Hip Replacement Surgery

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Hip replacement surgery -- also called total hip arthroplasty -- may be your best option when nonsurgical treatments haven’t improved chronic hip pain caused by arthritis or a previous injury. Duke hip replacement surgeons offer several different surgical approaches. Whenever possible, they use minimally invasive techniques, which include small incisions to minimize pain and reduce recovery time.

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Two Approaches to Hip Replacement Surgery

Hip replacement surgery removes damaged, inflamed, or deteriorated bone and cartilage in the hip joint and replaces it with a metal or ceramic hip implant. The hip joint may be damaged by arthritis, years of overuse, a previous fracture, a hip injury that limited blood supply to the hip joint and resulted in avascular necrosis, or a childhood disease such as hip dysplasia. There are two main ways to perform hip replacement surgery -- anterior and posterior hip replacement. Your surgeon will recommend the best approach for you based on the precise location of the damaged bone tissue and cartilage.

Anterior Hip Replacement

Your surgeon makes an incision in the front of the upper thigh to access the hip for surgery.

Posterior Hip Replacement

An incision is made on the side of the buttock to access the hip.

Our Locations

Duke Health offers locations throughout the Triangle. Find one near you. In-person and virtual appointments are available.

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Why Choose Duke

A Better Quality of Life
People come to us because we consistently achieve excellent long-term results, including improving your ability to move without pain.

Before- and After-Surgery Care
Our Joint Health Program can help you prepare your body for surgery so you have the best chance for a good outcome. After surgery, physical therapy can help you regain your ability to move and enjoy activities of daily living.

Fewer Complications, Longer-Lasting Hip Replacements
Our hip surgeons use computer-guided, GPS-like technology to make more precise surgical cuts and more accurately place the prosthetic joints. This improvement in device placement decreases the risk of complications and increases the longevity of your artificial joint.

New Patient Appointment

919-613-7797

Revision Hip Replacement Surgery
We frequently receive referrals for revision surgery, which corrects previous hip replacement when patients continue to have pain and problems with mobility. We have the experience you can trust.

Hip Replacement Experience
Studies show that patients benefit from their surgeon’s experience. Our fellowship-trained orthopaedic surgeons have performed thousands of hip replacement surgeries and constantly fine tune their methods and practices.

A Team Approach
Our doctors, surgeons, physician assistants, nurses, anesthesiologists, physical therapists, and occupational therapists work together to ensure that you make a complete recovery after surgery. Physical therapy helps you return to normal daily activities quickly and with minimal pain.

Success with the Most Challenging Cases
We often get the most challenging hip replacement cases -- ones that other centers may not have the experience to handle. In fact, many of our patients come to us so we can correct procedures performed elsewhere. If you have had hip replacement surgery but are still experiencing pain that disrupts your quality of life, consider Duke.

Joint Replacement Surgery Research Leaders
Our joint replacement surgeons test and develop promising procedures and new prostheses with the goal of making joint replacements work better and last longer.

Best Orthopaedic Hospital in North Carolina

Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our orthopaedics program is nationally ranked, and the highest-ranked program in North Carolina, according to U.S. News & World Report for 2024–2025.

This page was medically reviewed on 08/01/2023 by

Beth Turner, PA-C, DMSc, MHS | Physician Assistant - Orthopaedics