During primary total hip replacement surgery the hip joint is replaced with an implant or prosthesis made of metal plastic and or ceramic components although most total hip replacements are very successful problems can develop over time these problems may require a revision procedure to replace the original components there are different types of revision surgery in some cases only . Conventional primary total hip replacement is a durable operation in the majority of patients a hip replacement is a mechanical device with parts most commonly referred to as a ball and socket that are assembled before and during the operation. Primary care physicians and surgeons should be aware that both primary and revision total hip replacement can be done safely and effectively in patients aged 90 years and older and can result in years of relief of pain and functional improvement previous article in issue next article in issue total hip replacement is a successful operation for alleviating pain and improving function in . The german study reports on 858 patients 42 with bilateral hip replacements and this includes 30 revision cases for a total of 900 hip replacements the harris hip score rose from 437 to 915 in these cases the surgical time declined quickly from 240 minutes for the first case to 90 minutes no intraoperative femoral fractures occurred in 900 cases other complications were comparable with
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