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Other conditions, such as rheumatoid arthritis (a chronic inflammatory disease that causes joint pain, stiffness, and swelling), avascular necrosis (loss of bone caused by insufficient blood supply), injury, and bone tumors also may lead to breakdown of the hip joint and the need for hip replacement surgery.
Not all pains and problems are due to your body's reaction to metal debris. Other causes of pain that can affect all types of hip replacement include loosening, wear and infection. If there's damage to your hip then youâll need revision surgery in which the metal-on-metal implants will be removed and new ones inserted.