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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 ...
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]
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.
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).
Lower extremity prosthetics describe artificially replaced limbs located at the hip level or lower. In the prosthetics industry, a trans-tibial prosthetic leg is often referred to as a "BK" or below the knee prosthesis. Prostheses are manufactured and fit by clinical Prosthetists.
A titanium hip prosthesis, with a ceramic head and polyethylene acetabular cup. Ceramics are now commonly used in the medical fields as dental and bone implants. [8] [9] Surgical cermets are used regularly. Joint replacements are commonly coated with bioceramic materials to reduce wear and inflammatory response.
Stress shielding is the reduction in bone density ( osteopenia) as a result of removal of typical stress from the bone by an implant (for instance, the femoral component of a hip prosthesis ). [1] This is because by Wolff's law, [2] bone in a healthy person or animal remodels in response to the loads it is placed under.
The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities
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