Each year in the United States, about 200,000 to 300,000 hip replacement procedures are done, as tallied by the American Academy of Orthopedic Surgeons (AAOS).  A greater number of these patients are older adults, 60 years old and up. In hip replacement, the damaged joint is removed and replaced with a new prosthetic device. Manufacturers of hip implants have marketed various designs of the device. DePuy Orthopedics recently initiated a campaign telling recipients’ stories to potential recipients, as another means of promoting their hip implants. DePuy is a company of Johnson & Johnsons Inc.

The major indicator for hip replacement is pain. According to a study, Indications for Total Hip Replacement dated 2006, surgeons and referring physician both agreed that pain (rest pain) and impairment of daily function like walking, climbing stairs and rising from a sitting position are the main indicative manifestation for them to recommend THR. The most common cause of hip pain and disability is arthritis: osteoarthritis and rheumatoid arthritis.  Breakage of the bone’s continuity, more commonly known as fracture, may also require hip replacement.

Degenerative joint disease, also known as osteoarthritis (OA) is the most common joint disorder and is frequently the most disabling.  Individuals who are more than 50 years old and with a positive family history of arthritis are usually affected by the condition. Increasing age directly relates to the degenerative process in the joint, as the ability of the articular cartilage to resist repetitive blows diminishes.  With reduced cushion, rubbing of bones against each other may happen resulting to pain, stiffness and impaired function.


Rheumatoid arthritis or RA is an autoimmune disease wherein the synovial membranes is inflamed causing articular cartilage dysfunction, leading to pain and stiffness. RA is an autoimmune disease, which means that the body is attacking its own tissues, a condition very different with OA. Women are 2-3 times more affected with the condition than men.  Classic symptoms of RA include swelling, erythema, joint pain and decreased function.

Management for both OA and RA generally includes exercise, lifestyle modification and analgesics, and can be a single or combined approach. But in more advanced cases, surgery or joint replacement is advised.  As prescribed, patients suffering from osteoarthritis or rheumatoid arthritis of the hips may undergo a hip replacement surgery. The patient, his family, his primary doctor and his orthopedic surgeon should collaborate on deciding whether to have hip replacement or not. They should all discuss and decide what surgical approach to use and what kind of hip device will be implanted.  The device manufacturer DePuy Orthopedics has ordered a worldwide DePuy hip recall on their DePuy ASR after it was found out in certain studies that the device was faulty.