Health And Wellbeing For The Over 50s

Types of Hip Replacement Surgery in the UK

types of hip replacement surgery

Hip replacement surgery is commonly used to overcome and remedy severe damage and pain caused by arthritis of the hip. Arthritis is a disease in which cartilage (the cushion between bones that helps bones to easily move against each other) breaks down. With damaged cartilage, the bones rub against each other and become worn.

Your hip joint is made up of a ball and socket. The ball is the top of the thighbone (femoral head). The socket area (acetabulum) is inside the pelvis. The surfaces of the ball and socket are covered with cartilage that enables them to move easily.

In hip replacement surgery, an artificial, synthetic prosthesis which naturally mimics the hip joint, is used to replace the joint or part of it. 

But what types of hip replacement surgery are available and what do they involve?


Types of Hip Replacement Surgery

Total Hip Replacement: What does it involve?

types of hip replacement surgery

A total hip replacement removes both the ball and socket from the damaged joint and replaces it with a prosthesis which is an artificial part. This is done via an anterior (front), posterior (back) or lateral (side) approach. The anterior approach is more technically challenging whereas the posterior and lateral approaches provide the surgeon with a better view of the hip joint.

The surgery usually takes around two hours.



Desired results will be visible during the first year after the total hip replacement surgery. According to follow-up studies, total hip replacement surgery reliably reduces pain and improves function and quality of life for up to 25-30 years (1)(2).

Partial Hip Replacement: What does it involve?

In partial hip replacement surgery, your surgeon replaces the femoral head (ball) and not the socket. This type of surgery is used to treat certain femoral head fractures or to treat local cartilage defects of the femoral head in order to postpone the need for total hip replacement surgery. The surgery will typically take one to two hours.



Following partial hip replacement surgery, patients can expect relief from pain and improvements in hip joint functioning. For patients with hip fractures, the outcomes for full or partial hip replacement surgery are similar (3).

Hip Resurfacing: What does it involve?

In hip resurfacing, the femoral head and neck are not removed. Instead the femoral head is trimmed and capped with a smooth metal covering. The damaged bone and cartilage within the socket are replaced with a metal shell, just as in total hip replacement. The surgery can usually last from 1-1/2 to 3 hours.



Hip resurfacing offers greater retention of a normal hip joint, higher femoral bone preservation, lower dislocation rate and potentially easier revision surgeries (4). According to a study, the performance of hip resurfacing continued to provide desired results at 12-15 years of follow-up (5).

Hip Implants

Hip implants are medical devices intended to replace the defected hip joint. These are made up of metal, plastic, titanium, stainless steel, cobalt-chromium, polyethylene, ceramic materials or a combination of these materials.

These are the components of hip implants:

Implant Designs

Implant designs have unique features such as shape, size, material and dimensions that closely mimic the motion of the normal hip joint. Each design has benefits and risks. The surgeons may have a preference for a particular implant, depending on your hip anatomy. Several companies produce high-quality hip implants but the most popular of them are Stryker, Smith+Nephew, Zimmer, and DePuy.

Latest Developments in Hip Replacement Surgery

Stryker Mako® Robotic-Arm Assisted Technology

Mako robotic-arm assisted surgery is performed with the assistance of a robotic arm for greater precision, better results and short recovery time. In traditional hip arthroplasty, information from static imaging such as X-rays, CT scans, or an MRI taken before surgery, allows your surgeon to plan the overall procedure. With Mako robotic-arm assisted surgery, the surgeon takes a CT scan and uploads it to Mako software to develop a 3D virtual model of your hip joint.


1Customized Patient’s Surgical PlanThe first step is patient-personalized surgical planning. Before the Mako-assisted surgery, a 3D virtual model is developed by taking a specialized CT scan of your hip joint to evaluate your: • Bone structure • Alignment of the hip joint • Surrounding tissues This information helps your surgeon determine the desired implant size, orientation, placement, and accurate positioning of the implant based on your unique anatomy.
2Continued assessmentMako provides real-time data to your surgeon throughout the procedure. This allows your surgeon to continually assess the joint movements and tension in order to adjust the surgical plan if desired.
3Preparing the BoneYour surgeon follows the personalized surgical plan while preparing the bone for the implant. The surgeon uses tracking pins along the hip that help the robot "see" your anatomy. After that, Mako's arm positions itself according to those measurements to create a virtual boundary so that your surgeon can guide Mako’s robotic arm to remove the arthritic bone and cartilage. A virtual boundary helps your surgeon to stay within the boundary as defined in your surgical plan.
4Positioning the ImplantThe Mako robotic arm guides the implant at the desired angle defined in the surgical plan. This ensures the alignment and placement of the implant with high precision (as defined in the surgical plan).

Mako Robotic Assisted Hip Surgery In The UK

Hospital NameCity/TownConsultantsCost
The Princess Grace Hospital (6) London
  • Professor Fares Haddad
  • Mr. Sujith Konan
  • Mr. Jonathan Miles
  • Mr. William Bartlett
  • Mr. Ali Bajwa
  • Professor Richard Field
  • Mr Arjuna Imbuldeniya
  • Mr. Rahul Patel
£12,363 excluding indicative consultant fee (7)
Sulis Hospital Bath (8) Bath
  • Mr. James Bernstock
  • Mr. Matthew Burwell
  • Mr. Sam Heaton
  • Mr. Paul Latimer
Nuffield Hospital Cambridge (9) Cambridge
  • Mr. Andrew Carrothers
  • Mr. Graham Keene
  • Mr. Stephen McDonnell
  • Mr. Chris Gooding
  • Mr. Joel Melton
£16,210 (10)
Spire Cambridge Lea Hospital (11) Histon and Impington
  • Mr. Ali Bajwa
  • Mr. Andrew Carrothers
  • Mr. Daud Chao
  • Mr. Chris Gooding
  • Mr. Graham Keene
  • Mr. Alastair Vince
  • Mr. Vikas Kanduja
  • Mr. Stephen McDonnell
  • Mr. Joel Melton
£14,330 (12)
Spire Manchester Hospital (13) Manchester
  • Mr. Bilal Barkatali
  • Mr. Simon Barton
  • Professor Max Fehily
  • Mr adam Hoad-Reddick
  • Mr. Ahmad Mobeen Ismail
  • Professor Sanjiv Jari
  • Mr. Jeremy Jarrat
  • Mr. Winston Kim
  • Mr. Andrew Lavender
  • Mr. Sanat Shah
£13,480 (14)
Manchester Hip Clinic (15) Manchester
  • Professor Max Fehily
----- (16)
Fortius Clinic (17) London
  • Mr. Simon Bridle
£1250 (excluding hospital fees)
London Hip Practice (18) London
  • Professor Richard Field
  • Professor John Hollingdale
  • Mr. Charles Gibbons
  • Mr. Panagiotis Gikas
  • Dr. Anwar Hussein
£2600 – £4100 (19) (excluding hospital fees)
The Beardwood Hospital (20) Blackburn
  • Mr. Gordon Shepard
  • Professor Kuntal Patel
The Albyn Hospital (21) Aberdeen
  • Mr. Robert Duthie
  • Mr. Scott Barker
£16,710 (22)
The Alexandra Hospital (23) Cheadle
  • Mr. Winston Kim
  • Mr. Adam Hoad-Reddick
  • Mr. Sanat Shah
  • Mr. Tahir Mahmud
  • Mr. Rama Mohan
£15,200 (24)
The Princess Margaret Hospital (25) Windsor
  • Mr. Rishi Chana
  • Mr. Alastair Davidson
  • Mr. Rakesh Kucheria
  • Mr. Vikas Vedi
Woodlands Hospital (26) Darlington
  • Mr. James Webb
  • Mr. Andrew Port
  • Mr. Craig Alisdair White
  • Mr. Joseph Sudhakar
  • Mr. Jonathan Loughead
£13,000 (27)
The BMI Winterbourne Hospital
The BMI Harbour Hospital
The Nuffield Hospital
  • Mr. Simon Garrett
£10,500 - £13,000 (28)
Spire Little Aston Hospital (29) Birmingham
  • Mr. Ash Gulati
  • Mr. Javed Iqbal
  • Mr. Shiv Jain
  • Mr. Amit Kotecha
  • Mr. Sabur Malek
  • Mr. Callum McBryde
  • Mr. Daviya Prakash

Smith+Nephew CORI Surgical System

CORI surgical system is small, portable and capable of performing computer-guided hip surgery on a single platform. It eliminates the radiation exposure associated with pre-operative CT scanning. Smith+Nephew recently introduced RI.HIP MODELER and RI.HIP NAVIGATION for its CORI Surgical System (30). This Real Intelligence system enables the surgeon to work with a greater degree of precision. Smith+Nephew recently received 510(k) clearance in 2022 from the United States Food and Drug Administration (FDA) for use on its CORI Surgical System.


1Hip Navigation (Pre-operative Planning)Before surgery, the surgeon will create a 3D representation of the unique shape and profile of your hip joint without the need for a pre-operative CT scan or MRI. This 3D representation helps your surgeon finalise and verify the right size implant for you. This will enable them to create a detailed surgical plan for how your replacement will be placed to optimize movement and function.
2Advanced image-free Smart mapping CORI technology uses RI. HIP NAVIGATION that enables:
  • Individualized component alignment
  • Digital measurement of leg length
  • Patient’s pelvic tilt navigation
  • Hip instability navigation

CORI technology also uses RI. HIP MODELER that helps:
  • Assess patient spinopelvic mobility
  • Evaluate cup placement
  • Assess implant impingement
3Preparing the BoneAfter collecting patient-specific data, the CORI sends precise information about your hip joint to the robotic-assisted hand piece more than 300 times per second. This allows your surgeon to remove damaged surfaces, balance your joint and position the implant with accuracy.
4Positioning the ImplantAfter preparing the site for the prosthesis, the surgeon will precisely position the implant.

OrthAlign® Surgical System

In 2019, OrthAlign.lnc launched HipAlign for surgical navigation in total hip arthroplasty. HipAlign (31) is a handheld cell phone-sized navigation unit that leverages micro-electromechanical sensors such as gyroscopes and accelerometers to register patient anatomy intra-operatively, and then to live-navigate instrumentation. It enables:

HipAlign helps determine the orientation of an acetabular cup and assess changes in leg length for total hip replacements. It also displays the abduction and anteversion angles (range of motion angles) during acetabulum cup placement and assesses changes in leg length while trialing and during final implantation.

For a comprehensive guide to the cost of hip replacement surgery in every hospital in your area, follow this link to our recent article:

Hip Replacement Surgery: Should you Stick with the NHS or go Private?


Hip replacement is a surgery focused on reducing pain and getting you back to normal activities. Modern advancements in hip replacement technology and the types of hip replacement surgery are having a big effect on the success rate of the surgery.

However, deciding to undertake a hip replacement is a decision that should not be taken lightly. There are possible risks and complications that you should be aware of, and a full recovery can take months. But if other treatment options have failed to provide adequate pain relief, it may be a decision well worth making in the long term.