Types of Hip Replacement

WHICH PROTHESIS WILL MR LUSCOMBE USE?

Mr Luscombe has over 10 years of experience in hip surgery using the same well established prosthesis. With this wealth of experience that Mr Luscombe has built up he performs both types and tailors which prosthesis is most suitable for each individual patient. This will depend on age, sex, bone quality, anatomy, underlying disease and functional demand.

There are two main type of Hip Replacement: Cemented and Uncemented.

CEMENTED HIP REPLACEMENTS

Mr Luscombe will usally use cemented implants in more elderly patients with not such good bone quality. The implants are fixed into position using bone cement. These types of hip replacement have been shown to last for many years but may not be suitable for younger high demand patient. Mr Luscombe has over the last 10 years used the Exeter hip replacement which has a long and excellent pedigree. Made from X3 Polyethylene this implanted globally and designed to be resistant to wear and proven to last longer than conventional polyethylene.

The Exeter cemented hip stem used by Mr Luscombe has a 10A* ODEP Rating. There are over 260,000 stems implanted in the UK every year. The first stem was in 1970 at the Princess Elizabeth Orthopaedic Hospital in Exeter, England. With over 40 years of proven clinical history the Exeter stem has demonstrated successful clinical performance with a survivorship today of 91.5 percent at 30 years. Made from Stainless Steel.

UNCEMENTED HIP REPLACEMENTS

Mr Luscombe generally uses Uncemented implants in younger patients with better bone quality. The surface of the implant has a special surface which helps it to fix the prosthesis securely in position. During the the early weeks following implantation the patients natural bone grows through the pores allowing the bone to grow into the implant

Mr Luscombe has used the Trident Accolade uncemented implants for the last 10 years.

The Trident Accolade uncemented hip stems have a 10A* ODEP Rating. Hundreds of thousands of patients globally have received this clinically proven implant since it was launched in 2000. It is partially coated with PureFix HA (hydroxyapatite) to mimic natural bone and encourage bony on-growth and integration. The stem is made from Titanium.

Various type of ceramic and metal heads are used during uncemented hip replacements based on the patient. Mr Luscombe generally uses a highly crossed linked liner head, Rimfit polyethylene or Biolox Delta Ceramic heads.