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The prosthetic implant used in hip replacement consists of three parts: the acetabular cup, the femoral component, and the articular interface. Options exist for different people and indications. The evidence for a number of newer devices is not very good, including: ceramic-on-ceramic bearings, modular femoral necks, and uncemented monoblock cups.
Hip resurfacing has been developed as a surgical alternative to total hip replacement (THR). The procedure consists of placing a cap (usually made of cobalt-chrome metal), which is hollow and shaped like a mushroom, over the head of the femur while a matching metal cup (similar to what is used with a THR) is placed in the acetabulum ( pelvis ...
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 ).
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]
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).