Hip replacement - Luna Clinic Wrocław
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Orthopedics · Wrocław

Hip replacement in Wrocław

Hip replacement replaces a damaged joint with an artificial one, most often because of advanced osteoarthritis. The surgeon removes the damaged head of the femur and part of the socket and implants a cemented or uncemented prosthesis; the operation takes about 60-90 minutes. At Luna Clinic in Wrocław assessment is carried out by orthopaedic surgeon Krzysztof Ciechan, MD, PhD.

Hip replacement replaces a damaged joint with an artificial one, most often because of advanced osteoarthritis. The surgeon removes the damaged head of the femur and part of the socket and implants a cemented or uncemented prosthesis; the operation takes about 60-90 minutes. At Luna Clinic in Wrocław assessment is carried out by orthopaedic surgeon Krzysztof Ciechan, MD, PhD.

01

What does the procedure involve?

Hip replacement is an operation to replace the damaged joint with an artificial prosthesis (endoprosthesis) that replaces the worn joint surfaces. It removes chronic pain and restores fitness in advanced degenerative hip disease, allowing a return to activity without pain.

The most common indications for the procedure:

Advanced degenerative disease of the hip joint
Hip pain not subsiding despite conservative treatment
Limited joint range of motion and stiffness
Post-traumatic changes - necrosis of the femoral head, previous fractures
Rheumatoid arthritis (RA) and other inflammatory diseases
Active systemic or local infections
Severe uncompensated internal diseases (e.g. heart failure, advanced diabetes)
Poor bone quality (e.g. advanced osteoporosis without the possibility of stabilising the implant)
Extreme obesity (requires weight reduction before the operation)
Respiratory failure or neurological diseases preventing rehabilitation
02
Preparation

Preparation for the procedure:

Orthopaedic consultation oraz kwalifikacja do operacji

Laboratory tests

Hip X-ray and possibly 3D CT to select the type of prosthesis

Anaesthesiological consultation

Stopping anticoagulant and NSAID medications 7-10 days before the procedure

Dental prophylaxis - treating all inflammatory foci is recommended

03
Course of the procedure

Course of the procedure

The procedure is performed under regional (epidural) or general anaesthesia and takes about 60-90 minutes.

The operator makes a surgical incision in the hip area, removes the damaged head of the femur and a fragment of the acetabulum, and implants an appropriately selected prosthesis (cemented or cementless).

Drains and dressings are applied.

Rehabilitation starts as early as the first day after the operation; the timing of the return home is up to the doctor.

04
Recovery

Recovery and post-procedure recommendations:

Rehabilitation from day 1 - mobilisation, range-of-motion and muscle-strength exercises

Walking with a walker or crutches for 4-6 weeks

Limiting rotational movements and hip flexion > 90 degrees for about 2 months

No sitting on low chairs or crossing the legs

Regular orthopedic check-ups - after 2, 6 and 12 weeks

Return to office work possible after about 4-6 weeks

Return to physical activity (e.g. nordic walking, stationary bike) after 3 months

Infection of the wound or prosthesis

Bleeding, haematomas in the operated area

Deep vein thrombosis - pharmacological prophylaxis is used

Dislocation of the endoprosthesis - especially in the first weeks

Limb-length discrepancy (rare - correctable with an orthopedic insole)

Temporary or permanent weakening of muscle strength

05

Frequently asked questions

What does hip replacement involve?

The operation consists in replacing the damaged hip joint with an implant - an acetabular cup and a stem with a head. It removes the source of pain and restores mobility and gait efficiency.

When is a hip endoprosthesis needed?

In advanced degenerative disease, necrosis of the femoral head, post-traumatic and rheumatoid changes - when pain limits daily life despite conservative treatment.

How long does hip endoprosthesis implantation surgery take?

Usually 1-2 hours, under spinal anaesthesia. Mobilisation usually takes place on the first day after the procedure.

When will I start walking after hip replacement?

The first steps with a walker or crutches are usually taken on the first day after the operation. For the first weeks you walk with the support of crutches, gradually increasing the load.

How long does recovery take after a hip endoprosthesis?

Basic fitness is regained in 6-8 weeks, full fitness - up to 3-6 months. The pace depends on rehabilitation, age and condition before the operation.

How long does a hip endoprosthesis last?

Modern implants usually last 15-25 years. Durability is supported by: a correct body weight, activity without high-load sports and regular orthopedic check-ups.

Can you play sports after a hip endoprosthesis?

Yes - walks, cycling, swimming or nordic walking are recommended. Sports involving running, jumping and a risk of falling are discouraged; the details are determined by the orthopedist after rehabilitation is completed.

Which movements should be avoided after hip surgery?

In the first weeks: deep sitting, crossing the legs and strong internal rotation - according to the instructions you will receive after the procedure. This prevents dislocation of the endoprosthesis.

How to prepare for joint replacement?

Orthopedic consultation with X-ray, a full set of tests, anaesthesiological qualification, treatment of infection foci (teeth, urinary tract) and preparation of the home - removing thresholds, handles, raising the toilet seat.

Does hip surgery hurt?

The operation itself is painless thanks to anaesthesia, and we effectively control post-operative pain with medication. Most patients already feel the degenerative pain subside in the first days.

What are the possible complications of hip replacement?

Rare: infection, thrombosis, dislocation of the endoprosthesis, limb-length discrepancy, loosening of the implant over the years. Perioperative prophylaxis and rehabilitation minimise the risk.

How much does hip replacement cost in Wrocław?

Hip replacement starts at PLN 30,000 in our price list.

Is it covered by the NFZ (Polish public health insurance)?

Luna Clinic treats patients privately. Hip replacement is funded by the NFZ in contracted hospitals, after assessment and with a waiting time that depends on the hospital.

06
Indications

Indications - is this procedure for you?

The most common reasons patients come for the “Hip replacement” procedure:

  • Pain limiting daily activity, work or sleep.
  • Limited mobility, instability or “catching” in the joint.
  • A lack of sufficient improvement after conservative treatment and rehabilitation.
07

Contraindications

pregnancy and breastfeeding
active infections (especially in the operated area)
uncompensated chronic diseases: diabetes, hypertension, heart disease
blood clotting disorders or anticoagulant medications (require adjustment)
smoking - significantly worsens healing (a break is required)
unrealistic expectations regarding the result
08

Effects - when and for how long?

Effect: improvement builds up during rehabilitation. Durability: 15-20 years.

09
Complications

Safety and possible complications

As with any operation, the following are possible - though rare: haematoma, infection, sensory disturbances in the operated area, scar hypertrophy or the need for another procedure.

We minimise the risk at every stage: a sterile procedure suite, an experienced anaesthesiology team, careful qualification and post-operative monitoring. You have the right to know every aspect of the procedure - at the consultation we will discuss them honestly and without haste.

Krzysztof Ciechan, MD, PhD
Performed by

Krzysztof Ciechan, MD, PhD

Specialist in orthopedics and traumatology of the locomotor system

A specialist in orthopedics and traumatology of the locomotor system with over 13 years of experience in trauma and orthopedic surgery. A doctor of medical sciences, a graduate of the Wrocław Medical Academy; he also gained experience in hospitals in the United Kingdom, combining modern treatment techniques with an individual approach to the patient.

Orthopedics and traumatology13+ years of experiencePractice in the UK
First step

Take the first step

Book a consultation - an honest conversation about expectations, options and the treatment plan.

Hip replacement: price and consultation

Hip replacement costs from PLN 30,000 at Luna Clinic. The price covers the implant, surgery and post-operative care, and depends mainly on the type of prosthesis. You will receive a detailed quote after an orthopaedic assessment.

How to book

Call +48 666 850 666 (Monday-Friday, 9:00-17:00) or send the consultation form. All prices: Luna Clinic price list.

Where we are

Consultation and surgery: Luna Clinic, ul. Władysława Syrokomli 46, 51-141 Wrocław, Poland - in the Karłowice area of the Psie Pole district. There is parking for patients by the clinic. Directions and map