Medical information

Hip osteoarthritis: when does replacement make sense?

Hip osteoarthritis is assessed through pain, stiffness, function and imaging. A radiograph does not decide the operation by itself.

Symptoms

Groin pain is common, but hip pain can radiate to the thigh or knee. Shoes, socks, walking and sleep often reveal functional burden.

Imaging

Plain radiographs are usually sufficient when the clinical picture is typical. MRI is mainly used when the diagnosis is uncertain.

Before replacement

Exercise, strength, medication and selected image-guided corticosteroid injection may help maintain acceptable function.

Timing

Replacement becomes reasonable when the hip is the main limiting factor and expected benefit clearly outweighs risk.

Medical review: Dr Julien Stanovici · August 2026. Consultations are available in French and English.

Medical references / source

  1. French reference page with full bibliography
  2. swiss orthopaedics — recommendations
  3. SOFCOT — recommendations