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Hip replacement surgery

Private hip replacement surgery for patients in Manchester and Cheshire

If hip pain wakes you up at night, it hurts to walk, and you can no longer do simple tasks like bending down to do up your shoelaces, you might need hip replacement surgery.

At The Alexandra Hospital in Manchester, we have a team of highly skilled consultant orthopaedic surgeons who specialise in treating people with hip problems. Whether you have suffered a hip injury or are living with a condition such as osteoarthritis or hip bursitis, our specialist team can help to find the right treatment for you.

In a total hip replacement, also known as a total hip arthroplasty, a consultant surgeon replaces the socket lining (acetabulum) and the ball (femoral head) and femur (thigh-bone) with an artificial implant. These are the three main components of your hip joint. The procedure helps to reduce pain and loss of function caused by various hip problems.

Classic hip replacement symptoms include groin pain radiating to the thigh and below the knee. Sometimes there will be buttock and hip pain. You may also have trouble sleeping, and you may walk with a limp.

Most patients we see at The Alexandra Hospital will have tried weight loss, walking aids, physiotherapy and analgesic treatments such as anti-inflammatories to relieve their pain before choosing a private hip replacement.

At an earlier consultation, your consultant may also have offered a steroid injection, which can often help unless the arthritis is advanced.

Osteoarthritis is the reason for around 98% of private hip replacement surgeries at the Alexandra Hospital in Manchester.

Our surgeons not only perform hip replacements for older adults but can also help those in their 40s and 50s who want to continue playing sport or doing activities they love.

The Alexandra Hospital in Manchester performs female and male hip replacement surgery on adults.

Before surgery

After your consultation and before surgery, your surgeon will take you through a pre-operative assessment to check that there are no contraindications (a reason why treatment is inadvisable, such as heart problems).

Typical procedures include an electrocardiogram (ECG) to record your heart’s rhythm and electrical signals, X-ray, and MRI scans (magnetic resonance imaging). You may also have a CT (computerised tomography) scan in certain cases, for example, if you are having Mako® robotic-arm total hip replacement surgery.

It’s vital that you have no infections, so the hospital will screen your urinary tract infection (UTI) and treat unhealed cuts and scratches. In addition, your skin will be checked for ‘superbugs’ like MRSA (methicillin-resistant staphylococcus) and MSSA (methicillin-susceptible staph), which are resistant to certain antibiotics.

You’ll have consultations with a physiotherapist and an occupational therapist at the hospital before and after treatment. They will arrange for items you’ll need at home following discharge. These may include something to help you put your socks on and a raised toilet seat, so you can avoid a deep hip flexion following surgery.

During hip replacement surgery

On the day of your operation, the consultant surgeon and your anaesthetist will see you and ensure you stopped drinking and eating (started fasting) six hours before the hip replacement as instructed during the pre-operative assessment.

Once you confirm your consent, the anaesthetist will give you a spinal anaesthetic with sedation. This anaesthetic gives good post-surgery pain relief, and the risks of clots and bleeding are lower than with a general anaesthetic.

In theatre, the consultant surgeon and consultant anaesthetist are helped by their assistants, two scrub nurses, and a healthcare assistant. A Mako® product specialist will also attend if you are having robotic-arm total hip replacement surgery at The Alexandra Hospital.

During robotic-assisted surgery using the Mako® system, the surgeon pre-programs the computer with details of your hip from a CT scan before surgery. The robotic arm then enables your surgeon to place the implant within millimetres of where it needs to be. It controls the precise angle at which the implant is inserted and provides real-time measurement of your leg length to guide the surgeon. The advantage of this system is more accurate positioning of the implant, which for you can mean that your new hip lasts longer.

At The Alexandra Hospital, our surgeons use ODEP (Orthopaedic Data Evaluation Panel)-rated implants of 10A and above, which means evidence shows they are still functioning 10 years after implantation. Most hip replacements performed at The Alexandra Hospital last for 15 to 20 years. Your consultant orthopaedic surgeon has many different types of ceramic artificial joints (prostheses) to choose from depending on the patient profile, including your age, lifestyle and job.

For example, if you are a patient in your 70s, the highest risk of revision surgery (where the procedure must be re-done) is dislocation. If your job is teaching yoga, you will want a range of movement post recovery. In both cases, your surgeon would opt for a joint mobility cup system, which is less prone to dislocation in the post-operative period following surgery and confers better stability to the joint.

Your surgeon will also choose whether to give you a cemented or uncemented hip replacement. A cementless prosthesis describes a joint that the bone grows onto naturally. A cemented version uses bone cement to affix the implant.   

After surgery, and once the anaesthetic has worn off, your road to recovery begins. You’ll stay for two nights in a private en-suite room following a hip replacement operation. Your surgeon will review you daily.

Your recovery includes physiotherapy and occupational health treatments to help you to use your crutches and ensure you’re safe on stairs before leaving the hospital. We will arrange outpatient clinic appointments for you in Manchester for physiotherapy and for the removal of your dressing and stitches. This aftercare is included in the fixed price we give you before you decide to have surgery with us.

Typical recovery times following a hip replacement are:

  • Driving – four to six weeks
  • Walking without a limp – six weeks
  • Sex – six weeks
  • Golf – three months
  • Skiing and other impact activities – four and a half months

A total hip replacement without the robotic system at the Alexandra Hospital in Manchester costs about £14,500 (£15,500 with robotics).*

This sum covers surgical and anaesthetic fees, pre-operative assessment, inpatient stay, implants, any complications that may arise and post-operative physiotherapy treatment. You can pay for private hip replacement at The Alexandra using your private medical insurance, or you can pay for treatment yourself.

If you are self-funding surgery, we offer flexible payment options to help spread the cost.

*This is a guide price for patients paying for their own treatment. The final hip replacement price will be confirmed in writing before your procedure.

If you elect to have surgery, it helps to know the risks. With knee replacement surgery, the most significant risk is infection, and this happens to about 1 in 100 people. If you get an infection, it can have serious consequences, including the need for further operations.

There’s also a low risk of a blood clot at the back of the leg going to the heart or lungs, and a small risk of other complications such as heart attack or stroke. There are rare reports of damage to nerves, blood vessels or bones. And there’s a small chance you may suffer hip dislocation, or there may be a discrepancy in leg length after your operation.

However, a total hip replacement is one of the best operations in the world in terms of quality-adjusted life-years (QALY). And the National Joint Registry reports rates above the national average hip scores at The Alexandra Hospital, with a patient self-rated health rating of ‘as expected’ six months post-op.

The risks of surgery are different in every case, so be sure to speak to your surgeon about the concerns in your particular circumstances.

People travel from Manchester and Greater Manchester, Stockport, Cheshire East, Trafford, Tameside and further afield for a hip consultation at The Alexandra Hospital in Cheadle.

When you come to us, you’re in the hands of a multidisciplinary team that includes experienced and expert surgeons and anaesthetists, nurses, physios, and occupational health therapists. In addition, The Alexandra is a large hospital with an intensive care department.

So, if there’s a rare complication such as microinfarction, a stroke or gastrointestinal bleed, the hospital can look after you. Unlike smaller private hospitals, we can also take you if you have underlying health issues.

About 19 out of 20 patients at our hospital are delighted with the pain-free results and return to functioning normally that they get from a total hip replacement.

When you go private with us, you can expect:

  • Fast access to treatment by leading experts
  • Consultant-led care from start to finish
  • Personalised treatment plans, built around you
  • The same friendly faces looking after you throughout your stay with us
  • A private, en-suite room with TV and WiFi included
  • Delicious warm meals cooked on-site and tailored to your dietary needs
  • Physiotherapy and other services on-site, should you need them

To find out more, call us or use our easy online booking portal.

Specialists offering Private hip replacement surgery manchester

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Mr Inder Gill

Consultant Orthopaedic Surgeon (Hip and Knee Specialist)

MBBS, MS Orth, FRCS (Tr & Orth)

The Alexandra Hospital

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Mr Anele Ebizie

Consultant Orthopaedic Surgeon


The Highfield Hospital 1 more The Alexandra Hospital

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Mr Amit Kumar

Consultant Orthopaedic Surgeon

BSc (Hons) MBBS (Lond) MRCS PgCert FRCS Ed (Tr&Orth)

The Alexandra Hospital 1 more The Highfield Hospital

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Mr Jonathan Borrill

Consultant Orthopaedic Surgeon

B.Med.Sci.(Hons), BM. BS., FRCS(Eng), FRCS(Tr&Orth)

The Alexandra Hospital

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Dr Syam Morapudi

Consultant Orthopaedic Surgeon

MBBS, MRCS, FRCS (Tr & Orth)

The Alexandra Hospital

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Mr Tahir Mahmud

Consultant Orthopaedic Surgeon


The Alexandra Hospital

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