In India, sitting cross-legged (Sukhasana) and squatting are part of daily life—for prayer, eating, or using the toilet.

Traditionally, patients were told "Never sit on the floor again" after hip replacement.

In 2025, that rule has changed.

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Why Was It Forbidden?

In standard hip replacements, the ball-and-socket joint is smaller. Extreme movements like squatting or crossing legs force the ball against the edge of the cup, causing it to lever out (Dislocate).

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The Solution: Dual Mobility Implants

To allow floor sitting, we now use Dual Mobility Cups or Large Head Ceramic bearings.

• How it works: It has a "ball within a ball" design.
• Benefit: It provides a massive range of motion before impingement occurs.
• This makes the hip extremely stable, even in extreme positions.

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So, Can I Do It?

Yes, BUT...

1. Wait for Healing: You must avoid it for the first 3-6 months while the soft tissues heal around the implant.
2. Implant Choice: You must discuss this before surgery. Dr. Kale needs to select the specific high-performance implant designed for this activity.
3. Flexibility: You need good flexibility in your spine and other joints to get down safely.

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What About Indian Toilets?

Squatting is mechanically harder than sitting cross-legged.

• While high-performance hips allow it, we generally recommend Western toilets or commode chairs to reduce wear on the implant and prevent falls in slippery bathrooms.

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Takeaway

If sitting on the floor is important to your lifestyle, tell your surgeon.

With Dr. Abhijit Kale's advanced surgical techniques and modern implants, your hip replacement can adapt to your culture, not the other way around.

👉 Consult us about High-Flex Hip Replacement.