Many people with osteoporosis have had total hip replacements. Often the hip breaks and it can't be repaired because of the osteoporosis. Doctors have special ways of handling such cases.
They use cement to hold the implant in place. They can choose implants that don't need the inside of the femur (thigh bone) to be drilled out. They are more likely to use an open method of surgery instead of the newer mini-incisions.
Ask your doctor for his or her opinion. A decision can be made based on your X-rays and bone mineral density studies. Your overall health is a factor and whether you smoke. Tobacco-use delays wound healing and increases your risk of a fracture. If everything checks out, you could be a good candidate for a hip replacement.