Frequently Asked Questions About Hip Replacement Surgery

How do I know if I need a hip replacement?

You may benefit from a hip replacement if:

• Hip pain is affecting your quality of life.
• Pain is limiting your ability to walk, exercise or sleep.
• Simple treatments such as medication, physiotherapy or injections are no longer effective.
• X-rays show significant damage to the hip joint.
• Everyday activities such as putting on shoes, climbing stairs or getting in and out of a car have become difficult.

The decision is based on both your symptoms and your X-rays, not age alone.

What causes hip arthritis?

The most common cause is osteoarthritis, which occurs when the protective cartilage lining the joint gradually wears away. Other causes include:

• Previous injury or fracture
• Developmental conditions of the hip
• Avascular necrosis
• Inflammatory arthritis
• Childhood hip disorders
• Previous hip surgery

Am I too young for a hip replacement?

Not necessarily. Advances in implant design and surgical techniques mean that hip replacements are being performed successfully in younger and more active patients than ever before. The decision depends on your symptoms, activity level, diagnosis and expectations rather than your age alone.

Am I too old for a hip replacement?

Age is rarely the limiting factor. Many patients in their seventies, eighties and even nineties experience excellent outcomes from hip replacement surgery. Overall health and fitness are generally more important considerations than age.

How long does hip replacement surgery take?

The operation typically takes between one and two hours, although this may vary depending on the complexity of the procedure.

What type of anaesthetic is used?

Most hip replacements are performed under a spinal anaesthetic, often combined with sedation so that you remain comfortable throughout the procedure. Your anaesthetist will discuss the most appropriate option for you before surgery.

How long will I stay in hospital?

Most patients remain in hospital for two to four days. The exact duration depends on your recovery, mobility and any medical conditions that may require additional monitoring.

When will I start walking?

Most patients stand and walk with the assistance of a physiotherapist on the day of surgery or the following morning. Early mobilisation is encouraged as it reduces complications and assists recovery.

How painful is recovery?

Some discomfort is expected after surgery, but modern pain management techniques have significantly improved the recovery experience. Most patients report that the arthritic pain they experienced before surgery is substantially improved within the first few weeks.

When can I drive?

This varies between individuals. Most patients are able to return to driving approximately four to six weeks after surgery, provided they can safely control the vehicle and are no longer taking strong pain medication. Always discuss this with your surgeon before returning to driving.

When can I return to work?

Return to work depends on your occupation.

• Office-based work: approximately 2 to 6 weeks
• Light physical work: approximately 6 to 12 weeks
• Heavy manual labour: often 3 months or longer

Your surgeon will advise you based on your individual circumstances.

How long does recovery take?

Recovery occurs in stages.

First 6 Weeks: Most patients notice significant improvements in pain and mobility.

3 Months: Many patients have returned to most normal daily activities.

6 to 12 Months: Recovery continues with improvements in strength, flexibility and endurance.

How long will my hip replacement last?

Modern hip replacements are designed to be highly durable. Many contemporary implants continue to function well for 20 years or more, with some lasting considerably longer. Longevity depends on factors such as age, activity level, weight, implant type and overall health.

Will I be able to play sport again?

In many cases, yes. Patients commonly return to:

• Walking
• Hiking
• Cycling
• Golf
• Swimming
• Gym activities
• Padel and tennis (in selected cases)

Our goal is to help patients return to an active and enjoyable lifestyle while protecting the longevity of the implant.

Will I set off airport metal detectors?

Modern hip implants may occasionally activate metal detectors. We recommend simply informing security personnel that you have undergone hip replacement surgery.

When can I travel?

Short journeys can usually begin within a few weeks. Long-distance travel may require additional precautions to reduce the risk of blood clots. Your surgeon will advise you regarding travel plans after surgery.

What are the risks of hip replacement surgery?

Hip replacement surgery is generally very safe, but all surgical procedures carry some risks. Potential complications include:

• Infection
• Blood clots
• Dislocation
• Leg length discrepancy
• Fracture
• Nerve injury
• Implant loosening over time
• Need for revision surgery

These risks are discussed in detail during your consultation.

What makes Cape Hip & Knee different?

At Cape Hip & Knee, every patient benefits from a collaborative approach to care. Complex cases are regularly discussed amongst our specialist hip and knee surgeons, combining decades of experience in primary and revision joint replacement surgery. This team-based approach helps ensure that each patient receives the most appropriate treatment recommendation and surgical plan.