Joint Replacement

Hip Replacement Surgery in Chennai

Total and partial hip replacement for arthritis, avascular necrosis and hip fracture, with muscle-sparing approaches where suitable.

Call +91 99622 45671 Request an appointment

Dr. Pankaj Hingarh, MBBS, MS (Orthopaedics) T. Nagar, Chennai Digital X-ray on site

Hip replacement removes the damaged ball and socket of the hip and replaces them with a smooth bearing surface. Of all orthopaedic operations it produces the most immediate change in quality of life — patients who arrived on crutches routinely walk into follow-up unaided.

In Chennai, a large share of hip replacements are performed not for age-related arthritis but for avascular necrosis: collapse of the femoral head caused by an interrupted blood supply. It affects a much younger group, often men in their thirties and forties, and is strongly associated with steroid use and alcohol. Caught early, the hip can sometimes be preserved; caught late, replacement is the reliable answer.

Dr. Pankaj Hingarh holds a fellowship in arthroplasty covering both knee and hip replacement. Consultation and follow-up are at the T. Nagar clinic, with surgery at affiliated hospitals across Chennai.

Symptoms that point to the hip

Deep pain in the groin, sometimes radiating to the front of the thigh or the knee
Difficulty putting on socks and shoes or cutting toenails
A limp, or one leg feeling shorter than the other
Pain climbing into a car or rising from a low chair
Stiffness turning the leg inward or outward
Known avascular necrosis, previous steroid use, or a healed hip fracture

Treatment pathway

Accurate diagnosis first

Hip pain is frequently mistaken for back pain and vice versa. X-rays and, where necrosis is suspected, an MRI establish whether the hip joint is truly the source before any surgery is discussed.

Hip preservation in early necrosis

In early-stage avascular necrosis, before the femoral head collapses, core decompression with biological augmentation can delay or avoid replacement in a young patient. That window is narrow, which is why early referral matters.

Muscle-sparing surgical approach

Where anatomy allows, a tissue-sparing approach preserves the muscles around the hip, supporting quicker return to walking and lower dislocation risk.

Bearing surface matched to age

Younger, more active patients are generally given highly cross-linked polyethylene or ceramic bearings, chosen for wear resistance over decades of use.

Recovery timeline

Every patient recovers at their own pace, and the milestones below are typical rather than guaranteed. Your age, general health and how consistently you follow the rehabilitation programme all shift the timeline.

Day 1 Mobilising

Standing and walking a few steps with a walker, usually within 24 hours of surgery.
Week 2 Wound review

Suture check at the clinic. Walking distance increases daily and hip precautions are reviewed.
Week 6 Back to routine

Most patients walk unaided, drive, and return to office work.
Month 3 Full activity

Unrestricted walking, travel and low-impact recreation. Swimming and cycling encouraged.

Questions

Hip Replacement Surgery — your questions answered

Still unsure about something? Call +91 99622 45671 and ask.

What causes avascular necrosis of the hip?

The blood supply to the femoral head is interrupted, and the bone dies and collapses. The commonest associations are prolonged steroid use, significant alcohol intake, sickle cell disease and previous hip trauma. In a proportion of cases no cause is identified.

How long does a hip replacement last?

Contemporary hip implants show survival above 90% at 15 years, and modern bearing surfaces are expected to do better still. In a patient operated in their forties, a revision at some point in life should be anticipated and planned for.

Are there permanent restrictions after hip replacement?

Precautions on extreme bending and crossing the legs apply for the first six to twelve weeks while soft tissues heal. After that most patients return to normal activity, including floor sitting in many cases. High-impact running and contact sport are generally discouraged long-term.

Can a broken hip in an elderly patient be replaced?

Yes. For displaced femoral neck fractures in older patients, hemiarthroplasty or total hip replacement is usually preferred over fixation because it allows immediate weight-bearing — the single most important factor in surviving a hip fracture well.

Get seen today — walk in or call ahead

Consultation runs morning and evening, Monday to Saturday, with digital X-ray on site. Most patients leave with a diagnosis and a written plan in a single visit.

+91 99622 45671 Request an appointment

Monday – Saturday

10:00 AM – 12:30 PM

6:00 PM – 9:00 PM

Sunday — Closed (emergency calls attended)

7B, 4B, Thirumurthy Street Parthasarathi Puram, T. Nagar
Chennai 600017