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Higher with low-volume surgeons and comorbidity."},"contraindications":["Active infection in the hip or elsewhere (absolute)","Severe uncontrolled medical illness making anesthesia unsafe","Insufficient bone stock or severely compromised abductor function (case-dependent)","Neuropathic joint or severe neuromuscular hip instability (relative)","Poorly controlled diabetes, very high BMI, smoking (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical primary total hip replacement; many centers discharge in 1-2 nights, some enhanced-recovery pathways use same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":12,"unit":"weeks","qualifier":"Low-impact activities such as walking, swimming and cycling after surgeon clearance; high-impact sport is often discouraged."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Full strength, gait and pain relief usually continue to improve up to about a year."},"fly_home_after_days":{"min":14,"max":42,"unit":"days","qualifier":"Short-haul from about 2 weeks if wound healed and walking safe; long-haul at 4-6 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and suture or staple removal if non-absorbable closure used."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"Clinical and sometimes radiographic review at about 6-8 weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":84,"max":365,"unit":"days","qualifier":"Later review at about 3-12 months after surgery, with timing varying by surgeon."}}],"indications":["Advanced hip osteoarthritis with pain despite non-surgical treatment","Inflammatory arthritis, e.g. rheumatoid, with joint destruction","Avascular necrosis of the femoral head with collapse","Displaced femoral neck fracture in suitable patients","Post-traumatic hip arthritis","Hip dysplasia with secondary degenerative arthritis"],"main_risks":["Deep vein thrombosis and pulmonary embolism","Infection of the joint or wound","Dislocation of the prosthesis","Leg length difference","Periprosthetic fracture","Nerve or blood vessel injury","Implant loosening or wear over time","Persistent pain or stiffness","Bleeding and anesthesia-related risks"],"pain":"Moderate to significant pain in the first days, controlled with multimodal analgesia; usually settles substantially over 2-6 weeks, with residual ache possible for some months.","preparation":["Pre-operative medical assessment with blood tests and ECG as indicated","Hip imaging (X-ray, sometimes CT/MRI) and implant planning","Review of all medications and allergies with the surgical team","Optimise diabetes, anemia and weight; stop smoking","Dental, skin and urinary infection screening","Fasting before surgery as instructed","Home preparation, walking aids, pre-operative exercises and education"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Mobilisation with physiotherapist on the day of or after surgery, pain control, and thrombosis prevention.","restrictions":["Walking with frame or crutches","Follow hip precautions if advised by surgeon"]},{"phase":"Early recovery (weeks 1-6)","description":"Progressive walking, home exercises, wound healing; transition from two crutches to one or a stick.","restrictions":["No driving until cleared","Avoid extreme hip flexion or twisting as advised","Avoid heavy lifting"]},{"phase":"Functional recovery (weeks 6-12)","description":"Walking without aids in most patients, return to desk work and light activity, strength rehabilitation.","restrictions":["Avoid high-impact activity"]},{"phase":"Late recovery (3-12 months)","description":"Continued strength gains and gradual return to low-impact recreational activity; final outcome reached.","restrictions":["Avoid high-impact and contact sports unless cleared"]}],"rehabilitation_days":{"min":42,"max":84,"unit":"days","qualifier":"Walking aids for 2-6 weeks; daily activities and driving resume at 6-12 weeks."},"result_longevity":"Modern implants often last 15-20 years or longer, but durability varies with implant type, age, activity level and weight.","revision_rate_pct":{"min":3,"max":7,"unit":"percent","qualifier":"Revision within about 10 years; higher at 15-20 years and varies with implant and age."},"scars":"One scar: 10-20 cm on the side or back of the hip, or 8-12 cm on the front. It fades to a thin line over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for one hip; bilateral surgery is a separate or combined scenario."},"stages":[{"code":"hip_replacement_surgery","label":"Total hip replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Primary unilateral total hip replacement in one operation."},"success":{"metric":"Implant survival (freedom from revision for any cause)","value":95,"unit":"percent","horizon":"10 years","evidence_status":"proven","population":"Adults after primary total hip replacement for osteoarthritis; about 85-90% survive at 15-20 years."},"techniques":[{"name":"Posterior approach","suits_whom":"Most common approach, suitable for a wide range of patients and complex anatomy.","recovery":"Early walking; hip precautions often advised for several weeks."},{"name":"Direct anterior approach","suits_whom":"Selected patients, often with lean build, by experienced surgeons.","recovery":"Often quicker early mobilisation; fewer movement precautions in some protocols."},{"name":"Lateral (anterolateral) approach","suits_whom":"Patients where lower dislocation risk is prioritised.","recovery":"Possible temporary limp from abductor irritation; recovery otherwise similar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for primary unilateral total hip replacement, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Pelvis and hip X-ray, AP and lateral","Hip MRI or CT report (if available)","Orthopedic surgeon's report or clinical summary","List of blood thinners","Previous hip or spine surgery records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 2-6 weeks until flight clearance. Later reviews usually at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=berlin/procedure=zamena-tazobedrennogo-sustava/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":341,"name":"Solingen","alias":"solingen","country_iso_code":"DE"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":115},"manualSeo":[],"updatedAt":"2026-11-04T19:28:55.000Z","activeCountries":["DE","ES","TR","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}