Partial Hip Replacement (Hemiarthroplasty)
Only the femoral head is replaced with a metal prosthesis, preserving the patient's own acetabular socket — the standard surgical treatment for displaced femoral neck fractures in elderly patients.
What is Partial Hip Replacement (Hemiarthroplasty)?
A partial hip replacement (hemiarthroplasty) replaces only the femoral head (the ball of the hip joint) with a metal prosthesis while preserving the patient's own acetabular cartilage and socket. It is the standard of care for displaced intracapsular neck of femur fractures in elderly, lower-demand patients, where the shorter operation time and immediate weight-bearing capability are significant advantages. Bipolar hemiarthroplasty uses a dual-articulation head that reduces wear on the acetabular cartilage compared to a unipolar design, and is the preferred implant in most patients. The key advantage over total hip replacement in fracture cases is reduced operative time, less blood loss, and lower dislocation risk.
Suitable for elderly or lower-demand patients with displaced intracapsular femoral neck fractures, and selected patients with avascular necrosis of the femoral head who are not candidates for total hip replacement due to age, activity level, or co-morbidities.
How the Procedure Works
Fracture Exposure
A posterior or anterolateral approach exposes the fractured femoral neck and head.
Femoral Head Removal
The fractured femoral head is removed; the femoral canal is prepared (broached) for the prosthetic stem.
Implant Sizing & Trialling
The prosthesis is sized to match the resected femoral head; a trial reduction confirms stability and range of motion.
Final Implantation
The stem is cemented or press-fit; the bipolar head is assembled; the joint is reduced and tested through a full arc of movement.
Early Mobilisation
Full weight-bearing with a walking frame begins on day one or two — restoring independence rapidly.
Outcomes
Who Needs This Treatment?
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Significantly shorter operation time than total hip replacement — reduces anaesthetic risk in elderly patients
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Full weight-bearing allowed from day one — critical in frail patients to prevent bed complications
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Bipolar design reduces long-term acetabular wear
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Can be converted to total hip replacement if acetabular cartilage wears later
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Lower dislocation risk compared to total hip replacement
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Highly reproducible procedure with well-established outcomes
"In a frail elderly patient with a hip fracture, getting them back on their feet the next day is the primary goal — it prevents pneumonia, blood clots, pressure sores, and deconditioning. Partial hip replacement makes that possible, and it saves lives."
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Partial Hip Replacement (Hemiarthroplasty) Cost in Hyderabad
The cost of Partial Hip Replacement (Hemiarthroplasty) in Hyderabad generally ranges from ₹1,50,000 to ₹3,00,000, with an indicative average cost of around ₹2,25,000. Hip hemiarthroplasty replaces the damaged femoral head while generally retaining the patient's natural acetabular socket. It may be considered in selected patients, particularly for certain femoral neck fractures or other conditions affecting the femoral head. The final cost depends on the indication, implant selection, bone quality, surgical complexity, hospitalisation and postoperative rehabilitation.
| Procedure | Approximate Cost Range |
|---|---|
| Partial Hip Replacement / Hemiarthroplasty | ₹1,50,000 – ₹3,00,000 |
| Partial Hip Replacement / Hemiarthroplasty | ₹1,50,000 – ₹3,00,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. The quoted price applies to hip hemiarthroplasty, and the anatomical site and exact indication should be confirmed before treatment. Implant type, bearing surface, cemented or uncemented fixation and patient-specific surgical requirements can affect the final cost.
Factors Affecting the Cost of Partial Hip Replacement
The overall cost of hip hemiarthroplasty can vary depending on the underlying condition, implant selection, fixation method, bone quality, surgical complexity, hospitalisation and rehabilitation requirements.
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Underlying condition: The reason for hemiarthroplasty, such as a selected femoral neck fracture or another condition affecting the femoral head, can influence surgical planning and treatment requirements.
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Implant selection: The type, design and material of the femoral stem and head can significantly affect the overall implant cost.
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Bearing surface: Different femoral head materials and bearing options may have different costs and may be selected based on patient factors and surgeon preference.
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Cemented or uncemented fixation: The method used to secure the femoral stem can affect implant and procedure-related costs and depends on factors such as bone quality and patient characteristics.
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Bone quality: Osteoporosis, bone loss or other changes in bone strength may influence implant selection and fixation planning.
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Surgical complexity: Previous hip surgery, unusual anatomy, associated fractures or other medical factors may increase operative complexity and treatment costs.
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Preoperative investigations: X-rays, blood tests, ECG and other investigations may be required before surgery. These may be billed separately when not included in the package.
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Anaesthesia and hospitalisation: Anaesthesia, operating-room charges, medicines, nursing care and room charges may contribute to the final cost according to the package structure.
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Rehabilitation: Physiotherapy, walking assistance and gradual restoration of mobility are important after surgery. Extended rehabilitation services may be charged separately.
Insurance Coverage for Partial Hip Replacement
Partial Hip Replacement (Hemiarthroplasty) may be covered by health insurance when medically necessary, particularly for eligible hip fractures or other covered indications, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements, implant coverage, package inclusions and applicable out-of-pocket expenses with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with femoral head or femoral neck conditions and determine whether Partial Hip Replacement (Hemiarthroplasty) is appropriate based on the diagnosis, imaging findings, bone condition and overall health. During the consultation, the doctor may assess: Hip symptoms: The doctor may review hip pain, inability to bear weight, restricted movement, difficulty walking and limitations in daily activities. Injury history: For fracture cases, the mechanism of injury, timing of the injury and previous treatment may be reviewed. Fracture characteristics: The location, displacement and pattern of a femoral neck or related fracture may be assessed to determine the appropriate surgical approach. Hip joint condition: The condition of the femoral head and acetabular socket may be evaluated to determine whether hemiarthroplasty or another form of hip replacement may be more appropriate. Bone quality: Bone strength and other factors affecting fixation may be considered when selecting between cemented and uncemented implant options. Imaging findings: X-rays and, when indicated, additional imaging may be reviewed to assess the fracture, joint condition, bone anatomy and surgical requirements. Medical fitness: Existing medical conditions, medications and overall fitness for surgery may be assessed, particularly in older patients with hip fractures. Treatment suitability: Based on the overall findings, the doctor may discuss hemiarthroplasty and other appropriate treatment options according to the patient's diagnosis and clinical requirements.
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