✦ Hip Fracture Solution

Partial Hip Replacement / Hemiarthoplasty

Q: Why hemiarthroplasty over total hip replacement?

Hemiarthroplasty is faster, less invasive and ideal for elderly patients with low activity demand and a healthy socket; recovery is quicker.

Q: Can a younger patient have hemiarthroplasty?

Generally not. Younger active patients with femoral neck fractures benefit more from total hip replacement, which protects the socket longer.

Q: What if the implant becomes painful later?

If acetabular cartilage wears down over years, conversion to total hip replacement is straightforward and provides lasting pain relief.

Q: Is dislocation a concern?

Risk is small but real. Avoiding extreme hip flexion, low chairs and crossed legs in early weeks minimises this complication.

Only the broken femoral head is replaced while the natural hip socket is preserved — getting elderly fracture patients back on their feet within 24 hours and avoiding bedrest complications.

45–60 min PROCEDURE

3–5 Days HOSPITAL STAY

>90% SUCCESS RATE

10–15 Yrs IMPLANT LIFE

What is Partial Hip Replacement / Hemiarthoplasty?

Partial Hip Replacement, or Hemiarthroplasty, replaces only the femoral head with a metal prosthesis while leaving the natural acetabular socket undisturbed. Bipolar designs articulate within an inner head, providing smooth, low-friction motion and reduced cartilage wear in the native socket. The procedure is the standard treatment for displaced femoral neck fractures in elderly patients with limited pre-injury mobility. At Lux Hospitals Hyderabad, Dr. Hithesh prioritises swift, technically clean hemiarthroplasty to enable same-day standing and prevent the cascade of complications associated with prolonged immobilisation.

Indicated mainly for elderly patients with displaced femoral neck fractures, limited pre-injury walking demand and minimal hip socket arthritis, where rapid mobilisation outweighs the value of total hip replacement.

How the Procedure Works

Pre-Operative Optimisation

Cardiac, renal and metabolic status are stabilised; surgery is scheduled within 48 hours of fracture admission ideally.

Anaesthesia & Approach

Spinal or general anaesthesia is given; a posterior or lateral hip approach is used for controlled exposure.

Femoral Head Removal

The fractured femoral head is extracted; the femoral canal is prepared for the chosen prosthetic stem size.

Bipolar Prosthesis Insertion

A modular bipolar head is implanted onto the stem, allowing smooth gliding within the patient's own acetabular socket.

Closure & Day-One Mobilisation

Wound closure is completed; physiotherapy and standing with frame begin within 24 hours of surgery.

Outcomes

45–60 minDURATION

3–5 DaysHOSPITAL STAY

>90%SUCCESS RATE

6–12 WeeksFULL RECOVERY

Who Needs This Treatment?

→Quickly relieves agonising pain from a displaced femoral neck fracture
→Enables standing and assisted walking within the first 24 hours
→Avoids dangerous bedrest complications: pneumonia, pressure sores, blood clots
→Shorter operative time and lower blood loss than total replacement
→Bipolar articulation gives smoother motion and protects native cartilage
→Cost-effective and matched to elderly patients' real activity demands

In a frail elderly patient with a hip fracture, every hour matters. Hemiarthroplasty done quickly and well is genuinely life-saving — it gets them back to their feet before complications can ever take hold.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why hemiarthroplasty over total hip replacement?+

Can a younger patient have hemiarthroplasty?+

What if the implant becomes painful later?+

Is dislocation a concern?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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