Did you know Clarence Bass had hip replacement surgery? Interesting quote here from his site:
It is interesting that despite his hip problems, he still argues the case for "training to get lean".Frankly, I don’t know why my hip went bad. No one can say with certainty. Many factors were probably involved. Fifty-five years of steady training may have simply taken a toll on my hip. An unusual curvature of the spine inherited from my mother may have helped the process along. Doing the split snatch, with my right leg extended far to the rear, in my early years of Olympic lifting and later when a shoulder problem prevented me from using the squat style, probably contributed as well. On the other hand, many athletes have their hip or knee replaced decades earlier. For example, a front-page story in The Wall Street Journal, from the Winter Olympics in Turin, Italy, reported that 1996 U.S. figure skating champion Rudy Galindo had both hips replaced at age 33. It may be that my hip would've worn out earlier without training. Who knows?
My training was clearly a benefit when I needed a hip replacement. Lean, active people are the best candidates for the anterior approach (all approaches actually). Overweight people and those with brittle bones are more problematic. The procedure is not appropriate for deformed hips or when repairing an existing replacement, according to Dr. Kreuzer.
Excess fat makes it more difficult for the surgeon to see the operative field