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Total Hip Replacement Hip replacement, also called hip arthroplasty, is a surgical procedure to address hip pain. The surgery replaces parts of the hip joint with artificial implants. The hip joint consists of a ball (at the top of the femur, also known as the thigh bone) and a socket (in the pelvis, also known as the hip bone). Hip replacement surgery includes replacement of one or both parts. The goal of the procedure is to allow you to resume daily activities and exercise with less pain. Total hip replacement is required if you have significant pain, inflammation and damage to your hip joint due to conditions such as: Osteoarthritis (most common) Rheumatoid arthritis Osteonecrosis (avascular necrosis) Injury such as hip fracture Tumor in the hip joint Total and Partial Hip Replacement: Which parts need to be replaced? During total hip replacement (total hip arthroplasty), both the ball and the socket are replaced. A partial hip replacement only replaces the ball (the head of the femur).