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well good afternoon i would like to thank you for taking your time to learn a bit more about hip replacements weamp;#39;ll start by talking about the background and hip replacement and arthritis followed by some historical information on hip replacements and then discuss the improvements that have taken place and lastly discuss where the future might be in hip replacements the following are my disclosures none of which are relevant to my current presentation before we can really dive into hip replacements itamp;#39;s worthwhile understanding who gets a hip replacement which really gets at what are the surgical indications for a hip replacement first the patient must have docHub radiographic disease which for me is going to be moderate to severe arthritis and second as a hip and knee replacement surgeon i donamp;#39;t save lives to save lifestyles so the patient must have severe symptoms which is often subjective in the pain and patient specific that i refer to as the enough is