Osteoarthritis remains the most common indication for hip arthroplasty.The most important factors that hip replacement must address are pain relief,the ability to return to work, and an increase in the patients level of activity with particularly emphasis on walking capacity. It is imperative that patients are satisfied with the replacement , and examination parameters should be improved [91] .This has changed from the early indications for total hip replacements which was in the elderly patien tcrippled with arthritis, and increasing young patients are presenting with arthritis, wanting to improve their quality of life as well as wanting to continue physically demanding activities[92].