There are quite a few variables here
1. There are two versions of each. Metal on metal and metal on polyethylene and ceramic on ceramic and ceramic on polyethylene
2. Polyethylene wears out quicker then either metal or ceramic
3. There is currently a massive recall of metal on metal hip implants. These tend to shed minute particles which can cause rejection of the implant and can enter the bloodsream. The plus side for metal on metal is that they can use larger cups (pelvis side of the joint) which means they are less likely to dislocate. Though rate of dislocation will depend on other factors as well e.g. surgical approach used.
4. Ceramic has a long life span but in a few cases makes a horrible squeaking noise and in even rarer cases they can shatter - known as catastrophic failure! Like metal on metal they can use a larger cup size.
Ceramic and ceramic is probably now the current favourite
If I had to chose I'd definitely go for ceramic on ceramic.
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)
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.
I know that exist some hip implant from ceramic and metal. In my opinion it`s much better then metal-on-metal hip implant (this kind of implant can cause cancer).
Hip prostheses may be made of metal, ceramic, plastic, or various combinations of these materials.
No, the problems with hip implants are not only limited to metal-on-metal implants. Other types of hip implants, such as metal on plastic or ceramic on ceramic, have also been associated with issues such as implant loosening, fracture, and infection. Each type of hip implant has its own unique set of challenges and potential complications.
Hip Replacement or hip arthroplasty is a surgical procedure to treat the damaged portion of the hip. A person who performs this procedure by making certain incisions to remove the damaged part of the hip and replacing them with prosthetic implants is a Hip Replacement surgeon.
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A surgeon in a hospital
Metal hip replacements began to be used in the 1960s, with significant advancements in design and materials occurring during this period. The first successful metal-on-metal hip prosthesis was developed by Sir John Charnley in 1962, which utilized a combination of metal and plastic components. Since then, various metal alloys have been used in hip replacement surgeries to improve durability and performance.
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.
yes
Yes, you can have a PET scan if you have a hip replacement. The metal components used in hip replacements do not interfere with the PET scan process, as the scan primarily detects metabolic activity using a radioactive tracer. However, it's important to inform your healthcare provider about your hip replacement and any other implants, as they may need to consider these factors when interpreting the results.