Total Hip Replacement with Osteoarthritis

Indications for a total hip replacement, also called a total hip arthroplasty, in someone with hip
osteoarthritis are based on symptom severity and the impact to a patient’s quality of life. The following
are common indications for total hip replacement in hip osteoarthritis:

1. Persistent pain: When conservative treatments such as pain medications, physical therapy, and
   weight reduction fail to adequately control pain, and the individual experiences persistent, severe hip
   pain that significantly affects daily activities, it may be time to consider hip replacement surgery.
2. Functional limitations: Hip osteoarthritis can lead to reduced mobility, stiffness, and difficulty with
   activities such as walking, climbing stairs, getting in and out of cars, and putting on shoes. If these
   functional limitations persist and significantly impact quality of life and independence, total hip
   replacement may be recommended.
3. Decreased quality of life: Hip osteoarthritis can have a significant negative impact on an individual’s
   overall well-being, affecting sleep, mood, and the ability to engage in recreational and social activities. If
   conservative treatments have been exhausted and the person’s quality of life remains impaired, total
   hip replacement may be considered.
4. Radiographic evidence: X-rays or other imaging studies may reveal advanced hip osteoarthritis,
   characterized by significant joint space narrowing, presence of osteophytes (bony spurs), or joint
   deformity. Radiographic evidence, when combined with the individual’s symptoms and functional
   limitations, can support the decision to proceed with a total hip replacement.
5. Failure of conservative treatments: Before considering surgery, non-surgical interventions are
   typically attempted, including weight management, physical therapy, pain management, and the use of
   assistive devices. If these measures fail to provide adequate relief or if the symptoms worsen over time,
   it may be time to consider a total hip replacement.

While a total hip replacement is a successful and reproducible procedure, it’s important to note that the
decision to undergo this type of surgery is made on an individual basis that considers the person’s
overall health, age, and ability to tolerate both surgery and rehabilitation. It is recommended to consult
with an orthopedic surgeon who can assess the specific circumstances and provide personalized
recommendations regarding the need for a total hip replacement.