The primary goal of primary total hip replacement is to relieve disabling arthritic pain in patients who are generally older than 65 years of age and whose pain cannot be effectively relieved by non-surgical treatment; secondly, to restore or improve hip function. Previously, patients aged 60-75 years were generally considered the most suitable for total hip replacement, and this age range was expanded after the 1990s. Conditions that may require hip replacement surgery for hip abnormalities such as hip pain and dysfunction include
Arthritis
rheumatoid arthritis
Juvenile rheumatoid arthritis (Still’s disease)
Ankylosing spondylitis
Degenerative joint disease (osteoarthritis, arthrogryposis)
Primary
Secondary
Slipped epiphysis of the femoral head
Congenital hip dysplasia
Flat hip (Legg-Calvé-Perthes disease)
Paget’s disease
Traumatic joint dislocation
Acetabular fracture
Hemophilia
Osteonecrosis
Femoral head necrosis secondary to hip fracture or dislocation
Primary osteonecrosis of the femoral head
Slipped epiphysis of the femoral head
Hemoglobinopathy (sickle cell disease)
Kidney disease
Glucocorticoid
Alcoholic
Decompression sickness
Lupus Erythematosus
Gaucher’s disease (Gaucher’s disease)
Femoral neck fracture, intertrochanteric fracture resulting in osteonecrosis of the femoral head
Septic arthritis, osteonecrosis
Hematogenous
Post-operative
Tuberculosis
Congenital hip subluxation, dislocation
Hip fusion, pseudarthrosis formation
Hip arthroplasty failure
Osteotomy
Acetabularplasty
Femoral head prosthesis replacement
Girdlestone surgery
Total hip replacement
Hip surface replacement
Bone tumors invading the proximal femur or acetabulum
Genetic disorders (e.g., chondrodysplasia, etc.)
(Cited in Campbell’s Operative Orthopaedics, 11th ed.)
Note: There are a wide variety of diseases involving hip replacement, and the need for joint replacement is complex, which requires consultation with a specialist joint surgeon. Our department will provide you with quality and professional services.