Frequently asked questions

Your Hip Replacement questions answered in videos by one of our surgeons Dr. Kristian Kley.

What are the benefits of your Hip Replacement Surgery?

I have asked myself the same question when I changed my practice and switched to the Röttinger approach. The surgical technique is much more efficient and therefore a reduced risk profile for the patient. The minimally invasive approach allows a much faster recovery and many more happy patients. 

What makes your Hip Replacement Surgery different from other methods?

The uniqueness of the Röttinger approach extends beyond the technique itself; it encompasses a comprehensive hip replacement package that is distinct within the UK. Our commitment to delivering exceptional care is evident through the collaboration of a seasoned team of clinicians who perform the surgery, as well as dedicated recovery nurses and skilled physiotherapists. Our aim is to provide you with an unparalleled experience, ensuring that you receive the utmost care and support throughout your journey.

How long does it take to recover from your Hip Replacement Surgery?

The distinctive feature of the Röttinger approach is its focus on facilitating rapid recovery, aiming to have you mobile as soon as possible. A significant number of our patients are able to walk on the same day as their surgery, with many doing so without the need for crutches.

While the complete recovery process may span weeks or even months, achieving an 80% recovery level within the initial days following the procedure is considered a great outcome.

How safe is your Hip Replacement Surgery?

While no major joint surgery is entirely without risk, certain key factors such as dislocation, infection, and deep vein thrombosis (DVT) can pose significant concerns in traditional hip replacements. Our technique distinguishes itself by avoiding muscle detachment and employing a streamlined surgical process, resulting in swift recovery. This approach reduces the risk of DVT, lowers the likelihood of infection due to shorter surgery duration, and notably minimises dislocation risk through both muscle trauma prevention and automatic centralisation of the hip joint. As a result, the prominent risks associated with our approach are significantly reduced.

Will my Hip Replacement operation and recovery be painful?

Pain associated with this intervention is a common occurrence, which is to be expected. Surgery of this nature, particularly extensive joint procedures, naturally entails some level of discomfort. However, owing to the minimised trauma and reduced muscle impact inherent in our approach, we can anticipate lower pain levels. Typically, the most intense discomfort is experienced on the day following the surgery, coinciding with the onset of swelling. Therefore, it’s advisable to brace yourself for heightened discomfort on the second day post-intervention. Subsequently, relief is to be expected, and by the third day, the pain should have notably improved.

How long will I stay in hospital following my Hip Replacement?

Employing the Röttinger technique accelerates the patient’s recovery substantially. Once the patient is able to walk comfortably, we can proceed with their discharge, removing the need for an extended hospital stay (if it’s not required). The majority of patients are discharged either on the same day as the surgery or on the following morning. However, should there exist a medical rationale for an extended stay, we are fully equipped to accommodate such circumstances.

Can I speak to someone that has had your hip replacement procedure?

We can sometimes arrange for future patients to have a conversation with patients who have had our hip procedure. This allows you to directly ask questions about the surgery, recovery and outcomes. Please contact us if you would like to find out more.

How much does your hip replacement cost?

Please contact us for our latest procedure costs and to find out more about our 0% finance options.

Is there a waiting list for your hip replacement surgery?

No, there is no waiting list for our hip replacement surgery. So you can book your surgery immediately and have it in days, rather than months or years on the NHS.

What makes your hip replacement surgery different from other methods?

Our hip replacement technique is less invasive and has a lower impact on the body than traditional methods. We have perfected our approach to make the surgery as safe as possible, allowing patients to recover quickly. Additionally, our surgery is affordable, making it accessible to more people.

What’s the difference between the Röttinger method and standard hip replacement surgery?

Traditional hip replacements usually involve a larger incision and significant cutting through muscle and tissue, which can result in pain and scarring. Our minimally invasive method requires a small incision over the front of the hip joint area, with no muscle cutting and minimal tissue damage. You’ll likely experience minimal pain and be back on your feet the same day. In addition, with traditional hip replacement surgery patients can take up to six weeks to walk without crutches. With the Röttinger method, most patients can walk without crutches on the day of surgery and, in some cases, don’t need to use them.

Who is this hip replacement procedure for?​

This type of surgery works well for patients who need a total hip replacement so they can return to their normal active lifestyle as quickly as possible. However, if you have issues with more than one joint, or you also have other health problems, this procedure might not be the best option for you. You’ll be able to discuss your expectations with your consultant during your first appointment and they’ll be able to advise you about the best type of surgery.

What’s the main reason people choose this type of hip replacement?​

Most people who opt for this type of minimally invasive hip replacement procedure are aiming to return to an active lifestyle, including sport, without any restrictions as quickly as possible.

What are the benefits of your hip replacement surgery?
The benefits of our hip replacement surgery include:
  • A safe and minimally invasive procedure
  • Faster recovery times
  • Lower risk of complications
  • More affordable pricing
  • Back on your feet faster
Will my hip replacement and recovery be painful?

There will be some discomfort, as there is with any surgery. But, because this surgery is quicker and less invasive, with a smaller incision than other hip replacement procedures, you should have minimal pain. Most patients record their pain level at 2-3 out of 10 after their surgery – and, in most cases, significantly less pain than before surgery. Traditional hip replacement surgery involves a larger incision and significant cutting of muscle and tissue, so there is more pain and scarring. Our less invasive method involves minimal tissue damage and no muscle cutting. That’s why you’ll be pain-free and mobile much faster.

Who performs your hip replacement surgery?
Hip replacement surgery is carried out by our world-class surgical team, including two internationally renowned hip surgeons who specialise in the Rottinger method. They are supported by an experienced multidisciplinary team of theatre nurses and other healthcare professionals.
How safe is your hip replacement surgery?

Hip replacement surgery is considered a safe procedure, with more than a million people undergoing a total hip replacement globally each year. Our approach uses an innovative technique that minimises damage to muscle and tissue, resulting in less pain, and faster healing, with a low risk of post-operative complications.

What are the chances of hip dislocation following this procedure?

Dislocation following total hip replacement surgery is a concern for patients. In the United Kingdom, this occurs in approximately 1 to 5% of cases, primarily within the initial weeks post-surgery.

Given that the UK performs a substantial number of hip replacements annually—approximately 100,000—the occurrence of dislocation warrants attention.

Dislocation is a significant complication that often necessitates corrective measures, involving the removal of the existing components and subsequent replacement with new ones. This process does not guarantee success.

However, our distinctive approach has yielded remarkable results. In a series of over 3000 hip replacement surgeries, performed by a single surgeon, we have achieved a remarkable outcome: zero instances of dislocation. This highlights the efficacy of our approach and the potential to substantially reduce the risk of this complication.

How long will I be in hospital?

In most cases, you can leave the hospital on the same day. And because the procedure is soft tissue (eg muscle) preserving, your rehabilitation and recovery should be straightforward.

Where is your hospital?

We have several central london locations, and during your booking process you will be booked in to whichever clinic is most suitable.

Will I be able to bring a relative with me?

Yes, relatives can stay with you before and after the surgery.

Can I split the cost over a longer period?

Yes. We understand that many people struggle to cover the cost of major surgery like a hip replacement. That’s why we offer three payment options: self-pay, a medical loan, or medical insurance. Our medical loan option allows you to split the cost into 6-12 months of interest-free payments.

How do I pay for the hip replacement surgery?
You can pay for your hip replacement surgery in various ways, including self-pay (via credit, debit, or bank transfer), splitting the cost into 6-12 months of interest-free payments, or through your medical insurance provider.
How long does it take to recover from your hip replacement surgery?

Our hip replacement surgery allows most patients to walk and climb stairs with crutches on the same day as the surgery. Walking normally usually takes just a few weeks.

What is included in the hip replacement surgery package?

Our hip replacement surgery package includes everything you need, from consultation to recovery. It includes the initial appointment and diagnosis; pre-assessment and informed consent; the hip operation itself; and follow-up rehabilitation. In addition, all related surgical fees, including the anaesthetist, are included in our care package.

Do I need a blood test prior to my procedure?

Patients, especially those taking specific medications like blood thinners, might require a blood test before undergoing surgery. Our dedicated team can arrange this blood test for you, albeit with an additional charge. Rest assured, you will receive prior notification before the procedure.

We’ll explain your surgery in detail, so you’ll know what to expect at every stage, from treatment to recovery, including the risks and complications. You’ll have plenty of time to ask questions and discuss what’s involved before you’re invited to consent to the procedure 

Do I get any physiotherapy following my hip replacement procedure?

After your procedure, you’ll have an appointment with our physiotherapist. They’ll be able to advise you about how to optimise your procedure and recovery by strengthening the muscles around the hip.

Before you return home, our physiotherapist will ensure you feel confident walking up and down stairs and doing other everyday activities. 

You’ll also be given a follow-up appointment as well as a personalised rehabilitation programme, which you can either follow with one of our team or with a physiotherapist closer to home.

What is ‘Body Mass Index’ (BMI), and why is it important?

The body mass index (BMI) is a measure that uses your height and weight to work out if your weight is healthy.

The BMI calculation divides an adult’s weight in kilograms by their height in metres squared. For example, A BMI of 25 means 25kg/m2.

BMI ranges

For most adults, an ideal BMI is in the 18.5 to 24.9 range.

For children and young people aged 2 to 18, the BMI calculation takes into account age and gender as well as height and weight.

If your BMI is:

below 18.5 – you’re in the underweight range

between 18.5 and 24.9 – you’re in the healthy weight range

between 25 and 29.9 – you’re in the overweight range

30 or over – you’re in the obese range

If you want to calculate your BMI, you can use the healthy weight calculator here :  https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/

Accuracy of BMI

BMI takes into account natural variations in body shape, giving a healthy weight range for a particular height.

As well as measuring your BMI, healthcare professionals may take other factors into account when assessing if you’re a healthy weight.

Muscle is much denser than fat, so very muscular people, such as heavyweight boxers, weight trainers and athletes, may be a healthy weight even though their BMI is classed as obese.

Why is my BMI an important consideration before surgery?
  • Increased anesthesia risks: higher BMI can make it challenging to administer and monitor anesthesia during surgery, leading to potential complications.
  • Impaired wound healing: elevated BMI is associated with reduced blood flow, delaying wound healing and increasing the risk of infection after surgery.
  • Difficulty in intubation: patients with high BMI may have larger necks and airways, making intubation more challenging and increasing the risk of respiratory issues during surgery.
  • Higher risk of blood clots: obesity is linked to an increased risk of blood clots, which can be problematic during and after surgery, potentially leading to serious complications.
  • Surgical site infections: patients with high BMI are more prone to surgical site infections due to difficulties in maintaining proper hygiene and limited access to surgical areas.
  • Longer surgery duration: surgery on individuals with high BMI can take longer due to the complexity of the procedure and the increased amount of adipose tissue, which can prolong the patient’s exposure to anesthesia.
  • Increased risk of cardiovascular complications: obese individuals have a higher likelihood of experiencing heart-related issues during and after surgery, putting them at greater risk.
  • Limited access to surgical sites: excess fat can obstruct surgical access, making it more challenging for surgeons to perform the procedure safely and effectively.
  • Postoperative respiratory problems: obesity can lead to breathing difficulties after surgery, especially during recovery, which can hinder the overall healing process.
  • Higher risk of complications: having a high BMI is associated with a higher likelihood of postoperative complications, such as deep vein thrombosis, pulmonary embolism, and wound dehiscence.

Our clinical team will need to consider the above in relation to you, if your BMI is greater than 40.  There may still be surgical options for you – however in order to mitigate risk as much as possible, additional measures, precautions and approach is likely to be necessary.  This may increase the cost of your surgery, and/or impact pre operative and post operative protocols.