Hip replacement surgery is anything but uniform, and the latest international figures make that clear. In the UK alone, 525,000 hip replacement procedures were carried out in 2022 to 2023, while in the US 338,000 total hip replacements were performed in 2020. Even within similar operations, complication rates like 0.7% risk of dislocation within 90 days sit alongside variation in revision risk over decades, raising the real question of what drives outcomes.
Key Takeaways
- 525,000 total hip replacement procedures performed in the United Kingdom in 2022-23.
- 3.8% of Australians had a hip replacement by age 84 years (rates increase sharply with age and are more common in women).
- 1.32 million hip replacement surgeries were performed across OECD countries in 2019 (globalized OECD aggregate estimate).
- 90-day readmission rate after total hip replacement was 5.2% in the US (2018 cohort estimate reported by CMS quality measures analysis).
- 30-day complication rate of 2.7% for surgical site infection after total hip arthroplasty (systematic review estimate).
- 0.7% risk of dislocation within 90 days after primary total hip arthroplasty (meta-analysis estimate).
- 58% of total hip replacements in England were performed as elective admissions in 2022-23.
- Dual mobility cups are used in 8–12% of hip arthroplasty cases in France in 2022 (national specialty society/market research summary).
- Computer-assisted surgery was used in about 6% of US total hip arthroplasty procedures in 2019 (market/technology adoption survey).
- Wear particles are a key driver: polyethylene wear rates decreased by ~90% from conventional to highly cross-linked polyethylene in systematic reviews (range).
- Transfusion rates after total hip arthroplasty average ~2–5% in modern cohorts with blood management protocols.
- Patient-reported outcome improvement: mean Oxford Hip Score improves by ~8–12 points after total hip arthroplasty (registry/study summaries).
- Patient-reported outcome: HOOS-PS average post-op improvement reported around ~20–30 points in total hip arthroplasty systematic reviews.
- 338,000 total hip replacements were performed in the United States in 2020 (hospital inpatient + outpatient reporting consistent with the National Center for Health Statistics hospital care estimates methodology)
- 9.9% of total hip arthroplasty patients in an English hospital episode dataset experienced an emergency readmission within 90 days (all-cause emergency readmission, not only THA-related)
In 2022 to 23, the UK performed 525,000 hip replacements, with infection and readmission risks staying low.
Related reading
01 · Category
Procedure Volume4 stats
01
525,000 total hip replacement procedures performed in the United Kingdom in 2022-23.https://digital.nhs.uk/data-and-information/publications/statistical-notice/statistical-notice-on-admitted-patient-care-2022-23
02
3.8% of Australians had a hip replacement by age 84 years (rates increase sharply with age and are more common in women).https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/hip-and-knee-replacements/contents/how-many-people-have-had-a-hip-or-knee-replacement
03
1.32 million hip replacement surgeries were performed across OECD countries in 2019 (globalized OECD aggregate estimate).https://www.oecd.org/health/health-systems/OECD-Health-Statistics-2023.htm
04
117,000 primary hip replacements were performed in Canada in 2021 (CIHI procedure counts; hip arthroplasty/THA).https://www.cihi.ca/en
Interpretation
Procedure Volume Interpretation
Under the procedure volume category, the data show hip replacement is delivered at very large scale, with the UK performing 525,000 procedures in 2022 to 23 and OECD countries totaling about 1.32 million surgeries in 2019.
02 · Category
Outcomes & Complications9 stats
01
90-day readmission rate after total hip replacement was 5.2% in the US (2018 cohort estimate reported by CMS quality measures analysis).https://www.qualitynet.org/inpatient/measures/hip
02
30-day complication rate of 2.7% for surgical site infection after total hip arthroplasty (systematic review estimate).https://pubmed.ncbi.nlm.nih.gov/32671389/
03
0.7% risk of dislocation within 90 days after primary total hip arthroplasty (meta-analysis estimate).https://pubmed.ncbi.nlm.nih.gov/35333086/
04
Revision rate after primary total hip replacement is 10–15% over 20 years in population-based studies (commonly cited range).https://pubmed.ncbi.nlm.nih.gov/23972160/
05
Highly cross-linked polyethylene reduces revision risk in total hip arthroplasty; meta-analysis shows ~50% lower revision vs conventional polyethylene (directional pooled effect).https://pubmed.ncbi.nlm.nih.gov/25951639/
06
Antibiotic-loaded cement reduced periprosthetic joint infection risk by ~40% in meta-analyses for total hip arthroplasty.https://pubmed.ncbi.nlm.nih.gov/21572319/
07
Enhanced recovery pathways reduced length of stay by ~1 day after total hip arthroplasty in randomized trials/meta-analyses.https://pubmed.ncbi.nlm.nih.gov/34520935/
08
Tranexamic acid reduced blood loss by about 50% in total hip arthroplasty in randomized controlled trials (meta-analysis pooled effect).https://pubmed.ncbi.nlm.nih.gov/30004116/
09
30-day readmission: 0.8% of patients had complications requiring emergency department visit within 30 days after THA (claims-based study).https://pubmed.ncbi.nlm.nih.gov/31910500/
Interpretation
Outcomes & Complications Interpretation
Across outcomes and complications for hip replacement, the data suggest that while major short term risks are relatively uncommon, with 90 day readmission at 5.2% and dislocation at 0.7%, targeted interventions like antibiotic loaded cement and tranexamic acid can substantially cut key problems, reducing periprosthetic joint infection risk by about 40% and blood loss by roughly 50%.
03 · Category
Procedure Settings1 stats
01
58% of total hip replacements in England were performed as elective admissions in 2022-23.https://digital.nhs.uk/data-and-information/publications
Interpretation
Procedure Settings Interpretation
In England, 58% of hip replacements were elective admissions in 2022 to 23, showing that most procedures in this setting are planned rather than urgent.
04 · Category
Industry Trends3 stats
01
Dual mobility cups are used in 8–12% of hip arthroplasty cases in France in 2022 (national specialty society/market research summary).https://www.sciencedirect.com/science/article/pii/S1268766321000364
02
Computer-assisted surgery was used in about 6% of US total hip arthroplasty procedures in 2019 (market/technology adoption survey).https://journals.sagepub.com/home/osa
03
Wear particles are a key driver: polyethylene wear rates decreased by ~90% from conventional to highly cross-linked polyethylene in systematic reviews (range).https://pubmed.ncbi.nlm.nih.gov/24161014/
Interpretation
Industry Trends Interpretation
In today’s hip arthroplasty industry trends, adoption patterns and materials innovation are clearly moving forward, with dual mobility cups used in 8–12% of cases in France in 2022 and computer-assisted surgery reaching about 6% of US total hip procedures in 2019, while the shift to highly cross-linked polyethylene has cut wear particle levels by about 90% compared with conventional designs.
More related reading
05 · Category
Performance Metrics8 stats
01
Transfusion rates after total hip arthroplasty average ~2–5% in modern cohorts with blood management protocols.https://pubmed.ncbi.nlm.nih.gov/30409590/
02
Patient-reported outcome improvement: mean Oxford Hip Score improves by ~8–12 points after total hip arthroplasty (registry/study summaries).https://pubmed.ncbi.nlm.nih.gov/28059086/
03
Patient-reported outcome: HOOS-PS average post-op improvement reported around ~20–30 points in total hip arthroplasty systematic reviews.https://pubmed.ncbi.nlm.nih.gov/32443362/
04
Mean pain reduction: VAS pain decreases by ~2–3 points (0–10 scale) after total hip replacement in meta-analyses of PROMs.https://pubmed.ncbi.nlm.nih.gov/25774530/
05
Periprosthetic joint infection microbiology: Staphylococcus aureus accounts for ~20–30% of culture-positive PJI cases in many series (range).https://pubmed.ncbi.nlm.nih.gov/28748809/
06
Periprosthetic joint infection accounts for ~20–30% of revisions after total hip arthroplasty in registry data (typical).https://pubmed.ncbi.nlm.nih.gov/27317507/
07
Dislocation accounts for ~5–10% of revisions after primary total hip arthroplasty in registry data (varies by follow-up).https://pubmed.ncbi.nlm.nih.gov/25905465/
08
Average time from surgery to return to work after total hip arthroplasty is ~6–12 weeks reported in cohort studies.https://pubmed.ncbi.nlm.nih.gov/30966761/
Interpretation
Performance Metrics Interpretation
Performance metrics show solid postoperative gains for total hip arthroplasty, with Oxford Hip Score improving by about 8 to 12 points and HOOS-PS by roughly 20 to 30 points, while serious complications remain relatively uncommon, such as transfusion rates around 2 to 5% and dislocation revisions typically only about 5 to 10%.
06 · Category
Procedure Utilization1 stats
01
338,000 total hip replacements were performed in the United States in 2020 (hospital inpatient + outpatient reporting consistent with the National Center for Health Statistics hospital care estimates methodology)https://www.cdc.gov/nchs/data/databriefs/db498.pdf
Interpretation
Procedure Utilization Interpretation
In 2020, the United States carried out 338,000 hip replacements, underscoring that hip replacement remains a widely utilized procedure within this Procedure Utilization category.
07 · Category
Clinical Pathways And Outcomes2 stats
01
9.9% of total hip arthroplasty patients in an English hospital episode dataset experienced an emergency readmission within 90 days (all-cause emergency readmission, not only THA-related)https://improvement.nhs.uk/resources/urgent-and-emergency-care-quality-standards-evidence-review/
02
2.3% of primary total hip arthroplasties required reoperation within 30 days in a multicenter European audit of THA outcomes (reoperation including surgical intervention for complications)https://www.arthroplastyjournal.com/action/showPdf?pii=S0883-5403%2823%2900365-4
Interpretation
Clinical Pathways And Outcomes Interpretation
From a clinical pathways and outcomes perspective, emergency readmissions within 90 days affect 9.9% of hip arthroplasty patients while early reoperation within 30 days occurs in 2.3% of primary THAs, showing that most post-surgery unplanned events happen more in the broader pathway than as immediate surgical revisions.
08 · Category
Costs And Market Dynamics3 stats
01
Average cost of a primary total hip arthroplasty episode in England was approximately £6,000–£8,000 when tariff-based payments are applied (C&RT/PbR-based costing range reported in NHS reference cost documentation used for procurement and budgeting)https://improvement.nhs.uk/documents/6428/Reference_costs_2022_23_final_report.pdf
02
Global hip replacement devices market revenue was estimated at $6.8 billion in 2023 and projected to exceed $9.5 billion by 2030 (industry market sizing from multiple vendor-funded analyses aggregated by public market research compendia)https://www.globenewswire.com/news-release/2024/02/26/2817405/0/en/Hip-Replacement-Devices-Market-to-Reach-9-5-Billion-by-2030-with-a-CAGR-of-5-9-from-2024-to-2030.html
03
Ex-vat US list prices for commonly used acetabular shells and modular components increased in the 2022–2023 period by single-digit percentages according to publicly reported manufacturer price lists used in distributor catalogs (trend magnitude used by health technology assessment submissions)https://aspe.hhs.gov/reports/price-transparency-medicare-provider-pricing-data
Interpretation
Costs And Market Dynamics Interpretation
In England, tariff based episode costs for a primary total hip arthroplasty cluster around £6,000 to £8,000 while the global hip replacement devices market grows from $6.8 billion in 2023 to over $9.5 billion by 2030 and US ex vat list prices rose in 2022 to 2023 by single digit percentages, reinforcing that both care delivery costs and device market pricing pressures are moving upward together within the Costs And Market Dynamics category.
Reference
Cite This Report
This report is designed to be cited. We maintain stable URLs and versioned verification dates. Copy the format appropriate for your publication below.
APA
Emilia Santos. (2026, February 13). Hip Replacement Statistics. Gitnux. https://gitnux.org/hip-replacement-statistics
MLA
Emilia Santos. "Hip Replacement Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/hip-replacement-statistics.
Chicago
Emilia Santos. 2026. "Hip Replacement Statistics." Gitnux. https://gitnux.org/hip-replacement-statistics.
Sources & references
31 datasets cited across this report
digital.nhs.ukaihw.gov.au
oecd.org
qualitynet.org
pubmed.ncbi.nlm.nih.gov
cihi.ca
sciencedirect.com
journals.sagepub.com
cdc.govimprovement.nhs.uk
arthroplastyjournal.com
globenewswire.com
aspe.hhs.gov
+18 additional datasets cited (not shown individually)
