✦ Targeted Hip Surgery

Partial Hip Replacement

Q: Why choose partial rather than total hip replacement for a fracture?

Hemiarthroplasty is simpler, faster, and carries less surgical risk than total replacement — making it the preferred choice for elderly patients with lower functional demands and a healthy acetabular surface where the socket does not need to be replaced.

Q: How quickly is surgery performed after a hip fracture?

Surgery is ideally performed within 24–48 hours of a hip fracture. Early surgery substantially reduces pain, complications including pneumonia and pressure sores, and mortality — particularly in elderly patients who deteriorate rapidly when confined to bed.

Q: What is the difference between unipolar and bipolar hemiarthroplasty?

A unipolar prosthesis articulates directly against the native acetabulum. A bipolar design incorporates an inner bearing within the prosthesis head, allowing movement at two surfaces — potentially reducing long-term acetabular cartilage erosion.

Q: Will I walk normally following partial hip replacement?

Yes. Most patients regain a normal walking pattern within 4–6 weeks with physiotherapy. Functional outcomes are consistently good when surgery is performed promptly and an early mobilisation rehabilitation programme is followed diligently.

The femoral head is replaced with a prosthesis while the natural socket is preserved — used primarily for selected hip fractures where early mobilisation and reliable pain relief are the priority.

45–75 min PROCEDURE

3–4 Days HOSPITAL STAY

>90% SUCCESS RATE

6–8 Weeks FULL RECOVERY

What is Partial Hip Replacement?

Partial hip replacement — hemiarthroplasty — involves replacing the femoral head with an artificial prosthesis while leaving the natural acetabular socket undisturbed. It is most frequently performed for displaced intracapsular femoral neck fractures where the interrupted blood supply to the femoral head makes fixation unreliable. By replacing rather than repairing the head, the procedure eliminates the risks of avascular necrosis and non-union that accompany fixation attempts. Dr. Sai Kishan performs partial hip replacement at Lux Hospitals using contemporary unipolar and bipolar prostheses selected according to patient age and functional expectation.

Primarily used for displaced intracapsular femoral neck fractures in elderly patients with lower physical demands, a healthy acetabular cartilage surface, and where getting the patient upright and mobile within 24 hours is the clinical priority.

How the Procedure Works

Anaesthesia & Approach Planning

Spinal or general anaesthesia; the most appropriate surgical approach — posterior or anterolateral — is selected based on patient factors.

Joint Exposure & Head Removal

The hip is opened; the fractured femoral head is carefully dislocated and removed; the acetabular surface is inspected and confirmed to be healthy.

Femoral Canal Preparation

The femoral canal is prepared with sequential broaches; trial sizing determines the correct stem dimensions and head offset.

Prosthesis Insertion & Reduction

The stem is inserted — cemented in the majority of elderly patients; the prosthetic head is attached and reduced into the native socket.

Stability Confirmation & Closure

Hip stability and limb length are assessed; the wound is closed in layers and physiotherapy with walking begins the following morning.

Outcomes

45–75 minDURATION

3–4 DaysHOSPITAL STAY

>90%SUCCESS RATE

6–8 WeeksFULL RECOVERY

Who Needs This Treatment?

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Rapid elimination of fracture pain with mobilisation beginning within 24 hours
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Avoids the avascular necrosis and non-union risks of fracture fixation
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The native acetabular socket is preserved — a simpler surgical reconstruction
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Shorter operative time reduces anaesthetic exposure in medically frail patients
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Bipolar prostheses reduce long-term socket wear compared to unipolar designs
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Conversion to total hip replacement remains feasible if required in future

For displaced hip fractures in elderly patients, getting them mobile quickly is not just a surgical goal — it is a life-saving priority. Hemiarthroplasty achieves that reliably, safely, and consistently.

— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery

Partial Hip Replacement / Hemiarthroplasty Cost in Hyderabad

The cost of Partial Hip Replacement / Hemiarthroplasty in Hyderabad generally ranges from ₹1,50,000 to ₹3,00,000, with an average cost of around ₹2,25,000. The final expense may vary depending on the patient's condition, implant selection, bearing surface, fixation method, investigations, hospitalisation and rehabilitation requirements.

Procedure	Approximate Cost Range
Elderly, femoral head only	₹1,50,000 ₹3,00,000

Implant selection is an important factor affecting the overall cost. Metal-on-polyethylene bearing options may be available toward the lower end of the range, while ceramic-based bearing options can increase the cost. Uncemented implants may also cost more than cemented implants, depending on the implant system selected.

Factors Affecting Partial Hip Replacement Cost

The overall cost of hemiarthroplasty depends on the patient's hip condition, implant selection, fixation technique and the level of surgical and rehabilitation care required.

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Patient's age, bone quality and overall condition of the hip joint
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Extent of damage to the femoral head and whether the acetabulum remains suitable for hemiarthroplasty
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Type of implant and bearing surface selected, such as metal-on-polyethylene or ceramic-based options
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Cemented or uncemented fixation technique used according to the patient's bone quality and clinical requirements
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Brand, design and specifications of the hip implant selected for the procedure
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Pre-operative X-rays, blood tests, cardiac evaluation and other investigations required before surgery
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Surgeon, anaesthesia, operating-room and surgical equipment charges
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Hospitalisation, medications, nursing care and post-operative monitoring
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Physiotherapy, mobilisation and rehabilitation requirements following surgery
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Follow-up consultations, imaging and additional treatment required during recovery

Insurance Coverage for Partial Hip Replacement

Partial hip replacement performed for a medically necessary hip condition may be covered under health insurance, subject to the policy terms, network hospital provisions, approved package and applicable exclusions or deductibles. Patients should confirm implant coverage, pre-authorisation requirements and any applicable limits with their insurer before treatment.

Checking your policy coverage
Cashless approval process
Required documentation
Insurance-related queries before the procedure

Dr. Sai Kishan

Orthopaedic & Joint Replacement Surgeon

Consultation with Dr. Sai Kishan Sirasala, Consultant Orthopaedic Surgeon at Lux Hospitals, Hyderabad, is recommended to evaluate patients who may require partial hip replacement. The doctor can assess the condition of the hip, review imaging and determine whether hemiarthroplasty or another treatment option is appropriate. During the consultation, the doctor may assess: Hip pain, stiffness, difficulty walking and limitations in daily activities X-rays and other imaging findings to evaluate the femoral head and hip joint Bone quality and other factors that may influence implant fixation Whether the acetabulum and femoral head condition are suitable for hemiarthroplasty Appropriate implant type, bearing surface and cemented or uncemented fixation based on individual requirements Expected recovery, mobilisation, physiotherapy and rehabilitation requirements

Consultation with Dr. Sai Kishan Sirasala Consultation with Dr. Sai Kishan Sirasala

Common Questions

Frequently Asked Questions

Why choose partial rather than total hip replacement for a fracture?+

How quickly is surgery performed after a hip fracture?+

What is the difference between unipolar and bipolar hemiarthroplasty?+

Will I walk normally following partial hip replacement?+

Not sure which treatment is right for you?

Book a consultation with Dr. Sai Kishan and get a personalised treatment plan.

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