I've been very lucky with my hip joint replacement. I've had it 15 years without a problem. Now it looks like the plastic liner inside the socket has worn thin and needs to be replaced. Should I just have the whole hip replaced at the same time?

This is a good question and one you will want to discuss with your orthopedic surgeon. In general, the old saying applies: "If it's not broke, don't fix it." You could possibly get another 10 or more years of good service from your current implant. Replacing the liner is a fairly simple thing to do compared with removing the implant and replacing it with another.

Your surgeon has probably already taken an X-ray and seen the liner changes. The X-ray will also show the condition of the bone. Good bone health and density is needed before a hip revision can be done.

It's entirely possible that your joint replacement could last another 10 years (or more) with a new liner in place. Unless your surgeon advises otherwise, the simple liner replacement plan is best.

Reference: 

Brett J. Hampton, MD, and William H. Harris, MD. Primary Cementless Acetabular Components in Hips with Severe Developmental Dysplasia or Total Dislocation. In The Journal of Bone and Joint Surgery. July 2006. Vol. 88. No. 7. Pp. 1549-1552.

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