Partial Hip Replacement vs. Total Hip Replacement

Hip pain caused by arthritis can affect every aspect of daily life, from walking and climbing stairs to fully enjoying the mountain lifestyle in Eagle and Summit Counties. When conservative treatments no longer provide relief, many patients begin exploring surgical options. Two of the most common procedures are partial hip replacement and total hip replacement. Understanding the differences can help patients determine which approach best fits their condition, activity level, and long term goals.

At Vail-Summit Orthopaedics & Neurosurgery (VSON), the joint replacement team helps guide patients through these options, ensuring each treatment plan is tailored to long term comfort, mobility, and quality of life.

Partial vs. total hip replacement

In a total hip replacement, both sides of the joint the ball and the socket are replaced with engineered implants. A partial hip replacement is more limited in scope, replacing only the femoral head while preserving the patient’s existing socket.

The VSON team emphasizes that the choice between partial and total hip replacement depends on the underlying condition. Certain diagnoses benefit from a complete reconstruction, while others can be treated effectively with a more targeted approach.

When is a partial hip replacement recommended

Partial hip replacement is most commonly used for specific types of fractures, particularly femoral neck fractures. These injuries often occur after falls and require prompt stabilization.

A partial hip replacement may be recommended when:

• The hip socket remains healthy

• Arthritis is minimal or absent

• The injury is isolated to the femoral head

• A faster surgical solution is needed for an acute fracture

For many fracture patients, partial hip replacement provides a durable and reliable solution that allows for safe return to mobility.

When is a total hip replacement recommended

Total hip replacement is considered the gold standard for patients with significant arthritis, cartilage damage, or chronic hip pain that has not improved with nonsurgical treatments.

A total hip replacement may be ideal for patients with:

• Advanced osteoarthritis

• Rheumatoid arthritis

• Avascular necrosis

• Chronic pain interfering with walking, skiing, or daily activity

• A desire for long term mobility and pain relief

When the entire joint is worn, replacing both components of the hip often leads to meaningful improvements in comfort, strength, and function.

Which option offers better long term results

Both procedures are highly successful when performed for the appropriate indications.

Partial hip replacement

• Works well for fracture patients

• Has a shorter surgical time

• Provides reliable stability

Total hip replacement

• Offers superior long term pain relief

• Provides greater function for active patients

• Is designed for decades of use

Total hip replacement is generally preferred for patients who wish to return to higher level activities such as skiing, hiking, and cycling.

How does recovery differ between the two procedures

Both surgeries require physical therapy and a structured return to activity, but recovery timelines may differ.

Partial hip replacement recovery

• May progress more quickly in the early stages

• Focuses on restoring mobility and stability after fracture care

Total hip replacement recovery

• Improves steadily over several months

• Often results in smoother long term movement and endurance

Most patients are pleasantly surprised by how quickly they regain mobility and experience an improved quality of life following hip replacement surgery.

The Bottom Line

Partial and total hip replacement are both excellent options when matched to the right condition. Partial hip replacement is highly effective for certain fractures, while total hip replacement remains the best choice for chronic arthritis and long term joint health.

With expert care from the VSON team at Vail-Summit Orthopaedics & Neurosurgery, patients can feel confident choosing a solution that supports lasting comfort, mobility, and an active mountain lifestyle. Contact us today!