the joint may loosen and need a second replacement, and that younger, more active people may wear out parts sooner. Ask your surgeon about the implant chosen for you.
Can I sit normally on a long flight?
Hip replacement often comes with temporary movement precautions, such as avoiding deep bending. Ask your surgeon and physiotherapist how to sit, which seat to request and what exercises to do on the flight.
Sources
General information, not medical or legal advice. Rules change: confirm with the official source. Your treating specialist decides on suitability, treatment and length of stay. How we write and check.