ABSTRACT
Hip arthroplasty is indicated in patients with incapacitating pain which is refractory to conservative treatment. Arthrodesis and osteotomy should be considered. Total hip replacement is contraindicated in those patients who are medically unfit or who have active infection, neuropathic joints or progressive neurological disease. Resection (excision) arthroplasty may be considered in those with severe infection or poor mobility for other reasons. Resurfacing arthroplasty is no longer considered a worthwhile procedure because of failure rates of 20-50% at 5 years and extensive acetabular bone loss.
