Treatment

Understanding Hip Replacement

Choose a preferred language

The hip joint is one of the body’s largest weight-bearing joints. It is a ball-and-socket joint. It keeps the hip stable even during twisting and extreme ranges of motion. A healthy hip joint allows you to walk, squat, and turn without pain. But when a hip joint is damaged, it is likely to hurt when you move. When a natural hip must be replaced, a prosthesis is used.


A healthy hip

In a healthy hip, smooth cartilage covers the ends of the thighbone, as well as the pelvis where it joins the thighbone. This allows the ball to glide easily inside the socket with little friction. When the surrounding muscles support your weight and the joint moves smoothly, you can walk painlessly.

Hip joint, showing muscle, tendon, thighbone, and pelvis around it, and ball of thighbone and socket lined with cartilage.


A problem hip

In a problem hip, the worn cartilage no longer serves as a cushion. As the roughened bones rub together, they become irregular, with a surface like sandpaper. The ball grinds in the socket when you move your leg, causing pain and stiffness.

Hip joint, with worn cartilage on socket and roughened bone on ball.


A prosthesis

An artificial ball replaces the head of the thighbone and an artificial cup replaces the worn socket. A metal stem is inserted into the thigh bone to keep the ball in place.

These parts connect to create your new artificial hip.

A liner, usually made of plastic or ceramic, is placed between the metal or ceramic ball and cup to create a smooth surface for comfortable movement once you have healed.

Front view of hip joint with total prosthesis in place.

Online Medical Reviewer: Marianne Fraser MSN RN

Online Medical Reviewer: Raymond Turley Jr PA-C

Online Medical Reviewer: Vinita Wadhawan Researcher

Date Last Reviewed: 12/01/2024

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
walking figure

Bone and Joint Care

Find expert care for joint pain, injuries, and conditions that affect how you move at the HPH Bone & Joint Centers.

Learn More
Related Articles
Read article
Orthopedics
Understanding Tibia/Fibula Fracture Open Reduction and Internal Fixation (ORIF)

Open reduction and internal fixation (ORIF) is a type of treatment to fix a broken bone. It puts the pieces of a broken bone back together so they can heal. Open reduction means the bones are put back in place during surgery. Internal fixation means that special hardware is used to hold the bone pieces together.

Read article
Orthopedics
Understanding Meniscal Transplant Surgery

Meniscal transplant surgery is a surgery to replace a small piece of missing or damaged cartilage in the knee. The meniscus is replaced with one from a cadaver donor.

Read article
Orthopedics
Surgery for Shoulder Impingement: Your Experience

Surgery can help free up space in your shoulder joint. This relieves symptoms of impingement. Prepare for surgery as instructed. If you don’t, your surgery may have to be rescheduled. Your healthcare provider will give you instructions for recovering at home. If you have any questions, be sure to get them answered.

Read article
Orthopedics
Understanding Bone Grafting

Bone grafting is surgery to repair and rebuild bones that are damaged or diseased. This surgery can be done to fix bones almost anywhere in your body.