What are common symptoms that may indicate I need hip replacement?

Common warning signs include deep groin or thigh pain during activity, hip stiffness that limits bending and rotation, and pain that persists even at rest. Other symptoms to watch for include hip pain that wakes you at night, difficulty putting on shoes or socks, limping or an altered gait, pain that radiates down the thigh toward the knee, inability to walk comfortably for more than short distances, and failure to improve with medications, injections, or physical therapy.

What conditions typically lead to hip replacement?

The most common cause of hip replacement is osteoarthritis — progressive wearing of hip cartilage that leads to painful bone-on-bone contact. Other conditions include rheumatoid arthritis of the hip, post-traumatic arthritis following a fracture or prior hip injury, avascular necrosis of the femoral head, hip dysplasia causing abnormal joint mechanics and early cartilage wear, femoral neck fracture in select patients, and a failed prior hip replacement requiring revision surgery.

What are my hip replacement treatment options?

Your surgeon will recommend the approach that best fits your anatomy and degree of arthritis. For most patients the decision is between an anterior and a posterior approach — both achieve excellent long-term results. Additional options include ROSA robotic-assisted hip replacement for precise cup placement and leg-length balance, hip resurfacing for younger high-activity patients, revision total hip replacement for a failed prior surgery, ceramic and highly cross-linked polyethylene bearing surfaces for long-term durability, and post-operative physical therapy and rehabilitation.

What is the recovery timeline after hip replacement?

Day of surgery: Walking with assistance from a physical therapist. 1 to 2 weeks: Home exercises and outpatient physical therapy begin. 2 to 4 weeks: Driving typically resumes; walking with decreased reliance on assistive devices. 6 to 8 weeks: Return to most daily activities and light work. 6 to 12 months: Full recovery; return to low-impact recreational activities.

Total Hip Replacement in Maryland | Precision Orthopedics & Sports Medicine

Understanding Total Hip Replacement

Total hip replacement (total hip arthroplasty) is a surgical procedure that removes the damaged ball (femoral head) and socket (acetabulum) and replaces them with prosthetic components. The procedure eliminates bone-on-bone friction, relieves pain, and restores hip function. At Precision Orthopedics & Sports Medicine, our fellowship-trained surgeons serving Maryland and the DC Metro Area offer both anterior and posterior surgical approaches and use ROSA robotic-assisted technology for enhanced precision. Learn more about our full range of joint replacement services.

ROSA Robotic-Assisted Hip Replacement

FDA-cleared robotic platform by Zimmer Biomet — used for total hip replacement

Step 1

Pre-Operative Planning

Your surgeon creates a patient-specific 3D model of your hip using advanced imaging, planning cup angle, stem position, and leg length before surgery begins.

Step 2

Real-Time Guidance

During surgery, ROSA tracks your anatomy in real time and guides the surgeon to execute precise bone preparation and acetabular cup placement.

Step 3

Leg-Length Balance

ROSA provides real-time measurements to help the surgeon achieve equal leg lengths and optimal hip stability — reducing the risk of post-operative limping.

Outcome

Precise, Lasting Results

Robotic precision leads to more consistent component positioning, reduced risk of dislocation, and supports a faster return to your active lifestyle.

The surgeon is always in control. ROSA acts as a highly intelligent surgical tool — it does not operate autonomously. Every decision and movement is directed by your Precision Orthopedics surgeon, with the robot providing precision guidance that enhances human skill.

Flexible Options

Self-Pay Total Hip Replacement Package

We offer a transparent, all-inclusive self-pay package for total hip replacement. The package includes your Precision surgeon's fee, the surgical facility fee, the anesthesia fee, the cost of the implant, ROSA robot fee (if applicable), and initial post-op visits in our clinic and physical therapy offices. These cases are performed at Charles Regional Surgical Center. This facility is an outpatient surgical facility and your surgeon will evaluate if your surgical case is appropriate for outpatient.

The package price is $25,000, with that amount due at the time of scheduling.

Frequently Asked Questions About Hip Replacement

Answers to common questions about total hip replacement surgery and recovery.

Common warning signs include deep groin or thigh pain during activity, hip stiffness that limits bending and rotation, and pain that persists even at rest. Other symptoms to watch for include:

Hip pain that wakes you at night or prevents restful sleep
Difficulty putting on shoes or socks due to limited range of motion
Limping or an altered gait that worsens over time
Pain that radiates down the thigh toward the knee
Inability to walk comfortably for more than short distances
Failure to improve with medications, injections, or physical therapy

The most common cause of hip replacement is osteoarthritis — progressive wearing of hip cartilage that leads to painful bone-on-bone contact. Other conditions that may require hip replacement include:

Rheumatoid arthritis of the hip
Post-traumatic arthritis following a fracture or prior hip injury
Avascular necrosis (osteonecrosis) of the femoral head
Hip dysplasia causing abnormal joint mechanics and early cartilage wear
Femoral neck fracture in select patients
A failed prior hip replacement requiring revision surgery

Your surgeon will recommend the approach that best fits your anatomy and the degree of your arthritis. For most patients the decision is between an anterior and a posterior approach — both achieve excellent long-term results. Additional options include:

ROSA robotic-assisted hip replacement for precise cup placement and leg-length balance
Hip resurfacing for younger, high-activity patients with well-preserved bone stock
Revision total hip replacement for a failed prior surgery
Ceramic and highly cross-linked polyethylene bearing surfaces for long-term durability
Post-operative physical therapy and rehabilitation to restore strength and mobility

The anterior approach accesses the hip from the front without cutting major muscles, which may allow faster early recovery. The posterior approach accesses the hip from the back and provides excellent visibility for complex cases. Both achieve excellent long-term outcomes.

Modern total hip replacements typically last 20 to 25 years or more with proper care. Advances in implant materials and surgical technique have continued to improve longevity.

Day of surgery: Walking with assistance from a physical therapist
1 to 2 weeks: Home exercises and outpatient physical therapy begin
2 to 4 weeks: Driving typically resumes; walking with decreased reliance on assistive devices
6 to 8 weeks: Return to most daily activities and light work
6 to 12 months: Full recovery; return to low-impact recreational activities

Yes. Precision Orthopedics uses the ROSA robotic system for hip replacement, providing real-time guidance for precise implant placement, leg-length balance, and component positioning.

Most patients return to walking, swimming, cycling, golf, and other low-impact activities. High-impact activities like running or jumping are generally discouraged to protect the implant longevity.

Total Hip Replacement in Maryland & the DC Metro Area

Understanding Total Hip Replacement

Anterior Approach for Hip Replacement

Posterior Approach for Hip Replacement