Talk to Orthopedic Surgeon on Guidance On Hip Replacement Material Choice.

Dear Doctors,

I hope you are all doing well. I am a 25-year-old patient with a history of Juvenile Idiopathic Arthritis. Over the past ten years, I have developed bilateral hip damage with a hip-flexion contracture of approximately 40–45°. My current medications include Methotrexate (oral) with Inercipt injections and Folic Acid; previously, I was on Sulfasalazine EC.

My height is 5 ft and my weight is about 54–55 kg. I currently use a wheelchair and have minimal ability to stand or walk.

I am now planning for total hip replacement surgery. Different physicians have recommended different bearing surfaces—some suggest ceramic-on-ceramic while others recommend a metal (alloy) option. I am uncertain which would be more suitable in my case.

Could you please share your professional opinion on the advantages, potential risks, and long-term outcomes of these options for me? Your guidance would mean a great deal to me.

Thank you for your time and expertise.

Best regards.