Home > Arthritis > How does a Hip Prosthesis Work Get the Flash Player to see this player. Rate: (Click the stars to rate) Published on Jun 23, 2008 by TSculco, Views: 1529 How does the hip Prosthesis Work: Improvments to hip replacement surgery such as a coating on the metal, as well as a ceramic ball makes newer hip replacements last longer for patients that have a hip replacement because of arthritis and pain and difficulty walking.