For Garry Harper, sport has always been a way of life. From his early years playing football at a professional level to cycling, swimming and fell running, staying active was second nature. But after a serious motorbike accident at 17 that ruptured both his ACL and PCL, his knees became a lifelong challenge.

Over the next three decades, Garry underwent multiple surgeries, including ligament reconstructions, several arthroscopies, and a high tibial osteotomy to correct a bowed leg. For a time, the osteotomy brought relief – allowing him to continue his active lifestyle. But after more than a decade, the pain returned.

Then, a bike accident caused a compression fracture to the tibial plateau on his right leg, compounding the problems he already faced. Unable to fully weight bear on his right side, the strain on his left knee became unbearable. “That’s when things really went downhill,” Garry recalls. “I was on so much naproxen just to keep going.” This ultimately led to his referral to Mr Sulaiman Alazzawi, a specialist in complex knee replacement surgery, for expert assessment and treatment.

“I knew I was in safe hands”

“I could barely walk for more than half an hour without pain,” Garry recalls. Despite this, he continued to cycle and swim, determined to stay fit. But when scans revealed broken screws and deterioration in his knee joint, it was clear he needed a knee replacement – a complex one due to the existing metalwork and bone changes.

A local surgeon recognised the complexity of the case and referred Garry to Mr Alazzawi.
“I was nervous at first,” says Garry. “But from the moment I met Mr Alazzawi, he put me completely at ease. He explained everything clearly and calmly – I knew I was in safe hands.”

The surgery took place at Spire St Anthony’s Hospital in Sutton, South London. During the operation, Mr Alazzawi carefully removed the old plate and screws, following Garry’s previous scar to minimise nerve damage and avoid additional scarring. “He explained that using the same incision would preserve the skin sensation around my knee – I’d never have thought of that,” Garry says.

“Do everything the physio tells you”

Because of the previous bone work, Mr Alazzawi used an extended tibial stem to provide extra stability and restore correct leg alignment. The result was immediate. Garry’s leg was finally straight again.

The first few weeks of recovery were, as Garry puts it, “brutal.” He was up walking on the same day as surgery, but the pain and swelling were intense. “You don’t sleep much at all in those early weeks,” he says. “But you just have to push through, ice constantly, and do everything the physio tells you.”

Hydrotherapy played a key part in his rehabilitation. Following Mr Alazzawi’s advice, Garry insisted on regular fortnightly sessions in the hospital’s hydrotherapy pool. “It was hard work, but every time I could see progress – a bit more bend, a bit more strength,” he says.

By week five, Garry was commuting into London with crutches, and within three months, he was back on his bike. “I started with just a few minutes at a time on the Peloton, then built up gradually,” he says. “The left leg just kept getting stronger.”

Climbing Ben Nevis within a year

That strength was put to the ultimate test when Garry set himself a personal challenge: to climb Ben Nevis within a year of his operation. “I’d seen a woman on YouTube who did the same after her knee replacement and I thought, that’s what I’m going to do.”

Less than a year after surgery, Garry and his son reached the summit of the UK’s highest mountain.

“The surgery has completely transformed my life,” Garry says. “For years, my family had to slow down for me on walks – now my wife complains that she can’t keep up!”

He credits his outcome to Mr Alazzawi’s surgical expertise and a disciplined approach to rehabilitation. “I did everything by the book. I took painkillers and did physio every day.”

Now pain-free on his left side, Garry is preparing for surgery on his right knee next year – and he hopes it will be with Mr Alazzawi again.

“He’s an exceptional surgeon and such a kind, reassuring man,” he says. “If I can get the same result as this one, I’ll be over the moon.”

Garry’s story is one of resilience and expert care – and proof that, with the right surgeon and determination, even the most complex cases can have life-changing results.

Mr Sulaiman Alazzawi was honoured to be invited to speak at the European Hip Society Conference in Thessaloniki, Greece.

He shared his extensive experience in using custom triflange implants to manage chronic pelvic discontinuity – one of the most complex and technically demanding challenges in revision hip surgery.

In addition to presenting, Mr Alazzawi chaired a session on complex primary total hip replacement and delivered a talk on his approach to performing total hip replacement following previous proximal femoral osteotomy. This scenario requires careful planning, advanced surgical expertise, and a tailored strategy for each patient.

With over 1,000 delegates in attendance, the conference served as an excellent forum for discussion and collaboration with orthopaedic specialists from across Europe, all focused on improving outcomes in complex hip reconstruction and joint surgery.

Joint replacement surgery has come a long way in recent decades. Once seen as a one-size-fits-all operation, it is now a highly personalised procedure, with new technologies helping surgeons achieve greater precision and better results.

Among the most exciting advances are robotic-assisted systems, such as MAKO, and computer-guided surgery. These techniques are designed to improve implant positioning, reduce complications, and improve long-term outcomes for patients.

Here, we’ll explore what these techniques involve.

How robotic and computer-aided joint surgery works

In traditional joint replacement, the surgeon relies on X-rays, manual instruments, and their own experience to plan and position the implant. While highly effective, this approach can sometimes leave small variations in alignment, which may affect how the new joint feels and performs.

Robotic and computer-assisted systems provide improved accuracy. Prior to surgery, advanced 3D imaging is used to create a detailed model of your joint. This allows the surgeon to plan the procedure in virtual detail, deciding the exact size, shape, and position of the implant. During the operation, the robotic or computer-guided system acts as a navigation tool, giving real-time feedback and ensuring that every cut and adjustment is made with millimetre precision.

It’s important to stress that the robot does not perform the surgery. The surgeon remains in full control at all times. The technology simply provides enhanced accuracy and guidance, helping to achieve the best possible result.

Why accuracy matters in joint replacement surgery

Accurate implant placement is one of the biggest predictors of long-term success in hip and knee replacement. A recent study on robotic-assisted knee replacement showed that these procedures resulted in more consistent alignment, fewer soft tissue releases, and better early function compared with conventional techniques. Patients reported faster improvement in mobility and overall satisfaction with their new joint.

Poorly positioned implants can lead to problems such as uneven wear, instability, or pain. By improving accuracy, robotic and computer-guided systems reduce the likelihood of these complications. They may also extend the life of the implant, meaning fewer patients will need revision surgery in the future.

For partial knee replacements, where precision is crucial, robotic systems have been shown to deliver especially strong results. Many patients describe the joint as feeling more natural, with smoother movement and greater confidence when returning to activity.

Questions to ask your surgeon

If you’re considering hip or knee replacement, it’s worth asking whether robotic or computer-assisted joint surgery might be an option for you. Here are some questions to take into your consultation:

Am I a good candidate for robotic-assisted surgery? Not every case requires or benefits from it, but in many patients, it can improve precision and outcomes.

How does the technology improve accuracy compared with conventional surgery? Ask your surgeon to explain in simple terms how it works in practice.

Are there any added risks or costs? While the technology is safe, it’s important to understand the practical aspects before making a decision.

For more information on the advantages of robotic-assisted surgery, you can also explore our page on robotic joint replacement.

As systems like MAKO become more widely available, patients will continue to benefit from joint replacements that are tailored, accurate, and designed to stand the test of time.

If you’re planning hip or knee replacement, asking about robotic or computer-assisted surgery is worthwhile. Schedule a consultation with Mr Alazzawi today to learn more.

 

For many patients, joint replacement offers lasting relief when other treatments no longer help. However, not all knee replacements are the same. In some cases, a partial knee replacement may be the best option. This procedure targets only the damaged part of the knee rather than replacing the whole joint.

In this blog, we’ll explore the benefits of partial versus total knee replacement, what recovery typically looks like, and how new technology is helping patients get back on their feet faster.

Partial vs total knee replacement

The knee has three compartments including the inside (medial), the outside (lateral), and the area behind the kneecap (patellofemoral). In many patients, arthritis or cartilage damage affects just one of these compartments. When that happens, a partial knee replacement may be possible.

In surgery, only the damaged portion of the joint is removed and replaced with a prosthetic component, while leaving the healthy bone, cartilage, and ligaments untouched.

Partial knee replacements can offer some distinct advantages:

  • Smaller incision and less tissue disruption compared with total replacement
  • More natural knee function, since the healthy ligaments and cartilage remain intact
  • Quicker recovery with less post-operative pain for many patients

If arthritis is present in multiple compartments or the knee is unstable, a total replacement is usually the safer and more effective choice. Careful assessment with scans and clinical examination is essential to determine which option is right for you.

Partial knee replacement recovery

Recovery after partial knee replacement tends to be faster than after a total knee replacement, though every patient’s journey is unique. Many patients walk with crutches or a frame the day after surgery and progress quickly to walking aids like sticks. Within two to three weeks, it’s often possible to move around more independently.

Physiotherapy plays a central role in building strength and restoring movement. As the surgery is less invasive, muscles and soft tissues heal faster, and many people regain range of motion more quickly than with a total replacement. Low-impact activities such as cycling, swimming, and brisk walking can usually be reintroduced within a few months.

In terms of long-term outcomes, both partial and total replacements are effective in reducing pain and improving quality of life. However, some patients may eventually need a total replacement if arthritis develops in the other compartments of the knee.

MAKO partial knee replacement

Advances in surgical planning and robotic assistance are taking knee replacement, both partial and total, to the next level. Modern imaging techniques such as 3D CT scans allow surgeons to build a detailed map of your knee before the operation.

Robotic-assisted systems, such as the MAKO platform, use this 3D data to guide the surgeon during surgery. The robot doesn’t replace the surgeon; it acts as a highly accurate tool that ensures cuts are made with millimetre precision.

For partial knee replacement, where accuracy is especially important, this technology has been shown to improve implant alignment, reduce soft tissue damage, and support quicker recovery.

If you are unsure whether knee replacement surgery is right for you, book a consultation with Mr Alazzawi today for a thorough assessment.

Choosing the right orthopedic surgeon for hip or knee replacement surgery is a crucial decision that can significantly impact your outcomes, recovery time, and overall experience.

In this article, we share the key factors to consider when selecting a surgeon:

1. Specialisation and Experience

Certification: Ensure the surgeon is certified in orthopaedic surgery, specifically with a focus on joint replacement or arthroplasty. Certification indicates that the surgeon has met high standards and is up-to-date with the latest techniques.

Experience with Hip/Knee Replacements: Look for a surgeon who specialises in hip and knee replacements rather than a general orthopaedic surgeon. Ideally, they should have extensive experience with the specific procedure you’re undergoing.

Number of Surgeries Performed: Surgeons who perform a high volume of joint replacement surgeries typically have better outcomes. You may want to ask how many hip or knee replacements they perform annually.

2. Reputation and Reviews

Patient Testimonials: Look for reviews and testimonials from previous patients. Reviews can provide insights into the surgeon’s skills, bedside manner, and the overall experience.

Word of Mouth: Ask your primary care doctor, physical therapist, or family and friends for recommendations. Word-of-mouth referrals can be a great way to find a trusted surgeon.

3. Hospital Affiliation

Reputation of the Hospital: The hospital where the orthopaedic surgeon operates is just as important as their surgical skills. Look for a highly rated hospital for orthopaedic surgery, especially one known for its joint replacement program.

Hospital’s Joint Replacement Program: Find out whether the hospital or surgical centre has a specialised joint replacement program with dedicated staff, physical therapists, and aftercare.

4. Communication and Bedside Manner

Initial Consultation: Pay attention to how the surgeon communicates during your consultation. Do they listen to your concerns, answer your questions thoroughly, and explain the procedure in a way you understand? A surgeon with good communication skills can make the process less intimidating.

Transparency: A good surgeon should be open about the risks and benefits of surgery, as well as realistic expectations about the recovery process. They should explain not just the surgery, but also the alternatives if you’re not ready for surgery yet.

Availability: Ask how easily you can reach the surgeon if you have questions or concerns. A surgeon with a good support team who can assist you with pre- and post-operative questions is important.

5. Use of Advanced Technology

Robotic Surgery: If you’re interested in robotic-assisted surgery, check whether the orthopaedic surgeon is experienced in using robotic technology. Robotic surgery can offer greater precision and potentially fewer complications. *Mr Alazzawi offers MAKO Robotic Hip Surgery and MAKO Robotic Knee Surgery.

Custom Implants: Some surgeons use 3D imaging to create custom prosthetics tailored to your joint anatomy. If this is important to you, make sure your surgeon offers this option.

6. Post-Operative Care and Support

Recovery Plan: Inquire about the post-operative care plan. This includes pain management, physical therapy, and follow-up appointments. A surgeon who works with a team of physical therapists and rehabilitation specialists can help ensure a smoother recovery.

Follow-up Appointments: Understand how many follow-up appointments you’ll need and how easy it is to schedule them. Post-op care is essential for proper healing, and regular check-ins help catch any complications early.

7. Alternative Treatment Options

Non-Surgical Treatments: the surgeon should also discuss non-surgical options for treatment, such as physical therapy, injections or medications, before jumping straight to recommending surgery.

8. Location and Accessibility

Proximity: Choose a surgeon whose office and hospital are reasonably close to your home, especially if you will need frequent visits during the recovery process.

Convenient Scheduling: Some surgeons have long wait times, so make sure they can accommodate your needs in a timely manner, especially if you’re dealing with a lot of pain or discomfort.

If you’re considering a joint replacement and cannot find the answers you need, we’re happy to help. Please get in touch by calling 07765 190 703 to book a consultation with Consultant Orthopaedic Surgeon Mr Alazzawi.

Hip and knee replacement surgery has transformed millions of lives, helping patients regain mobility and independence after years of pain. The way these operations are performed today is very different from even a decade ago.

New technology, ranging from robotic systems to 3D imaging and custom-made implants, is raising the bar for precision, safety, and long-term outcomes.

In this blog, we’ll explore some of the most exciting innovations shaping the future of joint replacement surgery.

Robotic-assisted joint surgery

One of the most significant breakthroughs in recent years has been the introduction of robotic-assisted joint replacement. Systems such as MAKO are now being used in hip and knee surgery to improve accuracy during implant placement.

Instead of relying solely on manual alignment, the robotic system allows the surgeon to create a detailed 3D model of the joint before surgery. This model guides the operation, helping ensure the implant is positioned in exactly the right place and angle for each patient’s anatomy.

Research backs up the benefits. A 2024 study of robotic-assisted knee replacement found that patients experienced better alignment, less soft tissue damage, and quicker functional recovery compared with conventional techniques.

Importantly, the surgeon remains fully in control. The robot is a precision tool, not a replacement for surgical expertise. By combining human skill with advanced technology, robotic-assisted surgery is setting new standards for consistency and outcomes.

3D imaging and virtual planning

Alongside robotics, 3D imaging has revolutionised how joint replacements are planned. Traditional X-rays provide only a flat, two-dimensional view of the joint, which can make it difficult to fully appreciate complex anatomy. In contrast, 3D imaging and CT scans allow surgeons to create a virtual reconstruction of the joint before surgery.

This technology makes it possible to plan every step of the operation in advance like the exact size and shape of the implant, the best angle for insertion, and even how the joint should move after replacement. A recent review revealed how 3D imaging improves pre-operative planning and reduces the likelihood of complications. For patients, this translates to a smoother surgery and a recovery that more closely matches expectations.

In some centres, 3D imaging is also being used to simulate different surgical scenarios, giving surgeons the ability to ‘test run’ the operation beforehand. This level of preparation not only boosts confidence but also reduces time spent in the operating theatre, which is another factor linked with improved safety.

Custom prosthetics and 3D printing

No two patients are the same, and joint replacements are increasingly moving toward customisation. Advances in 3D printing now allow for bespoke prosthetics to be created, tailored to the exact dimensions of a patient’s hip or knee. Unlike standard implants, which come in a set range of sizes, custom-made prosthetics fit more naturally and mimic the joint’s original biomechanics more closely.

3D printing is also proving valuable in surgical guides, tools designed from the patient’s imaging scans that help the surgeon cut and shape bone with millimetre precision. These guides are single-use and highly specific, streamlining the operation and ensuring accuracy throughout.

The future of joint replacement

The rapid pace of innovation means that joint replacement surgery will likely look very different again in another 10 or 20 years. We are already seeing trials of augmented reality systems to guide surgeons in theatre, alongside research into ‘smart’ implants that could send real-time data about joint function back to the care team.

Advances in robotics, 3D imaging, and custom prosthetics make surgery safer, more precise, and better matched to a patient’s needs. These technologies help surgeons deliver joint replacements that last longer, move more naturally, and enable patients to return to the activities they enjoy.

If you’re considering hip or knee replacement, schedule a consultation with Mr Alazzawi today. These innovations are shaping the future of orthopaedics, and they’re already improving lives today.

Day-case joint replacement, where patients have their hip or knee replaced and return home on the same day, is becoming increasingly common.

Previously only considered suitable for a small number of patients, this approach is now supported by a growing body of evidence. It’s helping patients recover more comfortably, more efficiently, and with excellent results.

So, is it safe, and is it right for you?

Here we reveal everything you need to know before deciding if it’s right for you.

The shift toward same-day surgery

Thanks to advances in surgical technique, anaesthesia, and post-operative care, the need for extended hospital stays after joint replacement has been steadily shrinking. What used to require a three- or four-day admission can now, for some patients, be done in a matter of hours.

According to a comprehensive review, day-case total hip and knee replacements are not only safe, but also effective. The evidence shows that complication and readmission rates are comparable to traditional inpatient procedures. The key difference is that patients who go home the same day tend to report higher satisfaction levels. This is thanks, in part, to recovering in the comfort of their own home, away from the noise, disruption, and risks that can come with hospital stays.

Further support for same day procedures comes from The Royal College of Surgeons. Their research revealed how same-day surgery can reduce pressure on NHS resources, free up hospital beds, and improve the flow of elective care, all without compromising safety.

Who is eligible for day-case joint replacement?

Not everyone is a candidate for same-day surgery, and patient selection is critical to its success.

In general, suitable patients are those who:

  • Are in good general health with well-managed medical conditions
  • Have a body mass index (BMI) within a safe range
  • Are motivated and able to follow post-operative instructions
  • Have a safe, supportive home environment and someone available to help them during the first 24-48 hours
  • Are mobile enough to walk short distances (with support) shortly after surgery

Before offering day-case surgery, your surgical team will carry out a full pre-operative assessment to make sure it’s the right option for you. If there are any concerns, such as complex health conditions, previous complications, or lack of home support, an overnight stay may be recommended instead.

However, for those who are eligible, the benefits can be significant: faster discharge, earlier mobilisation, lower risk of hospital-acquired infections, and a greater sense of control over recovery.

What can you expect from the day-case experience?

If you’re scheduled for same-day joint surgery, your care plan will be carefully structured to ensure a smooth experience. Surgery is usually performed early in the day using spinal anaesthesia or light general anaesthesia, with pain managed through modern multimodal techniques. After surgery, patients are encouraged to begin moving as soon as possible, often within a few hours, with the support of physiotherapy staff.

The key milestone for discharge is safe mobility. You’ll need to be able to walk a short distance (typically with crutches or sticks) and manage stairs if necessary. You’ll also have pain well controlled with oral medication. Once these criteria are met and you’re feeling well enough, you’ll be discharged home with clear instructions and direct contact details for follow-up support.

Most patients have their first review with the surgical team within a week, followed by regular physiotherapy and follow-up appointments. Recovery timelines are similar to those who stay overnight.

Is it right for you?

Day-case joint surgery offers a modern, flexible option for those who are a good fit. If you’re otherwise healthy, motivated, and supported at home, going home the same day as your surgery can be both safe and empowering.

Mr Alazzawi and his team are highly experienced in performing joint replacements as day-case procedures. He’ll always ensure that patients feel prepared, supported, and confident throughout the process.

If you’re considering joint replacement and wondering whether day-case surgery could work for you, book a consultation to discuss your options.

If you’re preparing for hip or knee replacement, there’s a good chance your orthopaedic surgeon has mentioned the benefits of losing a bit of weight ahead of your procedure. When you’re a healthy weight, it improves surgical outcome, speeds up recovery, and protects your new joint for the long haul. Even modest weight loss can make a noticeable difference.

Here, we’ll look at how weight affects joint surgery, the benefits of pre-operative weight loss, and what the latest research is telling us.

Why weight matters

Your joints, especially your hips and knees, carry the load of your body with every step you take. It’s estimated that each extra kilogram of body weight adds around three to four kilograms of force through the knee joint when walking. That adds up quickly, especially if you’re active or on your feet for long periods of the day.

Over time, excess weight can speed up the wear and tear on joint cartilage, increasing the risk of osteoarthritis. If you’re already dealing with joint pain, carrying extra weight can make symptoms feel worse.

This is often one of the reasons patients first consider joint replacement; to relieve pain and regain mobility when conservative treatments are not effective.

Weight also influences what happens during and after the operation. Studies show that higher body weight can be linked to a greater risk of surgical site infections, delayed wound healing, and other complications following total joint arthroplasty (TJA).

What the research says

A study published in The Journal of Arthroplasty found that even modest weight loss before surgery can significantly lower the risk of complications, including infections and prolonged hospital stays.

The researchers looked at patients who had lost a small amount of weight before their hip or knee replacement and found they had better post-operative outcomes compared to those who hadn’t.

This supports the idea that it needn’t take a huge transformation to see real benefits.

In a previous blog, we looked at how weight loss drugs may also reduce the risk of complications after hip replacement. These new treatment options are giving patients additional support in their weight loss journey, especially for those who have struggled with other methods in the past. You can read more about that study here.

How weight loss can help your joint surgery recovery

Losing weight before hip or knee replacement can also improve how well you recover and how long your new joint lasts. Patients with a lower body-mass index (BMI), tend to move more easily after surgery, have less pain, and are more motivated to stick with their rehabilitation plan. That’s key, because early mobility plays a big part in how strong, stable, and functional your joint becomes.

A lighter body places less mechanical stress on the new implant too. This can help the artificial joint last longer before any signs of wear appear, reducing the chances of needing a revision surgery later in life.

Even if your weight loss goal is relatively small, it can still help with:

  • Reducing inflammation in the body, which supports healing
  • Improving cardiovascular health, which lowers anaesthetic risks
  • Boosting mood and energy, helping you stay active and engaged in your care plan

A tailored approach for better outcomes

It’s important to remember that weight loss before surgery is about progress. No one is expecting a crash diet or unrealistic transformation. Instead, the focus is on creating the best possible environment for your surgery and recovery.

If you’re unsure where to start, book a consultation today. Mr Alazzawi can help tailor a plan for you that fits your needs, lifestyle, and timeline. Whether that means trying a supervised exercise programme, or discussing whether medication could be appropriate, support is available.

At 71, sports therapist Sally Kibble is not ready to slow down. Having dedicated her life to sport and physical education, Sally knew the importance of keeping active – but arthritis had begun to take that freedom away.

Now, after a robotic-assisted hip and knee replacement with Mr Sulaiman Alazzawi, Sally is back on her feet, looking forward to returning to tennis and living life without limitations.

When Alazzawi met Sally..

Sally first met Consultant Orthopaedic Surgeon Mr Alazzawi at a professional CPD event about hip and knee replacements. “He answered my question kindly and thoroughly,” she recalls. “On the same evening, my physio recommended MAKO treatment for its short recovery. It felt like everything aligned, and I didn’t have to think twice.”

For Sally, the choice to undergo surgery wasn’t just about herself but about the life she shared with her husband. “My physiotherapist made me realise it was affecting our life together. I wasn’t as mobile, and it wasn’t fair on either of us. My body needed sorting, and Mr Alazzawi was the right person to do it.”

In May 2022, after being diagnosed with a hip subluxation, she underwent MAKO robotic-assisted left hip replacement at St Anthony’s, Spire Hospital. “I could only walk for about five minutes before it became too painful. It was miserable,” Sally shares. The surgery and recovery were so successful that when her knee began to deteriorate, she knew exactly what to do. “It was a no-brainer to ask Mr Alazzawi to perform a total knee replacement.”

“My knee feels like part of me again”

Nine weeks ago, she had her right knee replaced using the same robotic-assisted approach. The result has been transformative. “The knee felt like a spare part before, but after surgery, it instantly felt like it was part of me. I was surprised by how quickly I could get back to walking, and the difference has been amazing.”

Sally credits Mr Alazzawi’s calm, reassuring approach and expertise for making her surgical experiences so positive. “I was impressed by Mr Alazzawi not trying to impress me. Some consultants can be intimidating, but he explained everything clearly and never pushed surgery, ensuring it was the right path for me.”

The MAKO robotic technology used in both procedures allowed for highly personalised, precise surgery, improving alignment and reducing recovery time. “I didn’t want new parts in my body, but it hasn’t bothered me at all. The ease of recovery has meant I could fit the surgery into my life, not the other way around.”

While her goal is to return to tennis in the New Year, she is taking her recovery seriously, following Mr Alazzawi’s guidance to maximise her long-term mobility. “This is my golden opportunity, and I don’t want to mess it up. I’ve been diligent with my physiotherapy and walking, knowing it’s down to me to get the best results.”

Sally credits Alazzawi and MAKO Robotic Hip and Knee Replacement

“I am enormously grateful for Mr Alazzawi’s dedication and outstanding care, resulting in a superbly positive experience. My work and life commitments have dovetailed perfectly with recovery, and the improvement in my mobility has been excellent.”

From skiing in the winter of 2023 to planning her return to competitive tennis in 2026, Sally is determined to continue living an active, independent life, with thanks to Mr Alazzawi’s expertise and the benefits of robotic-assisted joint replacement.

 

Hip pain isn’t something most people expect to deal with in their 30s or 40s, but for a growing number of younger adults, it’s becoming an unfortunate reality. Whether it’s due to old sports injuries, congenital hip conditions, or just years of wear and tear, more people under 50 are now being considered for total hip replacement.

If you’re wondering whether you’re too young for this kind of surgery, the answer may not be as straightforward as you think.

Why hip replacements are rising in younger patients

Traditionally, total hip replacement was seen as a procedure for older adults, something to be delayed for as long as possible. However, that view is changing. According to NHS figures, nearly 43% of hip replacements in England in 2021-22 were for people aged 50-69, while around 8% were for those under 50. That may sound small, but it marks a clear trend: more young people are needing, and receiving, hip replacements.

A recent study looked at exactly this issue, showing that the demand for hip replacements among younger patients is steadily rising. Researchers found that younger adults (under 60) who undergo total hip replacement typically report excellent improvements in pain, mobility, and quality of life. They often regain the ability to work, exercise, and socialise freely again.

The outcomes are encouraging, but younger age does come with some unique considerations.

What makes younger patients different?

If you’re under 50 and considering a hip replacement, your surgeon will take several things into account. For starters, your activity level is likely to be higher than that of older patients. You may be playing sports, lifting heavy loads at work, or simply walking far more in daily life. This places extra demands on your new hip joint.

While today’s implants are designed to be durable, they don’t last forever. This means the younger you are when you get a joint replaced, the more likely it is that you’ll need a revision surgery later on.

That said, delaying surgery just because of your age can also carry risks. Living with chronic hip pain can lead to inactivity, muscle loss, sleep problems, and mental health challenges, not to mention a significant impact on work and relationships. For many patients, waiting for the ‘right age’ could mean sacrificing years of mobility and quality of life.

Another important factor to consider is the reason behind the damaged hip. In younger adults, hip arthritis is often caused by underlying issues like hip dysplasia, Femoroacetabular impingement (FAI), or previous trauma. Understanding the root cause helps your orthopaedic surgeon decide whether a total hip replacement is the best option, or whether other joint-preserving procedures could be worth exploring first.

Is hip replacement the right choice for you?

The decision to move ahead with a hip replacement depends on how much your hip is affecting your daily life. If you’re finding it hard to walk more than a few minutes, relying on painkillers daily, or struggling with things like tying your shoes or sleeping through the night, then it may be time to consider surgery.

Younger patients often recover quickly, especially when following a modern, rapid recovery programme like the one offered by Mr Alazzawi. Minimally invasive techniques, enhanced pain control, and targeted rehabilitation all help to speed up healing and get you moving again.

To learn more and determine if you may need a total hip replacement, schedule an appointment with Mr Alazzawi today.