Hi, liblondie45 (from long island, by any chance?),
i was born with hip dysplasia, also. After complaining for 16 years to anyone who would listen, I got a total hip replacement in 1988 at age 36. What a relief! It is titanium, and after all these very active years I am just starting to feel sharp pains in the hip every now and then.
I don't know if ceramic or titanium is best because ceramic wasn't available at the time. I do know that I was in so much pain before the surgery, I would have been happy even if my leg had been amputated (with a guarantee of being free of pain, of course!).
Good luck with your search!
Linda