Understanding the Types of Hip Replacement Surgery

A Helpful Guide for Patients Exploring Hip Surgery Options

If you’ve been living with chronic hip pain, stiffness, or limited mobility, your doctor may recommend hip replacement surgery to improve your quality of life. This procedure is incredibly common in the United States, especially in places like Arizona, and it’s known for helping patients get back to doing the things they love—without pain holding them back.

But did you know that there are several different types of hip replacement surgery?

Depending on your age, health, lifestyle, and the cause of your hip damage, your orthopedic surgeon may recommend one type of surgery over another. Below, we’ll walk you through the types of hip replacement surgeries, what makes them different, and what to expect from each. All of this information is provided with care by Dr. Matthew Russo, a highly experienced orthopedic surgeon dedicated to helping patients make confident, informed choices.

Why Might You Need Hip Replacement Surgery?

Your hip is a ball-and-socket joint. When it works well, it allows you to walk, bend, sit, and turn with ease. But over time—or after an injury or illness—the joint can become worn out or damaged.

Common reasons for hip replacement include:

• Osteoarthritis (wear-and-tear from aging)
• Rheumatoid arthritis (inflammatory condition)
• Avascular necrosis (when part of the bone dies because it’s not getting enough blood.)
• Hip fractures(often from falls, especially in older adults)
• Post-traumatic arthritis (from past injuries)
• Bone tumors affecting the hip joint

When other treatments like medication, physical therapy, or injections no longer help, hip replacement becomes the most reliable option for lasting relief.

Different Types of Hip Replacement Surgery

There are three ways doctors categorize hip replacement procedures:

1. Based on What’s Being Replaced

• Total Hip Replacement (THR)
  • Most common type of hip replacement
  • The surgeon replaces both the ball (top of the thigh bone) and the socket (part of the hip bone)
  • Best for people with severe arthritis or damage in both parts of the joint
  • Usually provides long-term relief and excellent function
• Partial Hip Replacement (Hemiarthroplasty)
  • Only the ball of the joint is replaced
  • Often done in older patients after a hip fracture
  • Best when only the ball needs to be replaced, not the socket.
• Hip Resurfacing
  • Rather than removing the whole bone, the doctor shapes it and protects it with metal.
  • Mostly used for younger, more active patients with strong bone density
  • Offers faster recovery, but may not last as long or be suitable for older adults

2. Based on How the Surgeon Accesses the Hip

This refers to the size of the incision and the amount of tissue affected during the surgery.

• Traditional Hip Replacement

• • Involves a larger incision (10–12 inches)To reach the hip joint, the surgeon may need to go through some muscle.
  • To reach the hip joint, the surgeon may need to go through some muscle.
  • Still used when full access is needed, like in revision surgeries
  • May require a longer hospital stay and recovery time
• Minimally Invasive Hip Replacement
  • Uses smaller incisions (1–2 inches)
  • Less muscle damage, less blood loss, and faster healing
  • Often done using the anterior or lateral approach
  • Not suitable for all patients—your doctor will evaluate your case

What Materials Are Used in Hip Implants?

Modern hip replacements use durable materials that can last for 15–20 years or longer.

Common materials include:

• Metal-on-polyethylene: metal ball with a plastic socket (most common)
• Ceramic-on-ceramic: smooth and wear-resistant
• Ceramic-on-polyethylene: combines benefits of both

Dr. Russo uses advanced systems like the Meril  Latitude Hip Replacement System, which includes options for:

• Cemented or uncemented femoral stems
• Multiple head sizes for better fit
• Long-lasting metal, ceramic, and plastic combinations

The right material for you depends on your age, activity level, bone health, and your surgeon’s recommendation.

What to Expect After Hip Surgery: Recovery & Rehabilitation

Recovery after hip replacement varies from person to person, but here’s a general idea:

• Hospital stay: 1–3 days (shorter if you have minimally invasive surgery)
• Walking with help: same day or next day
• Return to light activity: 3–6 weeks
• Full recovery: 3–6 months

Recovery Includes:

• Physical therapy to strengthen muscles and improve movement
• Avoiding certain positions to prevent dislocation (depending on approach)
• Slowly resuming walking, standing, and daily tasks
• Patients who follow their rehab plan closely tend to recover faster and with better results.

How to Choose the Right Hip Surgery for You

The right treatment depends on the patient’s health, age, and lifestyle. Your surgeon will recommend the best type of hip replacement based on:

• Your age and health
• Your activity level and goals
• The condition of your bones and joints
• Past surgeries or injuries
• Your personal preferences

According to recent studies, the surgeon’s experience is often more important than the specific surgical approach. That’s why working with a trusted expert like Dr. Matthew Russo, MD ensures you receive the safest and most effective care.

Final Thoughts

Hip replacement surgery can be life-changing. Understanding the different types of hip replacement surgery helps you feel more prepared, confident, and in control of your health.

Whether you need a total replacement, a partial procedure, or are a candidate for minimally invasive techniques, the right choice starts with a conversation with your doctor.

Ready to Take the First Step?

Schedule your consultation with Dr. Matthew Russo today and learn which hip replacement option is right for you.

Relief is possible. Movement is possible. Your better future starts here.