Lee Chapman
Hip replacement surgery is a life-changing procedure for many people struggling with joint pain, stiffness, or limited mobility. A common enquiry we hear at Orthopaedic Innovation is: How long does a hip replacement last? And more specifically, how long does a hip replacement last in active adults?
In this article, we will explore the expected lifespan of a hip replacement, the factors that affect the longevity of the procedure, and how Orthopaedic Innovation’s Kley Rapid Hip approach supports both immediate and long-term success.
How Long Does a Hip Replacement Typically Last?
Most modern hip replacements last 15 to 20 years, and many extend well beyond that. According to a large-scale review published in The Lancet1, approximately:
- 89% of hip replacements last 15 years
- 70% last at least 20 years
The outlook is even more promising for those who maintain a healthy lifestyle and follow post-operative guidance. With proper care, many active patients retain full function for two decades or more. We cover this further down.
What Factors Affect How Long a Hip Replacement Lasts?
While the average life of a hip implant is 15–20 years, several factors can influence its durability:
- Activity level: This is especially relevant to those asking, how long does a hip replacement last in active adults? Low-impact activities like walking, swimming, or cycling are usually safe and beneficial.
- Weight: Excess weight increases joint stress and can shorten implant life.
- Surgical technique: Minimally invasive approaches, like the Kley Rapid Hip approach we use at Orthopaedic Innovation, help preserve muscle and optimise joint placement.
- Implant materials: Modern implants using ceramic or cross-linked polyethylene (which we use at Orthopaedic Innovation) tend to wear more slowly than older models.
How Long Does a Hip Replacement Last in Active Adults?
This is a question we are frequently asked by patients who lead a busy lifestyle and want to remain physically active after surgery.
The answer depends on the type of activity and how well you follow post-operative care. While high-impact sports (e.g. running or basketball) may shorten implant lifespan, (see Can I run after hip replacement for more information on running) regular low-impact activity often supports joint health and overall well-being.
Many active adults enjoy 20+ years of reliable function when they:
- Engage in low-impact sports
- Maintain a healthy weight
- Follow up regularly with their consultant
In ex-pro footballer Lee’s case (who’s remained super active), he was back in the gym the day after surgery! Hear more about his fascinating recovery in full below:
You can find plenty more stories of active adults returning to sport in super-quick time on our Testimonials page.
Materials Matter: What Hip Implants Are Made Of
The durability of your hip replacement also hinges on its components:
- Metal-on-polyethylene: Durable and cost-effective
- Ceramic-on-polyethylene: Lower wear rates, good for active individuals
- Ceramic-on-ceramic: Highly wear-resistant, suited to younger patients
- Metal-on-metal: Rarely used now due to potential complications
At Orthopaedic Innovation, using the Kley Rapid Hip approach, we select each individual prosthetic implant component tailored to fit the patient’s individual anatomy. Which implant type and fixation will depend on the patient’s initial situation, the composition of their bones, and their activity level. Doctor Kley and Professor Wilson consider several additional factors when selecting the implant that will meet the individual patient’s unique needs.
For more, see our guide on the materials we use in the blog: What are Hip Replacements Made of?
How Orthopaedic Innovation Supports Long-Term Outcomes
At Orthopaedic Innovation, we’ve developed a unique Kley Rapid Hip replacement pathway that promotes long-term joint health and faster recovery.
Our approach includes:
- Minimally invasive surgery: using smaller incisions and muscle-sparing techniques
- Modified Rottinger technique: preserving soft tissues to reduce dislocation risk
- Pre-habilitation: preparing your body in advance for surgery
- Same-day mobilisation: most patients walk within hours of surgery
- Enhanced pain management: for a smoother and safer recovery
You can read more about our technique and outcomes on the Kley Rapid Hip page.
Meet Our Expert Surgical Team
The success and longevity of a hip replacement also depend on the experience of your surgical team.
At Orthopaedic Innovation, your care is led by world-class orthopaedic specialists:
- Professor Adrian Wilson – A pioneer in joint preservation and complex orthopaedic surgery, with decades of experience in knee and hip reconstruction.
- Dr Kristian Kley – A globally respected consultant surgeon known for advancing minimally invasive hip techniques, including the Rapid Recovery approach used at our centre.
Together, they collaborate on complex cases, train international surgeons, and remain at the forefront of joint replacement innovation.
Their commitment to excellence ensures the highest standard of care; from consultation to long-term follow-up.
See their full bios on our About page.
When Might You Need Revision Surgery?
While hip replacements are designed to be permanent, some patients may require a revision due to:
- Wear or loosening of the implant
- Infection
- Dislocation or fracture
- Bone loss around the implant (osteolysis)
Our team has extensive experience managing complex revisions. But with modern techniques and appropriate care, most patients never need another surgery.
Summary: Maximising the Lifespan of Your New Hip
So, how long does a hip replacement last? In most cases, 15–20 years is expected, with many lasting far longer. And if you’re wondering, how long does a hip replacement last in active adults? The answer is still very encouraging, especially when supported by expert care and proper rehabilitation.
At Orthopaedic Innovation, our Kley Rapid Hip recovery approach, high-performing implants, and world-renowned surgical team help patients of all ages enjoy decades of pain-free movement.
If you're considering hip replacement or want a second opinion, contact us to book a consultation.
1https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31665-9/fulltext
