Total hip replacement (THR) is among the most successful operations in all of medicine — providing complete, lasting pain relief and full restoration of hip function for patients with advanced arthritis, avascular necrosis, or hip fracture.
Dr. Harish Talreja has performed over 8,000 hip replacement surgeries at Manipal Hospital Jaipur. Recognised as one of the leading orthopaedic doctors in Jaipur, he brings advanced surgical training, precise implant selection and a Day 1 rehabilitation protocol that helps patients walk sooner and recover faster.
Total hip replacement (THR) — also called total hip arthroplasty (THA) — is a procedure in which the entire damaged hip joint is replaced. Both the femoral head (ball at the top of the thigh bone) and the acetabular socket (hip socket in the pelvis) are removed and replaced with precision-fitted artificial components.
Unlike hemi-arthroplasty which replaces only the femoral head, THR addresses both joint surfaces — providing more durable, longer-lasting pain relief and better functional outcomes, particularly for patients with arthritis and avascular necrosis (AVN).
The result: a smooth, pain-free, stable hip joint that bears full body weight, allows normal walking, and restores complete independence in daily activities.
Metal stem inserted into the femoral canal — anchors the implant and supports the artificial femoral head component above
Metal or ceramic ball replacing the natural femoral head — articulates smoothly with the acetabular cup liner
Metal shell press-fitted or cemented into the reamed acetabulum — provides the socket component of the new hip joint
Polyethylene, ceramic or metal insert inside the cup — the bearing surface providing smooth, low-friction hip movement
The surgical approach — how the hip is accessed — significantly affects muscle disruption, recovery speed and hip precautions. Dr. Talreja selects the most appropriate approach based on each patient's anatomy, body type and condition.
The most widely used approach worldwide. The hip is accessed from behind, through the buttock. Provides excellent surgical exposure and visibility, suitable for most patients and anatomies.
Hip precautions (avoiding certain movements) are typically required for 6 to 12 weeks to prevent dislocation while posterior soft tissues heal.
Most commonly usedThe hip is accessed from the side, between muscle groups. Provides stable access and reliable exposure. Less dislocation risk than the posterior approach with standard hip precautions.
Commonly used for revision procedures and in patients where posterior soft tissue quality is a concern.
Lower dislocation riskThe hip is accessed from the front, between natural muscle planes without cutting through muscle. Offers faster initial recovery, less early pain and typically fewer hip dislocation precautions required.
Best suited to patients of appropriate body habitus and anatomy — requires specialised equipment and surgical expertise.
Minimally invasive optionWhere appropriate, Dr. Harish Talreja employs minimally invasive surgical techniques — using smaller incisions and muscle-sparing approaches — to reduce post-operative pain, blood loss and recovery time compared to traditional open hip replacement.
Reduced tissue disruption with less scarring
Reduced transfusion requirement
Earlier return to daily activities
Improved early comfort and mobility
Earlier hospital discharge
Begin walking same day as surgery
The procedure takes 1 to 2 hours under spinal or general anaesthesia. Physiotherapy begins on Day 1, and most patients are discharged within 3 to 5 days.
Weight-bearing X-rays, blood tests, cardiac clearance and anaesthesia review. Implant type, size and surgical approach are templated individually for each patient before surgery.
Spinal anaesthesia preferred. Patient positioned according to the chosen approach — lateral for posterior/anterolateral, supine for direct anterior. Tourniquet not required for hip replacement.
Damaged femoral head removed. Acetabulum reamed to correct size and cup implanted. Femoral canal prepared and stem inserted with appropriate sizing. Femoral head attached. Stability, leg length and alignment confirmed under imaging before wound closure.
Wound closed in layers. Physiotherapy begins on Day 1 — sitting up, standing and taking first steps with a walker. Hip precautions are taught and demonstrated before discharge.
Transparent cost guidance is important to us. The ranges below reflect typical costs — an accurate personalised estimate is always provided after consultation with Dr. Harish Talreja.
Costs include surgery, implant, hospital stay and standard post-operative care. Actual cost depends on implant type, fixation method, bearing surface and duration of stay.
Total hip replacement has over 95% patient satisfaction in long-term published studies. As with all major surgery, potential risks exist and are discussed in full during pre-operative consultation so every patient makes a completely informed decision.
The most specific risk of hip replacement. Careful surgical technique, correct implant positioning and patient adherence to hip precautions for 6 to 12 weeks significantly reduce this risk.
Blood-thinning medication (anticoagulants), compression stockings and Day 1 mobilisation significantly reduce the risk of blood clots after hip replacement.
Prophylactic antibiotics are given pre-operatively. Strict sterile technique is maintained throughout. Periprosthetic joint infection rate is less than 1% in experienced hands.
A small difference in leg length after hip replacement can occur. Meticulous pre-operative templating and intra-operative assessment minimise this risk in the vast majority of patients.
Modern cementless and cemented implants have excellent long-term survival. Maintaining healthy body weight and avoiding high-impact activities significantly extends implant life.
With 8,000+ hip replacement procedures and 15+ years of dedicated orthopaedic practice, Dr. Harish Talreja delivers outstanding THR outcomes — precision surgical planning, appropriate implant selection, minimally invasive technique options, and a Day 1 rehabilitation protocol at Manipal Hospital Jaipur.
Hip Replacements Performed
Years Orthopaedic Experience
Walking After Surgery
Consult Dr. Harish Talreja for an accurate diagnosis, personalised surgical plan, and a clear path to a pain-free, active life after total hip replacement.
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Vaishali Estate Township, Gandhi Path West
Jaipur – 302021
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