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Hip-joint replacement (or total hip replacement) substitutes all or part of the hip joint with an artificial device (prosthesis) that restores joint movement.

Hip-joint replacement is mostly performed in older people. It is usually not recommended for younger people because of the strain they will most likely put on the artificial hip.

Hip-joint replacement is performed in patients who have:
  • hip pain that has failed to respond to conservative therapy (for six months or more)
  • hip osteoarthritis or arthritis confirmed by X-ray
  • inability to work, sleep, or move because of hip pain
  • loose hip prosthesis
  • some hip fractures
  • hip-joint tumors
Hip-joint replacement is not recommended for:
  • current hip infection
  • poor skin coverage around hip
  • paralysis of the quadriceps muscles
  • severe diseases of the blood vessels in the leg and foot (peripheral vascular disease)
  • nerve diseases (neuropathy) affecting the hip
  • severe, limiting mental dysfunctions
  • serious physical diseases (such as metastatic disease)
  • morbid obesity (over 300 pounds)

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