The most common indication for a total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of arthritis is generally seen with ageing, congenital abnormality of the hip joint, or prior trauma to the hip joint. Other conditions leading to total hip replacement include bony fractures of the femoral neck at the hip joint, rheumatoid arthritis, osteonecrosis (death of the femoral head) and developmental dysplasia of the hip.
There are no absolute contraindications however; few relative contraindications include a skeletally immature patient and active sepsis or active infection in the joint. These patients may not be suitable for hip replacement surgery, although infected joints can be managed with a staged hip replacement surgery.