Private Minimally Invasive High Performance Total Hip Replacement

Advanced hip surgery tailored for active patients seeking faster recovery, less pain and outstanding long-term outcomes.

A Less Invasive Approach to Private Total Hip Replacement in London

At The West London Knee and Hip Clinic, led by consultant orthopaedic surgeon Dr Arjuna Imbuldeniya, we offer a specialist service created for patients requiring a total hip replacement — one that combines cutting-edge minimally invasive, muscle sparing techniques with high-performance implant technology.

Based at prestigious locations in Mayfair, Chelsea and Chiswick, we deliver world-class private orthopaedic care for patients across London, Surrey, and beyond.

Unlike standard hip replacements techniques, our approach prioritises muscle preservation, implant precision, and rapid recovery, helping patients walk the same day, get home the day after and return to active, independent lifestyles normally within 6-8 weeks.

Understanding Hip Arthritis and Its Impact

Hip arthritis, particularly osteoarthritis, is the most common reason patients seek a total hip replacement. It typically involves the gradual wearing down of the padding or cartilage in the hip joint, leading to:

Groin or thigh pain that worsens with activity and feels like hip flexor pain

Stiffness and reduced range of motion such as sitting in a low seat or getting on a bicycle

Difficulty walking or standing for long periods

Limping, sleep disruption when on your side, sleeping with a pillow between your legs often helps and reduced quality of life

Trouble doing everyday tasks like putting on shoes or socks or cutting your toenails.

When symptoms become persistent and affect your day-to-day function and quality of life, such that you keep missing out on activities you enjoy with family and friends, and if you have tried other treatments, then minimally invasive hip replacement surgery may be the next step.

What Is a High Performance or Rapid Recovery Total Hip Replacement?

A total hip replacement is a surgical procedure where the damaged ball and socket joint of the hip are replaced with hardwearing and robust, safe artificial components. At our clinic, we offer:

Minimally invasive techniques such as the Mini Posterior hip approach and SPAIRE: Using smaller incisions to reduce tissue trauma

Anterior Based Muscle-sparing approaches such as The Rottinger or Rapid Recovery Hip Replacement : Preserving key muscles and tendons to speed recovery

High-performance ceramic implants: Custom-selected based on your age, activity level and anatomy that have good data to back their safety and longevity from ODEP (https://www.odep.org.uk/about/rating-system/_)

These modern implants typically consist of titanium stems, ceramic heads and highly cross-linked polyethylene cups, some with Vitamin E added to reduce wear, providing durability, low wear and excellent function — with many lasting 20 years or more.

The Benefits of Minimally Invasive Hip Replacement

Our patients benefit from:

Faster recovery and reduced hospital stay

Smaller incisions with less bleeding and scarring

Lower dislocation risk and improved early mobility

Minimised pain and reduced need for medication

Better joint function in the long term

This approach is particularly suited to active patients looking to avoid lengthy downtime and maintain an active lifestyle post-surgery.

Alternatives to Surgery

Total hip replacement is usually recommended only when other treatments have failed. These may include:

Anti-inflammatory medication

Lifestyle changes and weight management

Physiotherapy and leg strength exercises

Ultrasound guided corticosteroid, hyaluronic acid or PRP injections to reduce inflammation and pain

If these no longer provide relief, surgery offers a permanent solution to regain mobility and quality of life.

What to Expect From your Rapid Recovery hip Replacement Procedure

Surgery is performed under spinal anaesthetic with light sedation. A minimally invasive approach is used to access the joint, preserve muscle, and insert the custom implant with precision.

Implant materials are selected for strength, longevity and low friction

Specialised tools and imaging ensure accurate positioning

The procedure usually takes 50–80 minutes

Patients typically walk fully weight bearing with support for comfort the same day

95% of patients go home within 24-48 hours and start structured physiotherapy immediately.

Recovery and Rehabilitation

We provide a carefully monitored recovery plan tailored to your needs:

Day 1–14: Walking with crutches or frame as required, no hip precautions or limitations on movement, keep dressings dry

Week 2–6: Dressings taken off at follow up, Improving strength and range of motion, return to driving

Week 6–12: Light exercise and independence

Beyond Week 12: Full return to activity for most patients

Ongoing support includes physiotherapy, follow-up imaging and remote check-ins where needed.

Costs and Payment Options

We offer transparent, self-pay options for patients who wish to avoid long waiting times. Our team can guide you through:

Consultation and imaging costs

Surgical and hospital fees

Post-operative care packages

Finance and payment plans

More information on pricing can be found on our Paying Yourself page.

Why Choose The West London Knee and Hip Clinic?

Dr Imbuldeniya is a double fellowship-trained consultant in hip and knee surgery, with experience at world-renowned centres in London, Sydney and Barcelona. He is known for his precision, his caring nature, evidence-based care and excellent patient outcomes.

He tailors every treatment to your unique goals and offers minimally invasive options — including muscle-sparing techniques — supported by state-of-the-art diagnostics and imaging.

Patients are seen at:

Lanserhof at The Arts Club, Mayfair

Chiswick Outpatients Centre, West London

Circle Syon Clinic, Brentford

“My aim is to allow patients to have a great patient experience, recover quickly, and return to the active lifestyle they have missed out on for so long as soon as possible.”

— Dr Arjuna Imbuldeniya

At The West London Knee and Hip Clinic, we combine Innovation, Compassion and Excellence in everything we do. Patients choose us for:

A consultant-led approach at every stage

Access to pioneering techniques and premium implants

A track record of successful outcomes and fast recovery

Care at modern, central London clinics in Mayfair, Chiswick & Brentford

Recognition in national media for our commitment to rapid recovery surgery

We believe in treating the whole person — not just the joint.

Book Your Consultation

If you're living with hip pain and are considering a private total hip replacement, book a consultation with Dr Arjuna Imbuldeniya today.

Appointments available at The Lanserhof Clinic in Mayfair and The West London Knee Hip Clinic in Chiswick — with fast access to imaging, surgery, and follow-up care.

Take the first step toward a confident, pain-free future.