Total Hip Replacement

Total Hip Replacement in Maryland & the DC Metro Area

Our fellowship-trained hip replacement surgeons serving Maryland and the DC Metro Area offer both anterior and posterior approaches with robotic-assisted precision, helping you return to an active, pain-free life.

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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.

When to Consider Hip Replacement

Our Hip Replacement Team

Satheesh Ramineni, MD
Hip Replacement
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Sameer Saxena, MD
Hip Replacement
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Scott Berkenblit, MD
Hip Replacement
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Anterior Approach for Hip Replacement

Accesses the hip joint from the front, working between muscles rather than cutting through them.

  • Muscle-sparing technique
  • May allow faster early recovery
  • Reduced hip precautions after surgery
  • Same-day or next-day discharge for most patients

Posterior Approach for Hip Replacement

Accesses the hip joint from the back, providing excellent visualization for complex anatomy.

  • Well-established, time-tested approach
  • Excellent for revision and complex cases
  • Outstanding long-term implant survival
  • Broader implant options available
ROSA Robotic Hip Replacement system

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.

  • Deep groin or thigh pain during activity
  • Hip pain at rest or that wakes you at night
  • Stiffness limiting the ability to bend or rotate the hip
  • Difficulty putting on shoes or socks
  • Limping or altered gait
  • Pain that radiates to the knee
  • Inability to walk comfortably
  • Failure to improve with conservative treatment
  • Hip osteoarthritis (bone-on-bone)
  • Rheumatoid arthritis of the hip
  • Post-traumatic hip arthritis
  • Avascular necrosis (AVN) of the femoral head
  • Hip dysplasia
  • Failed previous hip replacement (revision)
  • Femoral neck fracture (in select patients)
  • Total hip replacement (anterior approach)
  • Total hip replacement (posterior approach)
  • ROSA robotic-assisted hip replacement
  • Hip resurfacing
  • Revision total hip replacement
  • Minimally invasive techniques
  • Ceramic and highly cross-linked polyethylene bearings
  • Post-operative physical therapy & rehabilitation
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.

Related Specialties

Joint Replacement Hip Physical Therapy

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