Hip replacement. Coloured Xray of the pelvis of a female patient who has had a hip replacement. The prosthetic hip joint is on the right (white). It consists of a shaft and ball attached to the top of the femur (thigh bone) and a socket (bright semicircle above the ball) that is inserted into the pelvis. The majority of hip replacements are a result of osteoarthritis, a degenerative joint disease that results in the loss of cartilage between the joint and the growth of bone in place of the cartilage. This causes pain, stiffness and loss of mobility.