Total hip arthroplasty, or surgical replacement of the hip joint with
an artificial prosthesis, is a reconstructive procedure that has impro
ved the management of those diseases of the hip joint that have respon
ded poorly to conventional medical therapy. In this review we briefly
summarize the evolution of total hip arthroplasty, the design and deve
lopment of prosthetic hip components, and the current clinical indicat
ions for this procedure. The possible complications of total hip arthr
oplasty, its clinical performance over time, and future directions in
hip replacement surgery are also discussed.