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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.
Osteolysis causes bone to wear and become thin. It most often occurs in the bones of the hip, leg, rib, spine, and thigh. Cancer, cancer metastasis, and joint inflammation from conditions like psoriasis or rheumatoid arthritis can also cause osteolysis.ormal use of a total knee replacement can cause wear of the polyethylene tibial and patellar components. If enough particles are generated, they can cause inflammation and eventually osteolysis. Over time the implant can come loose or the bone can fracture.