Introduction

Hip replacement surgery is a common and highly effective procedure that can dramatically reduce pain and improve mobility for those suffering from hip joint problems. For many patients, it offers a new lease of life and the chance to enjoy everyday activities once more. However, it’s natural to have concerns about what might not go as planned. What are the most common problems after hip replacement surgery? Knowing about these potential issues helps patients feel more confident and prepared, enabling them to take an active role in their recovery. Professor Paul Lee, a leading orthopaedic specialist, champions clear communication and personalised care — values that underpin the supportive approach at MSK Doctors.

Common Hip Replacement Problems: An Overview

Hip replacement surgery is generally safe with excellent success rates, but like any operation, it carries some risks. When talking about “common hip replacement problems,” we refer to a handful of complications that can affect recovery or long-term results. These include blood clots, nerve injuries, infections at the surgical site, and difficulties with mobility. As Wilson and Villar (2011) note, “The primary indication for hip arthroplasty has always been pain,” yet rising patient expectations now mean many are keen to return to active lifestyles after surgery. Sancheti (2011) emphasises the complexity of the procedure, explaining that a broad understanding of surgical principles is essential for good outcomes: “The 12 chapters of this book provide a basic overview of various aspects of total hip replacement surgery.” It’s also important to be aware of individual health factors; Metcalfe and colleagues (2016) highlight that “many preoperative and intraoperative risk factors...have been independently associated with postoperative short-term mortality,” making thorough assessment vital. By recognising the signs early and working closely with healthcare professionals, patients can navigate their recovery more safely and smoothly.

Blood Clots After Hip Surgery: Risks and Prevention

One of the more serious complications following hip replacement is the formation of blood clots. The most common types are deep vein thrombosis (DVT) — where clots form in the deep veins of the legs — and pulmonary embolism (PE), which occurs if a clot travels to the lungs. Both can be life-threatening if not treated promptly. These clots often develop because surgery can reduce blood flow and limit movement temporarily. Look out for signs such as swelling, pain, redness or warmth in the leg, and symptoms like sudden chest pain or difficulty breathing, which require urgent medical attention. Factors like older age, obesity, or history of clotting problems increase the risk. Thankfully, prevention strategies are well established. Early mobilisation (moving soon after surgery), wearing compression stockings, and sometimes blood-thinning medications are commonly used to reduce these hip replacement risks. Sancheti (2011) describes these practices clearly: “Total Hip Replacement Surgery – Principles and Techniques…is an authoritative textbook with a broad and comprehensive scope.” Following your medical team’s advice closely is essential for your safety.

Nerve Injury and Persistent Pain

Nerve injury after hip replacement is less common but important to be aware of. It can happen if nerves near the hip are accidentally stretched or compressed during surgery. Patients may notice numbness, tingling, or a burning sensation around the hip or down the leg. Some also experience persistent pain that can be distressing. Nerve recovery varies widely — some people improve within weeks, while others may take several months. Treatment typically involves pain relief, physiotherapy, and, when needed, specialist care. If new or worsening symptoms arise, it’s important to seek medical advice promptly to ensure the best possible outcome.

Post-Surgery Infections: Signs and Management

Infections after hip replacement are a serious concern but fortunately are quite rare. These infections can affect the wound or, in severe cases, the artificial joint itself. Warning signs include redness, swelling, increased pain, discharge from the wound, or fever. Wilson and Villar (2011) observe that “With advances in the technology surrounding hip replacement surgery and increasing patient expectations…there is a growing demand for hip replacement with the aim of returning to sporting activity.” This means patients are often motivated to get back to their routines, but they must never ignore infection signs. Prevention includes strict sterile techniques during surgery and the use of antibiotics. Should infection occur, early treatment with antibiotics is crucial, and sometimes further surgery may be needed to clear the infection. Don’t hesitate to contact your surgeon or GP if you suspect infection.

Mobility Limitations and Rehabilitation Challenges

Even after a successful hip replacement, some people find regaining full mobility challenging. Issues like stiffness, muscle weakness, or discomfort can linger, affecting day-to-day activities. These difficulties may stem from a range of causes, including pre-existing health conditions or insufficient rehabilitation. A carefully planned physiotherapy programme, supervised by experienced professionals such as Professor Paul Lee and the MSK Doctors team, is vital. This approach helps rebuild strength, improve flexibility, and restore confidence in movement. As Wilson and Villar (2011) highlight, “There is a growing demand for hip replacement with the aim of returning to sporting activity.” With the right support and commitment, most patients can achieve a satisfying level of function and enjoy a more active lifestyle. If you have lingering mobility issues, discussing them early with your care team will help tailor your recovery plan.

Frequently Asked Questions (FAQ)

Q1: How long do symptoms of complications usually last?
This varies depending on the complication. Blood clot symptoms need urgent treatment and may improve quickly once addressed. Nerve-related issues can take weeks or months to resolve, while infections persist until properly treated.

Q2: What warning signs need urgent medical attention?
Look out for leg swelling or redness, sudden chest pain or breathlessness, fever with wound redness or discharge, and new or worsening numbness or pain. These signs require prompt consultation with a healthcare professional.

Q3: How can patients best monitor their recovery at home?
Regularly check your surgical site for any unusual changes, keep track of how your movement improves, carefully follow your prescribed exercises, and report any concerning symptoms immediately to your medical team.

Conclusion and Responsible Disclaimer

Understanding the common problems that can arise after hip replacement surgery empowers patients to take charge of their recovery and seek help early when needed. Although complications such as blood clots, nerve injury, infections, and mobility issues might occur, with good care and professional support they are often manageable or preventable. The experienced team at MSK Doctors, led by Professor Paul Lee, is dedicated to guiding patients throughout every stage of their hip replacement journey, helping to ensure the best outcomes possible. For personalised medical advice, always consult a qualified healthcare professional.

References

Wilson, M., & Villar, R. N. (2011). Hip replacement in the athlete: is there a role? Knee Surgery, Sports Traumatology, Arthroscopy, 19(9), 1524-1530. https://doi.org/10.1007/s00167-011-1492-2

Sancheti, K. H. (2011). Total Hip Replacement Surgery. Indian Journal of Orthopaedics, 45(3), 286. https://doi.org/10.1007/bf03545755

Metcalfe, D., Perry, D. C., & Costa, M. L. (2016). Hip Fracture Surgery vs Elective Total Hip Replacement. JAMA, 315(9), 941. https://doi.org/10.1001/jama.2015.17852