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Total Hip Replacement
Overview
Total hip replacement (hip arthroplasty) is a surgical procedure that removes a worn-out hip joint and replaces it with a smooth, durable implant. It is recommended when hip pain, stiffness and loss of function no longer respond to physiotherapy, medication or injections. Modern implants and enhanced-recovery protocols now mean shorter hospital stays and faster return to normal life.
Conditions That May Lead to THR
- Severe Osteoarthritis – the most common reason for surgery
- Rheumatoid or Psoriatic Arthritis – inflammatory joint damage
- Avascular Necrosis – loss of blood supply to the femoral head
- Post-Traumatic Arthritis – after hip fractures or dislocation
- Hip Dysplasia or Childhood Deformity – causing early cartilage wear
- Failed Previous Hip Surgery – persistent pain after fixation or resurfacing
Key Symptoms Indicating You May Need Surgery
- Persistent groin, buttock or thigh pain, even at rest or overnight
- Morning stiffness or difficulty putting on shoes and socks
- Limping, reduced walking distance or reliance on a stick
- Pain that interferes with sleep, work or leisure activities
- Little or no relief from painkillers, steroid injections or physiotherapy
Diagnosis at The New Foscote Hospital
- Consultant Orthopaedic Assessment – detailed history and examination
- On-Site Imaging – digital X-ray and, if required, MRI/CT scans
- Tailored Treatment Plan – conservative measures first; surgery when appropriate
Treatment Options
Approach | Conservative Care – physiotherapy, weight management, medication, guided injections |
When Used | Early or moderate disease |
Benefits | Delays surgery, builds strength |
Approach | Total Hip Replacement – minimally invasive cemented, uncemented or hybrid implants |
When Used | Advanced joint damage |
Benefits | Delays surgery, builds strength |
Approach | Revision Hip Surgery |
When Used | Worn or loose previous implant |
Benefits | Restores stability and function |
Post-operative rehabilitation is delivered by our on-site physiotherapy team, with most patients walking the same day and going home within 1–3 days (selected patients may be suitable for day-case).
Benefits of Total Hip Replacement
- Dramatic and lasting pain relief
- Restoration of hip movement and leg length
- Improved mobility, independence and sleep quality
- High implant survival rates (90 %+ at 15 years)
Why Choose The New Foscote Hospital?
- Fellowship-trained hip surgeons with extensive NHS and private experience
- State-of-the-art laminar-flow theatres and enhanced-recovery pathways
- Same-week imaging and surgery dates to minimise waiting time
- Individualised rehabilitation programmes and lifetime follow-up
Next Steps:
If hip pain is limiting your life, call 01295 252281 or use our online enquiry form to book a consultation with a hip specialist at The New Foscote Hospital, Banbury.

4 July 2025