Total Hip Replacement (THR)
The damaged ball and socket of the hip are replaced with precision implants — eliminating chronic arthritis pain, correcting mobility loss, and restoring the ability to walk and live independently.
What is Total Hip Replacement (THR)?
Total Hip Replacement — Total Hip Arthroplasty — replaces both the femoral head (ball) and the acetabulum (socket) with prosthetic components. A metal or ceramic ball mounted on a femoral stem replaces the femoral head, while a metal shell lined with polyethylene or ceramic replaces the socket. It is the definitive solution for end-stage hip arthritis, avascular necrosis, inflammatory joint disease, and post-traumatic hip destruction. Dr. Sai Kishan performs total hip replacement at Lux Hospitals using modern bearing surfaces and surgical approaches tailored to each patient's anatomy and functional requirements.
Appropriate for patients with advanced hip joint destruction causing persistent groin, thigh, or buttock pain, progressive loss of walking distance, and significant functional limitation — where non-surgical management including physiotherapy, medication, and injections has not provided satisfactory relief.
How the Procedure Works
Anaesthesia & Patient Positioning
Spinal or general anaesthesia; the patient is placed in the lateral or supine position depending on the surgical approach selected for their anatomy.
Hip Exposure
The joint is approached — posterior, direct anterior, or lateral — through a carefully planned incision to minimise muscle disruption and expedite recovery.
Head Resection & Socket Preparation
The damaged femoral head is removed; the acetabulum is reamed in a controlled sequence to the correct diameter to receive the cup implant.
Implant Placement & Fixation
The acetabular cup is press-fit or screwed into the pelvis; the femoral stem is inserted — cemented or cementless — based on bone quality.
Reduction, Check & Closure
The hip is reduced and tested for stability and leg length; the wound is closed and physiotherapy begins within 24 hours of surgery.
Outcomes
Who Needs This Treatment?
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Dependable elimination of chronic hip pain from arthritis or joint destruction
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Restores a full, comfortable range of hip movement for daily activities
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Addresses leg length inequality resulting from advanced hip degeneration
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Enables return to walking, swimming, and recreational activities
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Contemporary implant materials designed to last 20–25 years or more
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Minimally disruptive surgical approaches available to shorten recovery
Hip replacement is genuinely life-changing surgery. People who arrived at the clinic barely able to walk are often back to their normal routines within a matter of weeks — the impact on independence and quality of life is remarkable.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
Total Hip Replacement (THR) Cost in Hyderabad
The cost of Total Hip Replacement (THR) in Hyderabad at Lux Hospitals generally ranges from ₹2,50,000 to ₹5,50,000, with an average estimated cost of ₹4,00,000. Total hip replacement may be recommended for patients with advanced hip arthritis, avascular necrosis (AVN) or other conditions causing significant joint damage and persistent symptoms. The final cost depends on the implant system, bearing materials, surgical complexity, hospital stay and individual treatment requirements.
| Procedure | Approximate Cost Range |
|---|---|
| ₹2,50,000 ₹5,50,000 |
The final cost of total hip replacement can vary significantly depending on the type and quality of implants and bearing surfaces selected. Cemented and uncemented fixation options, as well as different combinations of ceramic, metal and polyethylene components, may have different costs. Additional treatment for complex bone loss, deformity or other associated hip problems can also increase the overall expense.
Factors Affecting Total Hip Replacement Cost in Hyderabad
The total cost of total hip replacement varies according to the patient's hip condition, implant selection and surgical requirements. Important factors include:
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Severity of hip arthritis or avascular necrosis, including the extent of cartilage loss, bone damage, deformity and restriction of hip movement
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Type of hip implant selected, including the design and materials used for the femoral stem, femoral head, acetabular cup and bearing surface
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Implant fixation method, including cemented or uncemented components, which may be selected according to age, bone quality and clinical requirements
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Bearing surface combination, such as ceramic-on-polyethylene, ceramic-on-ceramic or other implant combinations, which can influence implant cost
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Bone quality and anatomical complexity, particularly in patients with significant deformity, previous surgery, bone loss or advanced avascular necrosis
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Surgical approach and complexity of the procedure, including the technical requirements for positioning and securing the hip replacement components
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Preoperative investigations such as X-rays, blood tests and other assessments required to evaluate the hip joint, bone quality and overall fitness for surgery
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Anaesthesia, operating-room charges, implants, medicines, surgical consumables and hospital stay, which can vary according to the patient's individual treatment plan
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Postoperative physiotherapy, rehabilitation and follow-up care required to restore mobility and help the patient safely return to daily activities
Insurance Coverage for Total Hip Replacement
Total hip replacement may be covered by health insurance when medically necessary, subject to the policy's terms, exclusions, waiting periods, implant limits and pre-authorization requirements. Coverage can vary depending on the insurer, implant category and medical indication for surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala, Consultant Orthopaedic Surgeon at Lux Hospitals, Hyderabad, can evaluate patients with advanced hip arthritis, avascular necrosis and other conditions causing significant hip joint damage and determine whether total hip replacement is appropriate. During the consultation, the doctor may assess: Hip pain, stiffness and reduced mobility, including difficulty walking, climbing stairs, sitting, standing or performing routine daily activities Duration and progression of symptoms, including whether pain has persisted despite medicines, physiotherapy or other non-surgical treatments Clinical examination of hip movement, leg length, gait and functional limitations to understand the extent of joint impairment X-ray findings to assess cartilage loss, joint-space narrowing, bone changes, deformity and the overall condition of the hip joint Evidence of avascular necrosis or other causes of femoral head damage that may affect the choice and timing of hip replacement Bone quality and anatomical factors that may influence implant selection and whether cemented or uncemented fixation is appropriate Activity level, age and individual functional requirements to help determine a suitable implant and bearing configuration Expected recovery, weight-bearing progression, physiotherapy requirements and precautions following total hip replacement
Consultation with Dr. Sai Kishan Sirasala Consultation with Dr. Sai Kishan SirasalaCommon Questions
Frequently Asked Questions
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