Artificial hip joint: When is the right time for hip surgery?

Those who frequently feel pain in the groin, when getting up, or climbing stairs eventually ask themselves: Is this still normal – or is there more to it? If joint pain no longer improves despite physiotherapy, medication, and exercise, an artificial hip joint may be the next sensible step. But when is the right time for a hip replacement? Which season is suitable for the surgery? And what if both hips are affected? This article provides answers – clear, honest, and patient-focused.

When should a hip replacement be considered?

An artificial hip joint becomes necessary when the natural hip is so damaged by osteoarthritis, injuries, or malpositions that everyday life is severely impaired.

Typical warning signs:

Severe pain in the groin or thigh, often at night
Problems putting on shoes or pants
Limping or gait instability
Restricted movement despite therapy
Chronic pain despite pain medication

Should one rather operate earlier with very severe pain – or wait?

The longer one waits despite persistent complaints, the more the condition can worsen – not only on the joint itself, but also on the muscular system, mobility, and ultimately also on the quality of life. Those who hesitate too long with the surgery risk that the rehabilitation will be more difficult and take longer. In many cases, it therefore makes sense not to wait too long with a clear diagnosis and persistent complaints – but to become active in good time.

I never take the decision to have hip surgery lightly with my patients – but always when quality of life, mobility, and freedom from pain suffer significantly.

Can both hips be operated on at the same time?

If both hip joints are severely affected, many people ask themselves: Does it make sense to operate on both sides at the same time?

Answer: Yes, in certain cases a bilateral hip surgery is possible. It is performed in one procedure and can bring advantages for healthy, fit patients:

only one hospital stay
no double rehab time
harmonious gait from the beginning

Whether this method is suitable is checked individually – depending on the state of health, musculature, and surgical risk.

Is there a “best” season for hip surgery?

From a medical point of view, there is no bad time. Nevertheless, it is worth taking a look at the seasons:

Spring & Autumn: Pleasant climate with moderate temperatures supports a pleasant and safe recovery phase, as it involves a lower risk of slipping than in winter and fewer heat problems than in summer
Summer: Less and lighter clothing makes everyday life easier, for example when dressing and undressing. Movement is usually easier, muscles relax better, and sun and daylight promote mood and well-being – ideal conditions for a successful recovery.
Winter: Cooler, risk of slipping due to snow and ice can make walking difficult at first, but rehab time can be used well to be active again in spring

More important than the season is often the personal life situation: Those who are professionally flexible or have family support can use the time around the surgery in a targeted manner. It is important to organize rehab and any help in everyday life in good time.

How is the surgery performed and how long does it take?

The actual hip surgery takes approximately 60 to 90 minutes. Dr. Maximilian Kasparek primarily uses the AMIS technique (anterior minimally invasive surgery). This involves inserting the artificial hip joint through an anterior approach without cutting muscles, which significantly accelerates healing.

Read more about the muscle-sparing variant here: Hip Replacement with Bikini Incision

Procedure in brief:

Admission and surgical preparation
Surgery under general or partial anesthesia
Recovery phase & pain therapy
Mobilization often on the same day

Conclusion: The right time is when quality of life suffers

An artificial hip joint is not a sign of age, but an opportunity for new mobility. Anyone experiencing pain, limited movement, or daily concerns should seek timely advice – so that hip surgery becomes a genuine improvement, not a last resort.

Frequently Asked Questions about Hip Surgery

1. At what age is a hip replacement advisable?

The decision is not based on age, but on the level of discomfort. Even 40-year-olds can be affected – as can fit 85-year-olds who wish to remain active.

2. How does overweight affect hip surgery?

Excessive body weight increases the risk of wound healing complications and infections and can impair the durability of the prosthesis. It is advisable to reduce weight beforehand – ideally with medical supervision. Find out more on our page about Osteoarthritis Therapy.

3. Is surgery still advisable for those over 80?

Yes, if the general health condition is stable. Many older individuals regain quality of life and independence through the surgery.

4. How long does rehabilitation take?

The initial phase of rehabilitation after a hip replacement typically lasts about 3 to 6 weeks. After this, daily activities can usually be managed largely independently again. Subsequently, targeted muscle and gait training is recommended for a period of at least 6 to 12 weeks to further improve strength and mobility.

5. When can I drive a car again?

Usually after 4–6 weeks – when the leg can be safely weight-bearing and the brake pedal can be pressed quickly.

6. Can I play sports with a hip replacement?

Yes! Swimming, cycling, Nordic walking, yoga, or cross-country skiing are ideal sports. Important: Joint-friendly and regular. More information: Hip Replacement and Sports

7. How long does a hip replacement last?

A hip replacement typically lasts 15 to 20 years, often significantly longer. Thanks to gentle surgical procedures and modern materials, hip prostheses can be very durable today.

8. What are the risks?

As with any surgery, risks such as infections, thrombosis, bone fractures, leg length discrepancies, dislocations, or nerve damage can occur during hip replacement surgery. However, due to careful preoperative planning, standardized surgical techniques, experienced surgeons, and structured aftercare, complications are very rare.

9. Do I have to use crutches?

Yes, for approximately 4–6 weeks. They help relieve pressure on the joint and ensure safe mobility.

10. How soon will I be mobile again?

Many patients walk around the room with a walking aid on the day after surgery. After a few weeks, walks and light daily activities are possible.

Priv.-Doz. DDr. Maximilian Kasparek, MSc supports you with many years of experience, state-of-the-art surgical methods, and an open ear for your individual questions.

Schedule your appointment now for a personal consultation.

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