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.
You should have your hip checked annually with an x-ray to look for wear. Squeaking can also be linked to ceramic on ceramic implants.
If the hip has been put in well, then the cup usually wears first (if made of Polyethylene), it is probably more equal with ceramic bearings
Hip prostheses may be made of metal, ceramic, plastic, or various combinations of these materials.
If you are coding for a facility for procedures you need 2 codes to completely capture the service: If it is for a total hip arthroplasty then you would code 81.51 plus the code for the bearing surface of the implant: 00.74 for metal on polyethelene, 00.75 metal on metal, 00.76 ceramic on ceramic, 00.77 ceramic on polyethelene. If it is for a partial hip arthroplasty then 81.52 plus the code for the bearing surface of the implant (00.74-00.77)
the examples of ceramic materials are: 1. ceramic art 2. ceramic 3. ceramic classfication 4. ceramic wall 5. ceramic material 6. ceramic man made
The latest and most lauded advances and improvements in hip surgery procedures is the use of minimally invasive techniques. These techniques include incisions that disturb fewer of the muscles and tissues and replacements made of ceramic which are more resistant to wear,
A typical hip replacement implant weighs between 1 to 3 pounds (approximately 0.45 to 1.36 kilograms), depending on the materials used and the specific design of the prosthesis. The implant usually consists of a metal stem, a ball, and a socket, with some components made of ceramic or polyethylene. The overall weight can vary based on the manufacturer and the specific needs of the patient.
A hip replacement consist of a cup, and a stem (that sits in the femur). Typically a surgeon will either press fit a hip replacement in (fit in tight, and allow the bone to grow into it), or use a bone cement to secure the implant in position. A hybrid typically means he will cement one component in, and press fit the other.
Yes, screws are commonly used in hip replacement surgeries to help secure the artificial hip components in place. They are typically used to provide additional stability and support during the healing process.
A total hip replacement surgery involves 3 kinds of the prosthesis. The first is a cup that is used to replace the hips socket. The next is a ball that replaces the head of the thigh bone and finally, there is a stem that is attached to the thigh bone. These 3 together are responsible for the movement of the hip. In some cases, not every part will be damaged. Joint replacement is an option for those who have suffered injury or conditions such as osteoarthritis. When the pain in the joints limits a person’s daily activities and does not seem to be responding to conservative treatment, joint replacement surgery is recommended. Several factors increase the risk of weakening your joints such as hereditary, trauma, obesity, repetitive injuries, etc. Ranka Hospital, Pune provides facilities for hip replacement.
During hip replacement surgery the doctor saws the thigh bone to access the ball part of the joint which is then removed and replaced with a man made ball joint.
Hip resurfacing or total hip replacement