Evidence Checklist: Total Hip Replacement (Arthroplasty)

Nexus opinion linking total hip replacement to service-connected condition ("at least as likely as not")Critical

A medical opinion connecting the underlying condition requiring hip replacement to military service. The replacement is rated at 100% for one year post-surgery, then on residual ROM and symptoms.

Post-operative hip range of motion measurements (after 1-year minimum rating period)Critical

Current orthopedic examination documenting hip flexion, extension, abduction, adduction, and rotation after the minimum 1-year 100% rating period expires.

Functional assessment (ambulation, stairs, assistive devices)

Records documenting walking distance before pain, ability to climb stairs, need for a cane or walker, and daily activity limitations after hip replacement.

Surgical records from total hip replacementCritical

Operative reports from total hip arthroplasty documenting the reason for surgery, approach (posterior, anterior, lateral), implant type, and intraoperative findings.

Documentation of post-operative complications or chronic symptoms

Records of leg length discrepancy, chronic pain, dislocation episodes, periprosthetic fracture, hardware failure, or revision surgery that may support continued high-level ratings.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Hip and Thigh ConditionsCritical

Standardized form capturing hip range of motion, post-surgical status, and functional limitations after total hip replacement.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.