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The procedure is performed by removing the head of the femur and replacing it with a metal or composite prosthesis. The most commonly used prosthesis designs are the Austin Moore and Thompson prostheses. A composite of metal and HDPE that forms two interphases (bipolar prosthesis) can be used.
Bone cement is considered a reliable anchorage material with its ease of use in clinical practice and particularly because of its proven long survival rate with cemented-in prostheses. Hip and knee registers for artificial joint replacements such as those in Sweden and Norway [2] clearly demonstrate the advantages of cemented-in anchorage.
Materials. Some ceramic materials commonly used in joint replacement are alumina (Al 2 O 3 ), zirconia (ZrO 2 ), silica (SiO 2 ), hydroxyapatite (Ca 10 (PO 4) 6 (OH) 2 ), titanium nitride (TiN), silicon nitride (Si 3 N 4 ).
This discovery caused him to begin looking for a slippery substance that could be used for the socket of a total hip replacement operation. Polytetrafluorethylene (PTFE, also known as Teflon) seemed to meet this requirement. After some apparently successful experiments with the material, he adopted it for his hip replacement surgeries.
These new materials are cross-linked with gamma or electron beam radiation (50–105 kGy) and then thermally processed to improve their oxidation resistance. Five-year clinical data, from several centers, are now available demonstrating their superiority relative to conventional UHMWPE for total hip replacement (see arthroplasty).
Eponymous implants and their uses. Austin-Moore prosthesis for fracture of the neck of the femur [13] Baksi's prosthesis for elbow replacement [14] Charnley prosthesis for total hip replacement [15] Condylar blade plate for condylar fractures of the femur [16] Ender's nail for fixing intertrochanteric fracture [17]