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Other conditions, such as rheumatoid arthritis (a chronic inflammatory disease that causes joint pain, stiffness, and swelling), avascular necrosis (loss of bone caused by insufficient blood supply), injury, and bone tumors also may lead to breakdown of the hip joint and the need for hip replacement surgery.
A hip replacement may be recommended if one or both of your hip joints is damaged to such an extent that: 1  you have persistent hip pain that is not responding to other treatments and/or.2  the range of movement in your joint is so restricted that day-to-day tasks such as walking are very difficult or impossible. hip replacement may be recommended if one or both of your hip joints is damaged to such an extent that: 1  you have persistent hip pain that is not responding to other treatments and/or.