Work Injuries
Workers Comp for Hip Replacement Surgery
A new hip is built to last decades. The settlement has to last just as long.
Hip replacement is a standard treatment for serious job-related hip injuries. Hip fractures often come from occupational accidents like falls and vehicle crashes, and hips also wear down from repetitive strain, such as years of heavy lifting in a warehouse. When surgery is what it takes to fix the condition, your employer’s workers’ compensation benefits should cover the cost.
These are expensive surgeries with long recoveries, which makes them exactly the kind of claim insurers manage hard. Here is how hip replacement claims work in Missouri.
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The Surgery
What Hip Replacement Involves
The hip joint moves the legs and supports the upper body, so a damaged hip makes movement painful and restricted. In a replacement, the surgeon replaces the ball at the top of the thigh bone and fits a prosthetic socket, restoring the joint’s movement and relieving pain.
Surgery is generally recommended when the hip is fractured or when pain persists and interferes with life despite other treatments. Afterward comes physical therapy, and for a period you may not be able to put weight on the leg, getting around on crutches or a walker. Recovery time differs for each person, and you may be entitled to both medical and disability benefits while it runs.
The Claim
Filing and Protecting a Hip Injury Claim
Time matters. Report a work accident to your employer immediately, and if the hip damage came from repetitive motion on the job, bring that to their attention too, because failing to follow the reporting procedure can cost you the right to benefits.
From there the claim follows the same core process as any Missouri claim: authorized treatment, temporary disability while you recover, and a permanent rating when you reach maximum medical improvement. Insurers often argue hip deterioration was age or arthritis rather than work; where a prior condition combines with the work injury, the Second Injury Fund may also apply.
The Long Term
A Prosthetic Hip Is a Long-Term Claim
Prosthetic joints wear, loosen, and sometimes need revision surgery years later. Whether future medical care stays open in the settlement decides who pays for imaging, hardware problems, and a revision down the road, and that line is negotiated when you sign, not when the hip starts clicking.
The rating and release come from a doctor the insurer chose. If the hip still cannot carry a full shift, a second opinion before you settle may change the rating, the restrictions, and the number. Related leg injuries are covered on the knee, hip, and leg guide.

The Trap
Closed out before the hip wears in
Hip cases follow a pattern. The replacement is approved, therapy runs its course, and the release arrives with a rating that treats a prosthetic joint like a healed one, while stairs, ladders, and a shift on concrete still say otherwise.
Our results include cases won at hardship hearings after care was cut off, and settlements that kept future medical open for hardware and pain management.
A Trial Firm
How we prove hip claims
In 2025 alone, our firm spent over $700,000 on expert witnesses. Hip cases are proven the same way they are won: physicians who connect the work incident to the injury, and preparation that treats every disputed claim as one that may need a judge.
Our firm handled roughly 1 in 4 of recent workers’ compensation trials at the St. Louis Division of Workers’ Compensation, out of hundreds of attorneys representing Missouri workers. Insurers know which firms will actually try a case, and it changes how they negotiate.
When the claims administrator knows a trial firm is on the file, refusals of care get reconsidered.
Common Questions
Hip replacement claim questions we hear every week
Does workers’ comp cover hip replacement surgery in Missouri?
Yes, when the hip condition comes from a work accident or from repetitive job duties and surgery is what the condition requires. Covered benefits include the surgery, related medical care, and disability payments while you recover.
What if my hip wore down over years instead of one accident?
Repetitive strain injuries are compensable in Missouri when work is the prevailing factor in the condition. Heavy lifting, constant standing on hard surfaces, and years of physical work are common causes, and the work history plus the medical opinion connecting it carry the claim.
What is a hip replacement claim worth?
It depends on the surgical outcome, your permanent rating and restrictions, your wage rate, and whether future medical care stays open for the prosthesis. The full factor breakdown is on what a Missouri workers’ comp case is worth.
Can I be sent back to heavy work after a hip replacement?
Only within your restrictions, and permanent restrictions after a joint replacement are common. If the release ignores what the hip can actually do, get the disagreement documented and reviewed before you settle. Every case is different; results depend on the facts.

About Attorney Hoffmann
Talk directly with Attorney James M. Hoffmann
For more than 30 years, James M. Hoffmann has represented injured Missouri workers, and only injured Missouri workers.
When you call, you talk with the attorney handling your case, not a call center and not a junior associate. Questions about a hip replacement claim are exactly the kind to ask before you settle, not after.
Talk to a trial firm before you sign the settlement
If a work injury put you in hip replacement surgery, find out what the claim may be worth and whether future care stays open before you settle. The consultation is free, and you talk directly with Attorney James M. Hoffmann.