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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.
Hip Replacement Surgery. Guide. Total joint replacement involves surgery to replace the ends of both bones in a damaged joint to create new joint surfaces. Total hip replacement surgery uses metal, ceramic, or plastic parts to replace the ball at the upper end of the thighbone (femur) and resurface the hip socket in the pelvic bone. Total hip replacement surgery replaces damaged cartilage with new joint material in a step-by-step process . Doctors may attach replacement joints to the bones with or without cement. Cemented joints are attached to the existing bone with cement, which acts as a glue and attaches the artificial joint to the bone.