Hip Replacement

There are few things more rewarding than seeing a patient walk in to my consulting room six weeks after a hip replacement. The transformation visible in the patient is quite astounding.


During a hip replacement the head and neck of the femur (thigh bone) is removed and replaced with a metal implant. The acetabulum (cup) is also replaced. Both of these implants can be inserted with cement (cemented THR) or without (uncemented THR). Sometimes it may be best to use cement for one and not the other (hybrid THR). The best choice for you will depend on various factors such as age, bone quality, deformity of the joint, etc. The best option for you will be discussed at your consultation.


Another area where implants can vary is in the bearing surface (the actual articulation of the joint). Traditionally this interface consists of a metal ball inside a plastic socket. More recently ceramic balls and ceramic or metal sockets have also become widely available. Each combination has advantages and disadvantages. The bearing of choice will also be discussed with you at your consultation with Mr Edge.


The combination of a metal ball and a metal socket (MoM hip) has recently been the subject of much debate in the press. Some have been removed from use, and others are under scrutiny. Phillip has never been convinced that this combination is safe and has never used these implants.