Hip Replacement in Dombivli Total Hip Replacement (THR), our surgeon removes the damaged sections of the hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. This artificial joint (prosthesis) helps reduce pain, improve function & early mobilization of the patient. THR might be an option if hip pain interferes with daily activities and nonsurgical treatments haven't helped or are no longer effective. avascular necrosis of femoral head is the most common indication for total hip replacement surgery.