 Hipposteoarthritis is the most common form of degenerative joint disease characterized by progressive loss of cartilage and underlying bone. When conservative treatments fail, the only remaining option is hip replacement surgery. However, this procedure can lead to complications such as loosening of components which requires costly and complex revision surgeries. Additionally, uns cemented hip replacements require proper osteo integration for increased survival. The physical characteristics of implants including biocompatibility, young's modulus of elasticity, strength and corrosion resistance all play a role in their fixation. Furthermore, implant surface treatments, porosity, poor density and femoral stem design must be carefully selected. Other factors such as patient optimization of obesity, osteoporosis, cardiovascular disease, psychotic disorders and smoking cessation have been shown to increase the survival of implants. Additionally, surgical factors such as approach, drilling and rasping, acetabular bone coverage, acetabular cup positioning and implant size can affect the survival of. This article was authored by Drogo Sopostu, Ondyne Leucasia, Christian Bers and others. We are article.tv, links in the description below.