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Hip replacements are made of different parts.

The stem (portion that goes into the thigh bone)

The head and cup (the bearing surface)

The socket (portion that holds the cup into the pelvis).

The stem is always metal. Usually a cobalt chrome alloy. This may either be coated with titanium or a cermaic such as hydroxyapatite (rough surface) which allows bone to grow onto the stem and hold it fixed in place. Or the stem can be highly polished and cemented in place with polymethylmethacrylate cement.

The socket can either be all polyethylene (usually UHMWPE) and cemented into the pelvis directly (i.e. the cup and socket are one), or the socket can be metal and bond to the pelvis in the same way as the rough stems, with or without the use of screws.

The bearing surface (ball and cup) can vary -

The ball can either be metal or ceramic (alumina), and the socket can either be metal, ceramic or polyethylene (UHMWPE). The polyethylene cups can either be an all in one cup/socket, or a polyethylene liner to a metal socket.

The bearing combinations typically used are:

Metal on polyethylene

Metal on Metal

Ceramic on Ceramic

Ceramic on polyethylene

All have their pros and cons.

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14y ago

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