The hip replacement joke, "Hip replacement? He was never hip to begin with!" is written to go along with a hip replacement cartoon by Marty Bucella that jokes about the character's old age and nerdy disposition. Other hip replacement jokes can be found on hip replacement greeting cards, such as the card by Steve Delmonte that reads, "Congratulations on your new implants! Here's to a "hip"er you!"
Hip replacement jokes are commonly found on cartoons about old age and get well soon cards for hip replacement surgery patients. For example, the cartoon by Mike Flanagan that depicts a doctor saying, "We've decided to keep the hip and replace the rest of you!" pokes fun at the character's advanced age, and the get well soon card by Trudy Wilkerson that reads, "Now that all the nuts and bolts are in place ... " jokes about how much hardware is needed in a new hip.
Famous comedians and actors also make jokes about hip replacements. These jokes are typically used to make light of their advancing age. For instance, in an interview with David Letterman, actor Steve Carell joked that after his hip replacement his doctors gave him his old hip to make soup.