Hip Replacement in Pune | Deccan Hardikar Hospital

What is hip replacement surgery and who is it for?

Hip replacement surgery is a procedure in which a damaged or diseased hip joint is removed and replaced with an artificial implant to restore pain-free movement. Deccan Hardikar Hospital in Pune offers both conventional and robotic hip replacement under its orthopaedic and joint replacement programme, serving patients across Western Maharashtra. The procedure is indicated when hip pain significantly limits walking, bending, or daily activity and conservative treatments have failed.

Who needs hip replacement surgery?

Hip replacement is recommended when hip joint damage causes persistent pain and functional limitation that does not respond to non-surgical management. Common indications treated at Deccan Hardikar Hospital include:

• Avascular Necrosis (AVN) — disrupted blood supply to the femoral head causes bone tissue to die and collapse, frequently affecting younger adults.
• Severe Hip Osteoarthritis — progressive cartilage erosion leads to bone-on-bone contact, causing debilitating groin and thigh pain.
• Rheumatoid Arthritis — chronic autoimmune inflammation destroys the hip joint, resulting in stiffness and restricted movement.
• Ankylosing Spondylitis — inflammatory disease that can cause joint fusion and severe loss of hip mobility.
• Hip Dysplasia — abnormal hip development from childhood that alters joint anatomy and accelerates deterioration.
• Post-Traumatic Arthritis — arthritis arising from a previous severe hip fracture or dislocation.
• Intense groin or hip pain that limits walking, bending, or sleeping comfortably despite medication and physiotherapy.

How is hip replacement performed at Deccan Hardikar Hospital?

The surgical pathway at Deccan Hardikar Hospital follows a structured pre-operative, intra-operative, and post-operative protocol designed to maximise precision and minimise recovery time.

1. Pre-operative CT Scan and 3D Planning — A detailed CT scan generates a three-dimensional model of the pelvis and femur. Robotic software is used to select the exact implant size and plan optimal positioning matched to the patient's biomechanics.
2. Anaesthesia and Preparation — The patient receives appropriate anaesthesia. A muscle-sparing surgical approach is used to minimise soft-tissue disruption.
3. Removal of Damaged Joint — The deteriorated femoral head and damaged acetabular cartilage are carefully removed.
4. Robotic-Guided Socket Placement (Acetabular Cup) — The robotic arm guides the surgeon to prepare the socket and place the acetabular cup at the mathematically precise angle, reducing dislocation risk to near zero.
5. Femoral Stem Implantation — The femoral component is inserted with maximum bone preservation using controlled reaming techniques.
6. Leg Length Verification — Real-time robotic data confirms that leg length has been accurately restored before wound closure.
7. Wound Closure and Recovery Room — The incision is closed. The patient is monitored in recovery before transfer to the ward.
8. Early Mobilisation — The physiotherapy team initiates walking within 24 hours of surgery as part of the rehabilitation protocol.

What are the differences between conventional and robotic hip replacement?

Deccan Hardikar Hospital offers both conventional and robotic hip replacement. The table below compares the two approaches across key clinical parameters.

For complex anatomies — such as hip dysplasia or post-traumatic arthritis — the robotic system's 3D pre-operative mapping is particularly valuable in reconstructing altered joint geometry with sub-millimetre precision.

What does recovery look like after hip replacement surgery?

Recovery after hip replacement at Deccan Hardikar Hospital is supported by a dedicated inpatient and outpatient physiotherapy team. Expected milestones are outlined below.

1. Within 24 hours — Physiotherapy-assisted standing and initial walking with support begins.
2. Days 2 to 4 (Robotic) / Days 5 to 7 (Conventional) — Hospital discharge once mobility and pain thresholds are met.
3. Weeks 1 to 2 — Walking with a walking aid at home; wound care and swelling management.
4. Weeks 3 to 6 (Robotic) / Weeks 4 to 8 (Conventional) — Progressive physiotherapy to restore hip strength and range of motion; most patients transition off walking aids.
5. Weeks 6 to 12 — Return to light daily activities and low-impact exercise as cleared by the surgical team.
6. 3 to 6 months — Full functional recovery for most patients; follow-up imaging as advised by the surgeon.

What are the risks and considerations of hip replacement surgery?

Hip replacement is a well-established surgical procedure; however, like all major surgeries, it carries potential risks that patients should discuss with their surgeon before proceeding.

• Dislocation — The replaced joint can dislocate, particularly if activity restrictions are not followed. Robotic placement significantly reduces this risk through precise cup angulation.
• Infection — Deep joint infection is a serious but uncommon complication requiring prompt treatment.
• Blood clots (DVT/PE) — Deep vein thrombosis or pulmonary embolism can occur; anticoagulation and early mobilisation are used to reduce this risk.
• Leg length discrepancy — Minor differences in leg length can occur with conventional surgery; robotic verification minimises this risk.
• Implant wear or loosening — Over time, implant components may loosen, potentially requiring revision surgery.
• Nerve or blood vessel injury — Rare but possible during surgical dissection.
• Anaesthesia-related risks — Assessed individually based on the patient's overall health status.

Who performs hip replacement surgery at Deccan Hardikar Hospital?

Hip replacement procedures at Deccan Hardikar Hospital in Pune are led by fellowship-trained orthopaedic surgeons with specialised expertise in joint arthroplasty.

• Dr. Saurabh Giri — MBBS, MS (Orthopaedics), Fellowship in Revision Surgery Hip and Knee Arthroplasty. Dr. Giri brings 14+ years of clinical excellence and has trained extensively in Italy and Germany. He is part of the team that has performed over 1,000 robotic joint replacements at Deccan Hardikar Hospital.

To confirm surgeon availability or book a consultation, use the booking form on this page.

Why choose Deccan Hardikar Hospital for hip replacement in Pune?

Deccan Hardikar Hospital in Pune is a NABH Pre-Accredited superspeciality orthopaedic and referral centre with five decades of surgical experience serving Western Maharashtra.

• Over 1,000 robotic joint replacements performed — demonstrating consistent surgical volume and team proficiency with robotic systems.
• Internationally trained surgeons — Fellowship-trained in hip and knee arthroplasty with clinical training in Italy and Germany.
• Muscle-sparing, zero-dislocation-risk technique — Robotic arm guidance ensures sub-millimetre cup placement and mathematically verified leg length restoration.
• Comprehensive rehabilitation — Dedicated inpatient and outpatient physiotherapy team initiates walking within 24 hours of surgery.
• Insurance and TPA support — Robotic hip replacement is covered by most major health insurance policies; the hospital's dedicated team manages pre-authorisation and cashless documentation.
• Patient-centric environment — Transparent cost structure, compassionate care, and a setting designed to feel comfortable throughout the treatment journey.

For a full overview of the robotic joint replacement programme, see Robotic Joint Replacement at Deccan Hardikar Hospital. Patients requiring knee replacement can also access the same robotic precision platform.