Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query have a fracture First lightening does not cause any arthritis. Second, if you are required to have a replacement, you probably I am assuming what they are saying is that you fell because you had arthritis. that on cue as always. Did you have even the faintest of clue of the following symptoms- vertigo blackout localized weakness sudden weakness chest heaviness palpitations breathlessness I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)