At Healing Hospital, we understand that severe hip arthritis, debilitating hip pain, limited mobility, and fear of major surgery create anxiety about hip replacement. That is why our advanced Orthopaedics & Joint Replacement Department, led by Dr. Nishant Setia—a highly skilled joint replacement surgeon with 12+ years independent surgical experience and specialized Fellowship training in Arthroplasty from Martha Maria Hospital, Halle, Germany—offers state-of-the-art total hip replacement using minimally invasive anterolateral approach, latest implant technology, and comprehensive rehabilitation protocols, ensuring optimal pain relief, restored mobility, and transformed quality of life.
We serve patients across Chandigarh, Punjab, Haryana, Himachal Pradesh, J&K, and other states of India with comprehensive hip replacement services including total hip replacement for arthritis, hip fracture surgery, revision hip replacement, minimally invasive techniques minimizing tissue damage, advanced implant options (cemented, uncemented, hybrid), and complete post-operative rehabilitation. With Fellowship training in Germany emphasizing the anterolateral approach (minimizing dislocation risk), previous experience at leading hospitals (Max Mohali, Paras Health Panchkula, QRG Hospital Faridabad), and proven expertise in complex joint reconstruction, Dr. Setia provides optimal results with patient safety, minimal complications, and rapid recovery as highest priorities.
If you are searching for “best hip replacement surgeon in Chandigarh,” “total hip arthroplasty,” “hip joint replacement specialist,” or “hip surgery near me,” you have found a centre where surgical excellence meets international training and compassionate patient care.
What is Hip Replacement Surgery?
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What are the Types of Hip Replacement Approaches?
Anterolateral Approach
Hip accessed from the front-side (anterolateral), muscle-sparing technique working between muscles rather than cutting through them, significantly reduces dislocation risk compared to posterior approach (<1% vs. 3-5%), faster recovery with less post-operative pain, immediate hip precautions relaxed (no strict positioning restrictions), preferred for most patients.
Posterior Approach
Traditional approach accessing hip from behind, requires detaching and repairing posterior hip muscles and capsule, excellent acetabular exposure for complex cases, higher dislocation risk (3-5%) requiring strict hip precautions post-operatively, longer recovery, still used for revision cases or specific anatomical situations.
Anterior Approach
Hip accessed from front between muscles, truly minimally invasive, faster recovery, very low dislocation risk, technically demanding requiring specialized equipment and experience, potential nerve and wound complications in obese patients, growing popularity but not universally adopted.
Lateral Approach
Side approach through hip abductors, good exposure, can cause abductor weakness (limp) if muscles are damaged, less commonly used today due to muscle injury concerns.
Who Should Consider Hip Replacement Surgery?
Hip replacement is recommended for:
- Osteoarthritis causing severe pain, stiffness, limited mobility
- Inflammatory arthritis destroying hip cartilage
- Avascular Necrosis, that is, hip bone death from interrupted blood supply
- Femoral neck fractures in osteoporotic patients
- Arthritis developing after hip fracture or dislocation
- Developmental Hip Dysplasia
- Pain interfering with daily activities (walking, stairs, dressing)
- Previous history of failed hip surgery
What Happens Before, During, and After Hip Replacement?
Before Surgery
Pre-Operative Evaluation
Detailed history and clinical examination assessing hip pain, range of motion, leg length, gait pattern. X-rays evaluating arthritis severity and templating for implant sizing. Blood tests, ECG, chest X-ray for medical assessment. Optimization of diabetes, blood pressure, dental clearance.
Pre-Operative Optimization
Weight loss if obese, mandatory smoking cessation, nutritional optimization (protein, vitamin D, calcium), dental clearance, home preparation (single-floor living, grab bars, walker), pre-operative strengthening exercises.
During Surgery
Anaesthesia & Positioning
Patient positioned lateral (on side) for anterolateral approach, careful padding, leg prepared and draped sterile.
Surgical Incision & Bone Preparation
Anterolateral incision made over lateral hip, muscle-sparing approach working between muscles (no cutting), hip capsule opened, hip dislocated.
Femoral head removed, femoral canal reamed and prepared for stem. Acetabulum reaming done to correct size and orientation.
Implant Insertion
Acetabular cup inserted with polyethylene/ceramic liner. Femoral stem inserted (uncemented or cemented) with metal/ceramic head attached.
After Surgery
Recovery Room
Pain management with multimodal analgesia, neurovascular checks, early mobilization.
Hospital Stay (3-4 Days)
Physical therapy initiated—sitting, standing, walking with a walker, stairs practice. X-rays confirming implant position. Daily advancement in mobility, gait training, hip precaution education. Discharge when mobile, pain controlled, safe for home.
What are the Recovery & Success Factors?
Long-Lasting Implants with Modern Technology
Modern hip replacement implants using advanced materials and improved designs achieve remarkable longevity—over 95% implant survival at 15 years, 90% survival at 20-25 years, meaning most patients never require revision surgery in their lifetime.
Dramatic Pain Relief & Restored Mobility Transforming Quality of Life
Over 95% of patients experience complete or near-complete pain relief, dramatic improvement in mobility and function, ability to walk without limping or assistive devices, return to activities previously impossible (walking, stairs, travelling, sports, gardening), and restored independence and quality of life.
Superior Outcomes with Anterolateral Approach
This advanced surgical approach works between muscles rather than cutting through them, preserving hip stability muscles and capsule, allowing faster recovery, less post-operative pain, and immediate relaxation of strict hip precautions that burden patients after posterior approach surgery.
Why Choose Healing Hospital in Chandigarh for Hip Replacement?
State-of-the-Art Orthopaedics Infrastructure : Our advanced Orthopaedics operation theatre features international-standard modular design with HEPA filtration maintaining ultra-sterile environment, latest-generation surgical instruments and implant systems from world-leading manufacturers, advanced imaging including C-arm fluoroscopy for intra-operative component position verification, specialized hip replacement instrumentation enabling precise technique, and comprehensive blood conservation strategies minimizing transfusion requirements.
Advanced Implant Options Personalized to Patient : Young active patients receive durable ceramic-on-ceramic bearings (minimal wear, potential lifelong implant), elderly patients receive proven ceramic-on-polyethylene (excellent reliability, cost-effective), high-demand patients receive large-diameter heads or dual-mobility implants (maximum stability preventing dislocation), osteoporotic patients receive cemented fixation (immediate stability), good bone quality patients receive uncemented fixation (long-term biological fixation).
Comprehensive Joint Replacement Programme : Healing Hospital provides integrated hip replacement care: pre-operative optimization clinic (medical clearance, nutritional assessment, pre-operative education), anaesthesia team experienced in joint replacement (spinal anaesthesia expertise, multimodal pain management, blood conservation), dedicated physical therapy starting day 1 post-operatively (mobility training, gait training, stair practice), occupational therapy for activities of daily living, discharge planning ensuring safe home environment, and structured outpatient rehabilitation continuing post-discharge.
What are the Advantages of Hip Replacement Surgery?
- Dramatic pain relief
- Restored mobility
- Improved quality of life
- Long-lasting results
- Rapid recovery
- Minimally invasive techniques
- Low complication rates
- <1% infection risk, <1% dislocation risk (anterolateral approach)
- >95% patient satisfaction rates
- Cost-effective long-term
What are the Risks & Complications Involved in Hip Replacement?
Infection (1-2%)
Most serious complications can be superficial (wound) or deep (prosthetic joint infection), presented as persistent pain, swelling, warmth, drainage, fever, or a deep infection.
Dislocation (1-5%)
Hip prosthesis dislocates from socket, risk varies by surgical approach (anterolateral <1%, posterior 3-5%), presents as sudden severe pain, leg shortening, abnormal position, requires closed reduction.
Blood Clots
Deep vein thrombosis (leg clot) or pulmonary embolism (lung clot), presents as calf pain/swelling, chest pain, or shortness of breath.
Leg Length Discrepancy
Operated leg slightly longer or shorter than opposite leg, small differences (<1cm) common and usually unnoticeable, larger differences may cause limping, back pain, and such.
Implant Wear
Gradual wearing of bearing surfaces over years/decades, modern ceramic and highly cross-linked polyethylene dramatically reduce wear compared to old implants.
Periprosthetic Fracture
Bone fracture around implant during or after surgery, risk higher in osteoporotic patients, falls, may require surgical fixation or revision.
Heterotopic Ossification
Abnormal bone formation in soft tissues around the hip, causes stiffness, prevented by prophylactic indomethacin or radiation, treated with surgical excision if severely limiting motion.
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Frequently Asked Questions (FAQs)
How long does hip replacement surgery take?
The surgical procedure typically takes 90-120 minutes for straightforward total hip replacement. Complex cases (revision surgery, dysplasia, deformity) may take longer. Including anaesthesia and recovery, expect 4-6 hours in the operating room area.
Is hip replacement painful?
Modern pain management makes hip replacement surprisingly comfortable. Spinal anaesthesia provides excellent pain control during and after surgery. Most patients report less pain than they experienced from hip arthritis pre-operatively. Pain improves gradually.
What is the anterolateral approach and why is it better?
The anterolateral approach accesses the hip from the front-side working between muscles (not cutting through them), preserving hip stability muscles and capsule. This muscle-sparing technique is considered superior for most patients.
What hip precautions do I need after surgery?
With Dr. Setia’s anterolateral approach, hip precautions are MINIMAL compared to the posterior approach. General guidelines: avoid extreme hip flexion (>90 degrees) first 6 weeks, avoid crossing legs first 6 weeks, avoid low chairs/toilets (use raised seat), sleep with pillow between legs first few weeks.
Can I have both hips replaced at the same time?
Yes. Options include: (1) Staged bilateral—one hip replaced, recover 3-6 months, then second hip replaced (safer, allows recovery between surgeries), or (2) Simultaneous bilateral—both hips replaced same surgery (single anaesthetic, single recovery, faster return to function but higher complication risk).
How much does hip replacement cost in Chandigarh?
Cost varies based on implant type (cemented vs. uncemented, bearing surface selection), hospital stay duration, anaesthesia, and patient-specific factors. Healing Hospital offers transparent pricing with multiple implant options. Contact us at +91-7575903434 for detailed pricing information including surgery, implants, hospital stay, physiotherapy, and follow-up care.
How do I schedule hip replacement consultation?
Contact our orthopaedics department at +91-7575903434 to schedule consultation with Dr. Nishant Setia. Bring hip X-rays, previous treatment records, current medications list, and questions for comprehensive evaluation and surgical planning.