Surgical Alternatives to Total Hip Replacement Surgery

When medication, physiotherapy and other conservative methods of treatment no longer relieve pain, total hip replacement may be recommended. Total hip replacement helps relieve pain and allows patients to perform many activities that may have been limited due to hip pain. However, depending on the patient’s condition, there may be other surgical alternatives available to total hip replacement surgery.

Hip Fracture Fixation

If the patient has suffered a fracture, the doctor can recommend a specific fracture treatment, depending on the type of fracture suffered. Femoral neck fractures can be treated using a number of treatment methods.

Treating Intertrochanteric Fracture Repair

Intertrochanteric fractures are the most common type of hip fracture. It is a fracture in the leg bone between the greater and lesser trochanters. To treat intertrochanteric fractures, the patient is given anesthesia and then their fractured bone is positioned and realigned. Once the bone is realigned, an incision is made on the outside of the thigh. The broken bones are held in place with a metal plate and screws. A large screw is then placed into the bone, across the fracture.

Hip Pinning

Hip pinning is recommended if the fracture is aligned well and only minimally displaced. The patient is administered local or general anesthesia and several screws are placed across the fractured bone through a small incision on the outside of the thigh bone to hold it in place.

Partial Hip Replacement Surgery

Partial hip replacement is also known as hip hemi-arthroplasty and used in case of hip fracture. The surgery involves replacing only half the joint by removing the head of the femur or thighbone and replacing the same with an artificial implant. This procedure is suitable for the very elderly or frail patients as they have lower activity levels and life expectancy and the implant tends to loosen over time.

Hip Arthroscopy

Hip arthroscopy is a minimally invasive surgery involving the use of a special camera and medical instruments to visualize the inside of the hip and fix the problem. Studies suggest that hip arthroscopy may be used more and more as surgical techniques evolve.

Hip Osteotomy

An osteotomy involves correcting a hip deformity by cutting and repositioning the bones. The procedure is useful for people with mild osteoarthritis, who are too young to undergo total hip replacement. Young patients have few good options for improving hip function due to their active lifestyle and long life expectancy. Osteotomy uses the patient's own tissue to restore joint function in the hip and eliminate pain. By removing damaged bone and re-positioning healthy bone, the surgeon seeks to improve the hip’s motion.

Hip Fusion

Hip fusion surgery involves using metal plates and screws to hold the injured femur and pelvis in place while healing. This is used in cases of injured (like with a fractured hip) young patients doing heavy lifting.


Disclaimer:  This website illustrates various therapies/treatments, which patients generally adopt to treat pain. These illustrations should not be considered as recommendation or endorsement of such therapies by the Company for treating such pain. Please consult your surgeon/doctor to find the best available treatment suited for your hip pain.