The paper presents the results of a retrospective study based on radiographs of 75 successful total hip replacements, and 103 which involved failure of the femoral component of the prosthesis. Measurements were made on radiographs which had been obtained immediately post-operatively, so that the features measured would depend on surgical procedure rather than on any subsequent biological response. Computer image analysis has been use to make precisely defined, reproducible measurements of 58 parameters characterizing the insertion of the femoral component of a standard Charnely prosthesis. These parameters include geometry of insertion, distibution of cement, surrounding bone thickness, and so on. Clinical findings, including patient weight, were also recorded with the measurements on computer disc. Preliminary statistical comparisons indicate that several of the measured parameters are of predictive value for determining the long-term success or failure of total hip replacements.