Hip replacement - latest technology and developments...
Discussion
I may need one within the next 5yrs according to surgeon and X-ray. Long story short - I had surgery on my hip 34yrs ago when I was 16 and was told that within 10-20yrs further surgery would be needed, but by keeping active I have avoided it. The hip is now "very worn" and has recently started to let me know. My main concern is revision if the primary fails but the surgeon said the latest (cementless) type has a 70% chance of lasting the rest of my lifetime if I had it done at say 55yrs... obviously usual caveats like infection etc still apply. I have seen people including my father suffer for years with worn out joints, taking daily painkillers, hobbling in agony to postpone having a replacement. Sod that - at 50 I'm still very active and hope to continue so. I just wondered if anyone has been through similar and found or learned of the latest developments in hip replacements? Thanks
Ignore the above which doesn't help you, but has truth in there somewhere.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5240313/
Is factual and summarising.
Against what you might initially think, what you need is older, proven technology. New stuff is unproven.
Look at ODEP ratings for more deep knowledge. Not the actual individual ratings, but the system and approach.
https://www.odep.org.uk/odep-products-search/?_sft...
ODEP 15 implants are very desirable, and how long does it take to get this badge?
Yours, an orthopedic surgeon.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5240313/
Is factual and summarising.
Against what you might initially think, what you need is older, proven technology. New stuff is unproven.
Look at ODEP ratings for more deep knowledge. Not the actual individual ratings, but the system and approach.
https://www.odep.org.uk/odep-products-search/?_sft...
ODEP 15 implants are very desirable, and how long does it take to get this badge?
Yours, an orthopedic surgeon.
The_Doc said:
Ignore the above which doesn't help you, but has truth in there somewhere.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5240313/
Is factual and summarising.
Against what you might initially think, what you need is older, proven technology. New stuff is unproven.
Look at ODEP ratings for more deep knowledge. Not the actual individual ratings, but the system and approach.
https://www.odep.org.uk/odep-products-search/?_sft...
ODEP 15 implants are very desirable, and how long does it take to get this badge?
Yours, an orthopedic surgeon.
Im only reporting what happened to my Dad. https://pmc.ncbi.nlm.nih.gov/articles/PMC5240313/
Is factual and summarising.
Against what you might initially think, what you need is older, proven technology. New stuff is unproven.
Look at ODEP ratings for more deep knowledge. Not the actual individual ratings, but the system and approach.
https://www.odep.org.uk/odep-products-search/?_sft...
ODEP 15 implants are very desirable, and how long does it take to get this badge?
Yours, an orthopedic surgeon.
He was denied surgery for many years until he physically couldnt walk the length of himself as they kept saying he was too young.
He went from running marathons in under 3.5 hours to not able to walk to the local shop.
It ruined his quality of life for almost 10 years.
The_Doc said:
Ignore the above which doesn't help you, but has truth in there somewhere.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5240313/
Is factual and summarising.
Against what you might initially think, what you need is older, proven technology. New stuff is unproven.
Look at ODEP ratings for more deep knowledge. Not the actual individual ratings, but the system and approach.
https://www.odep.org.uk/odep-products-search/?_sft...
ODEP 15 implants are very desirable, and how long does it take to get this badge?
Yours, an orthopedic surgeon.
Thanks Doc. Great catalogue - just ordered a 15A hip stem and cup in a medium size https://pmc.ncbi.nlm.nih.gov/articles/PMC5240313/
Is factual and summarising.
Against what you might initially think, what you need is older, proven technology. New stuff is unproven.
Look at ODEP ratings for more deep knowledge. Not the actual individual ratings, but the system and approach.
https://www.odep.org.uk/odep-products-search/?_sft...
ODEP 15 implants are very desirable, and how long does it take to get this badge?
Yours, an orthopedic surgeon.
In all seriousness though you make a very valid point re proven/unproven materials...
Out of interest how long are you seeing hip implants last in the (younger) active patient? Am I right in thinking the parts becoming loose or infection to be the main reason for revision?
I really appreciate your input - thanks for taking time to post
If you have surgery with a proven implant, and it goes well, it should last you 20-30 years. Maybe forever.
Yours, an orthopaedic surgeon who doesn’t do hips!
The challenge will be getting one on the nhs. Even if you make it through the referral delaying processes the hospitals can’t afford to buy the implants now as the govt is starving hospitals of funds.
Yours, an orthopaedic surgeon who doesn’t do hips!
The challenge will be getting one on the nhs. Even if you make it through the referral delaying processes the hospitals can’t afford to buy the implants now as the govt is starving hospitals of funds.
My mum had both knees done across 2019 and 2020 she was getting to a stage where she couldn't even walk. Now note that she is a pretty tough cookie and has a high plain threshold.
These were done in Warwickshire and the weight list was not very long I think it was under three months. With both knees they are miles and miles better now I think they had this titanium in them. She was up walking within 24 hours albeit very slowly. Her recovery was delayed by overdoing it though.
It went far better than I could have imagined, both times she shared a ward with someone who was having their hips done which I don't think is as bad and operation from memory.
To put your mind at rest I think it is not like it used to be these days but you need to have a good surgeon. The cement worked very quickly and I was amazed to see her walking around so quickly it really did blow my mind. It can be a bit counterintuitive in the recovery in order to keep a range of movement.
If the wait list is many years and you are in a lot of pain then you can consider going private I think the cost was something like six grand each which is a lot of money but to regain your life and get rid of the pain it might be worth doing if there is a way to do that. Don't quote me on this but at least it gives you the idea if it was a long wait time and you had the cash.
Anecdotally during the operation she asked if she could watch the operation while it was being done for which they declined. But she said she could still see what was going on because of the reflection on part of the light fitting above, she's a different breed to me I would want the general! My dad did ask if we could keep the bone for the dog but they declined
I hope that is of some help but I'm sure you will have more informed answers first hand on here. But if it was me I wouldn't hesitate to do it but I would do my best to ensure it's a good and reputable surgeon because others don't have such good experience.
These were done in Warwickshire and the weight list was not very long I think it was under three months. With both knees they are miles and miles better now I think they had this titanium in them. She was up walking within 24 hours albeit very slowly. Her recovery was delayed by overdoing it though.
It went far better than I could have imagined, both times she shared a ward with someone who was having their hips done which I don't think is as bad and operation from memory.
To put your mind at rest I think it is not like it used to be these days but you need to have a good surgeon. The cement worked very quickly and I was amazed to see her walking around so quickly it really did blow my mind. It can be a bit counterintuitive in the recovery in order to keep a range of movement.
If the wait list is many years and you are in a lot of pain then you can consider going private I think the cost was something like six grand each which is a lot of money but to regain your life and get rid of the pain it might be worth doing if there is a way to do that. Don't quote me on this but at least it gives you the idea if it was a long wait time and you had the cash.
Anecdotally during the operation she asked if she could watch the operation while it was being done for which they declined. But she said she could still see what was going on because of the reflection on part of the light fitting above, she's a different breed to me I would want the general! My dad did ask if we could keep the bone for the dog but they declined
I hope that is of some help but I'm sure you will have more informed answers first hand on here. But if it was me I wouldn't hesitate to do it but I would do my best to ensure it's a good and reputable surgeon because others don't have such good experience.
White-Noise said:
My dad did ask if we could keep the bone for the dog but they declined
lol that did make me chuckle I'm a bit squeamish so would prefer to be knocked out with enough anaesthetic dope until the scar has fully healed. I remember from my previous operation at 16yrs old there was some tube thingy they removed from my hip. I can still feel that weird sensation of it being pulled out today. Horrid.
drmike37 said:
If you have surgery with a proven implant, and it goes well, it should last you 20-30 years. Maybe forever.
Yours, an orthopaedic surgeon who doesn’t do hips!
The challenge will be getting one on the nhs. Even if you make it through the referral delaying processes the hospitals can’t afford to buy the implants now as the govt is starving hospitals of funds.
Thanks for reply, Mike. 20-30yrs is a huge advancement on the 10 they used to previously say. My dad had his knee on the NHS - took years until they finally did it and sadly never made it to his other knee that also needing doing. In hindsight should've gone private.Yours, an orthopaedic surgeon who doesn’t do hips!
The challenge will be getting one on the nhs. Even if you make it through the referral delaying processes the hospitals can’t afford to buy the implants now as the govt is starving hospitals of funds.
White-Noise said:
If the wait list is many years and you are in a lot of pain then you can consider going private I think the cost was something like six grand each which is a lot of money but to regain your life and get rid of the pain it might be worth doing if there is a way to do that. Don't quote me on this but at least it gives you the idea if it was a long wait time and you had the cash.
I had right leg total knee replacement surgery May 23 and left leg TKR May 2024, both privately by the same surgeon in the same hospital. Cost of the actual operations were around £14,500 each. You have to add on: pre op consultation, pre op health and physio assessments, accommodation (3 days in my case) and full time nursing, drugs you get prescribed by the hospital for home use, and maybe 6-7 physio session afterwards. Total costs worked out at about £16,500 in each case.The prosthetics are titanium, should last about 15 years or more, apparently.
R.
It's not what it's made of.
One of the best performing stems, the V40 Exeter, is Orthinox Stainless Steel, similar to 316 LVM. It has published survivorship up to 40 years and expected 25 yrs.
At the point you are choosing metallurgy, you should be talking to a high volume hip surgeon.
One of the best performing stems, the V40 Exeter, is Orthinox Stainless Steel, similar to 316 LVM. It has published survivorship up to 40 years and expected 25 yrs.
At the point you are choosing metallurgy, you should be talking to a high volume hip surgeon.
I’m early 40s and will be having a hip replacement in June at a private hospital funded by the NHS. It has been a tough year of appointments, pain, x-rays, more appointments and more pain but I finally have a foot in the door.
I broke my neck of femur 10 years ago and it turns out that AVN has set in and the femoral head is now done and I have a hinged hip as a result. The surgeon said I did pretty well to get 9 years out of it and being active likely helped but it is well and truly at the point of needing a replacement. To throw a bit more in to the mix I have to have an initial operation to remove the three cannulated screws already in there which is being done in March.
I’ve stopped cycling and all other exercise as the pain and after effects were too much, causing all manor of back, knee, leg and hip pain.
All I can say is don’t ignore the symptoms and push the NHS for action if it is affecting your life.
I broke my neck of femur 10 years ago and it turns out that AVN has set in and the femoral head is now done and I have a hinged hip as a result. The surgeon said I did pretty well to get 9 years out of it and being active likely helped but it is well and truly at the point of needing a replacement. To throw a bit more in to the mix I have to have an initial operation to remove the three cannulated screws already in there which is being done in March.
I’ve stopped cycling and all other exercise as the pain and after effects were too much, causing all manor of back, knee, leg and hip pain.
All I can say is don’t ignore the symptoms and push the NHS for action if it is affecting your life.
I have some relevant experience in this area. I'm a couple of years younger than you but always been very active. I used to compete in various fighty sports (K1 / Thai Boxing) and in my mid 20's, started getting an issue with my left hip, it used to seize up a bit, click sometimes and after a lot of kicking, my normally beautifully executed head kicks got lower and lower and lower. They'd start off ok but as I train I just lost flexibility. I had cortisone injections which gave relief for about 6 weeks and ended up having hip arthroscopy. This didn't fix me but was able to carry on training. I moved in to MMA as it was less kicky and was able to complete for a few more years.
I then reached a point where just walking caused the same leg stiffness and lower back pain. I have good days and bad days but all days start with me having to put my left sock on by kneeling on the side of the bed with my left foot going behind my right knee and putting my sock on from that side. I get bone-on-bone pain which I can only describe as horrific!! Each time my left foot touches the ground I take a sharp intake of breath followed by outbursts of swearing on each step.
I went to my GP to get myself in the system so I could look to get some kind of resolution, I just couldn't live with it any more. After seeing my GP and getting a referral to the hospital, it's been 6 months and I still haven't even had an appointment date so I paid to see a orthopaedic surgeon.
Because of my vast experience in hip surgery and techniques (Google tells you everything you need), I decided that I was a good candidate for 'ReCerf' (made by MatOrtho) which is an all ceramic hip resurfacing product. Hip resurfacing looked appealing as you get two bites at the cherry! They grind the head of the femur down so they can put a ceramic head on it and you get a matching cup / socket then at some point in life, you can then have a full hip replacement if required. This is what Andy Murray had and was able to return to competitive tennis for a while before sticking to doubles.
What I did quickly learn is that the surgeon thought differently and while he said my lifestyle, age and general condition made me a good candidate for resurfacing, the sheer amount of damage and a cyst in the femur head ruled it all out so only have 2 real options. I'm booked in early March for a full left hip replacement and it can't get here soon enough!
Yes, I'd rather have the hip resurfacing (the ReCerf product isn't quite approved for use in the UK yet) but I'd rather have anything than the sheer amount of pain I'm in. Having read about THR (total hip replacement), while it can come with its complications, for most, they get a good outcome and are more mobile and without pain than before surgery of which I see the comment "I wish I'd done it sooner" regularly.
I've discussed with the surgeon the desired outcomes (I want to be able to cycle and remain active) of which he's confident of a good result. As I'm under 50 I will need 1 or even 2 hip revisions as the cup inside the new hip wears out but I'm ok with that.
I then reached a point where just walking caused the same leg stiffness and lower back pain. I have good days and bad days but all days start with me having to put my left sock on by kneeling on the side of the bed with my left foot going behind my right knee and putting my sock on from that side. I get bone-on-bone pain which I can only describe as horrific!! Each time my left foot touches the ground I take a sharp intake of breath followed by outbursts of swearing on each step.
I went to my GP to get myself in the system so I could look to get some kind of resolution, I just couldn't live with it any more. After seeing my GP and getting a referral to the hospital, it's been 6 months and I still haven't even had an appointment date so I paid to see a orthopaedic surgeon.
Because of my vast experience in hip surgery and techniques (Google tells you everything you need), I decided that I was a good candidate for 'ReCerf' (made by MatOrtho) which is an all ceramic hip resurfacing product. Hip resurfacing looked appealing as you get two bites at the cherry! They grind the head of the femur down so they can put a ceramic head on it and you get a matching cup / socket then at some point in life, you can then have a full hip replacement if required. This is what Andy Murray had and was able to return to competitive tennis for a while before sticking to doubles.
What I did quickly learn is that the surgeon thought differently and while he said my lifestyle, age and general condition made me a good candidate for resurfacing, the sheer amount of damage and a cyst in the femur head ruled it all out so only have 2 real options. I'm booked in early March for a full left hip replacement and it can't get here soon enough!
Yes, I'd rather have the hip resurfacing (the ReCerf product isn't quite approved for use in the UK yet) but I'd rather have anything than the sheer amount of pain I'm in. Having read about THR (total hip replacement), while it can come with its complications, for most, they get a good outcome and are more mobile and without pain than before surgery of which I see the comment "I wish I'd done it sooner" regularly.
I've discussed with the surgeon the desired outcomes (I want to be able to cycle and remain active) of which he's confident of a good result. As I'm under 50 I will need 1 or even 2 hip revisions as the cup inside the new hip wears out but I'm ok with that.
^^ thanks for replies. Keep us updated and wishing you a speedy recovery!
re surfacing - I’m not sure if much has changed re that procedure but I enquired about it probably 25-30 years ago during a follow-up appointment (I’d heard about it on TV ) and unfortunately I’m not a candidate for it either due to previous surgery for a 60 degree SUFE 
re surfacing - I’m not sure if much has changed re that procedure but I enquired about it probably 25-30 years ago during a follow-up appointment (I’d heard about it on TV
) and unfortunately I’m not a candidate for it either due to previous surgery for a 60 degree SUFE My 80 year old Mother had a hip replacement last year on the NHS after a couple of years of it getting increasingly bad. We were just about to pay for her to go private when she got bumped up the waiting list, as she is the carer for my step Father. She actually got sent to the private hospital we were looking at and received exemplary service. She is due back for a 12 month check up in a few weeks and if any remedial work is needed, or even any issues with the other hip, then the same private hospital will deal with it directly. Not sure if she has lucked out or that is standard NHS procedure.
A colleague of mine who is 55 is going in next month for a hip replacement at a private hospital but funded by the NHS. I know he has been in pain for quite some time and hasn't been walking properly, he has a very pronounced limp.
I was quite shocked when he told me last week he will be awake for the procedure and will be having an epidural. I suppose I shouldn't be surprised having seen my wife have a C-Section to deliver our youngest with an Epidural but even so I find the idea a little uncomfortable to imagine
I was quite shocked when he told me last week he will be awake for the procedure and will be having an epidural. I suppose I shouldn't be surprised having seen my wife have a C-Section to deliver our youngest with an Epidural but even so I find the idea a little uncomfortable to imagine
Jamescrs said:
A colleague of mine who is 55 is going in next month for a hip replacement at a private hospital but funded by the NHS. I know he has been in pain for quite some time and hasn't been walking properly, he has a very pronounced limp.
I was quite shocked when he told me last week he will be awake for the procedure and will be having an epidural. I suppose I shouldn't be surprised having seen my wife have a C-Section to deliver our youngest with an Epidural but even so I find the idea a little uncomfortable to imagine
My Mother was due to be awake for her op, but they changed to general at the last minute. She is bit of a flapper though, so they probably did it to keep her quiet I was quite shocked when he told me last week he will be awake for the procedure and will be having an epidural. I suppose I shouldn't be surprised having seen my wife have a C-Section to deliver our youngest with an Epidural but even so I find the idea a little uncomfortable to imagine
Jamescrs said:
A colleague of mine who is 55 is going in next month for a hip replacement at a private hospital but funded by the NHS. I know he has been in pain for quite some time and hasn't been walking properly, he has a very pronounced limp.
I was quite shocked when he told me last week he will be awake for the procedure and will be having an epidural. I suppose I shouldn't be surprised having seen my wife have a C-Section to deliver our youngest with an Epidural but even so I find the idea a little uncomfortable to imagine
When I had my right leg TKR in May 2023 and the left leg TKR in May 2024 I had an epidural in both cases. I don't recall much but I do remember the hammering sounds made by the surgeon, presumably getting the prosthetic support in place!I was quite shocked when he told me last week he will be awake for the procedure and will be having an epidural. I suppose I shouldn't be surprised having seen my wife have a C-Section to deliver our youngest with an Epidural but even so I find the idea a little uncomfortable to imagine
R.
I appreciate this is American and 4yrs old but gives some confidence to us young'uns that want to continue to do sport after a THR.
https://www.youtube.com/watch?v=chSIw30K9WY
The_Doc - out of interest do surgeons use the same implants (type/quality/material etc) in both NHS and Private, or are they restricted to what the NHS offer (cost!), and can/do they use better types if self-paying?
https://www.youtube.com/watch?v=chSIw30K9WY
The_Doc - out of interest do surgeons use the same implants (type/quality/material etc) in both NHS and Private, or are they restricted to what the NHS offer (cost!), and can/do they use better types if self-paying?
Edited by Phooey on Wednesday 29th January 11:10
Gassing Station | Health Matters | Top of Page | What's New | My Stuff