Objective: This study aims to analyze the specific impact of hip osteoarthritis on the failure and subsequent revision of total hip replacements, with a particular focus on athletic populations. Considering the unique biomechanical demands and higher physical activity levels of athletes, the study seeks to understand how these factors influence post-surgical outcomes in cases of hip osteoarthritis. Methods: The research involved collecting and analyzing data from athletes who had undergone total hip replacement surgeries due to hip osteoarthritis. Patient demographics such as age, gender, and the severity of the disease were recorded. The study performed a detailed correlation analysis to evaluate the influence of hip osteoarthritis on the failure rates of total hip replacements in this specific group. It particularly focused on hip failure caused by arthritis, cement fixation failure in aseptic arthritis cases, and cemented hip failure due to primary inflammation. Results: The findings indicate that in athletic populations, hip osteoarthritis is significantly correlated with higher failure rates after total hip replacement, with an influence rate of 30.64%. This rate is notably higher compared to general population statistics, underscoring the unique challenges faced in treating athletes. The study also found a notable correlation between the type and severity of arthritis and the failure modes of hip replacements, including issues related to cement fixation. Conclusion: This study highlights the significant impact of hip osteoarthritis on the failure of total hip replacements in athletes, a group that typically places higher physical demands on hip joints post-surgery. The correlation between arthritis severity and replacement failure underscores the need for tailored surgical and rehabilitation approaches for athletic individuals. These findings stress the importance of considering the specific biomechanical and lifestyle needs of athletes in managing hip osteoarthritis and planning total hip replacement surgeries.