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The best hip replacement, what is it? Joint endoprostheses depuy Surf endoprostheses.

Hip replacement is a serious orthopedic operation to replace a damaged joint with an implant. The basis for surgical intervention is usually increased wear and tear of the joint, as well as bruises and injuries in the joint area, which result in functional impairment. How much does endoprosthetics cost and which implant is better to buy? Advice and recommendations from orthopedic specialists will help you understand the issue of choosing the optimal types of modern endoprostheses.

What affects the cost of an endoprosthesis?
When is the operation performed?
Selection criteria
Price of different brands

What does the price depend on?

When planning to buy an implant for yourself, you should not base it only on its cost level. In fact, a large number of zeros on the price tag is not always a guarantee of long and flawless service of the endoprosthesis. Its price depends on the type of model and the main diagnosis. For example, an implant for surgical treatment of coxarthrosis is more expensive than a replacement needed for a hip fracture.

The combination of high cost and excellent quality in traumatology does not always look good. Since hip replacement is considered a complex operation, the main thing is the high level of its execution, and not the high cost of the implant. A medical error can negatively affect even the best quality material. It would be correct if the patient entrusts the right to choose a prosthesis to a qualified surgeon. This is the main factor in successful endoprosthetics. An experienced specialist will be able to decide which type of artificial substitute is best to prefer in each specific case.

The most popular models of artificial joints are produced by international companies DePuy and Zimmer. In addition, active participants in the modern market are Stryker, Smith & Nephew, Biomet, Aesculap, B. Braun. Zimmer produces high quality Zimmer Trilogy cups. The DePuy brand is best known for its Pinnacle line of endoprostheses. In terms of purpose and quality of execution, Zimmer and DePuy products are almost identical, so only a professional doctor can choose the best option.

femoral neck fracture and consequences of traumatic injuries;
coxarthrosis (deforming osteoarthritis) and other types of arthritis that cause degenerative changes;
dysplasia;
impaired blood supply to the femoral head;
congenital anomalies;
some types of tumors;
aseptic necrosis.

The presence of any of the listed signs is not a mandatory indicator for surgical intervention. In each individual case, the issue of endoprosthetics for the patient is decided by the attending physician after a thorough examination. In particular, for coxarthrosis, surgery is prescribed only for stages 2-3 of the disease. An endoprosthesis is also installed for unbearable long-term pain in the hip joint, which does not respond to treatment for six months.

The following circumstances may serve as contraindications to surgery to replace a joint with an endoprosthesis:

1. dermatological diseases and damage to the skin in the thigh area;

2. problems with peripheral vessels of the lower extremities;

3. paralysis of the quadriceps muscle;

4. oncological diseases;

5. severe mental disorders;

6. excess body weight (more than 120 kg).

When deciding whether to install an endoprosthesis, the age and general health of the patient must be taken into account. Orthopedic surgery is not recommended for young people in cases where it is possible to preserve/restore functions with the help of drug treatment.

What to consider when purchasing?

Externally, the artificial joint is very similar to the real one. In the classic version, it consists of a pin (leg), a cup and a head. The endoprosthesis takes on normal physical activity and performs the same actions as a healthy organ. The operation to replace a damaged hip joint with an implant is called primary hip replacement. When it comes to revision arthroplasty, it means replacing a previously installed joint.

There are many types of prostheses on sale, which are classified according to several criteria.

1. Type of construction.

Unipolar - replacing the head of the hip joint.
Bipolar - prostheses that are installed instead of the femoral head and acetabulum. This kind of endoprosthetics is called total. It is often performed in orthopedics and traumatology.

2. Main material (cup and stem).

Metal and metal are a wear-resistant combination that can last at least two decades. Metal endoprostheses are best installed for men leading an active lifestyle. Thanks to the large joint heads, a wide range of motion is possible. For women planning a pregnancy, prostheses are not recommended due to the high likelihood of metal ions entering the fetus. The disadvantages include the high price of the endoprosthesis. In addition, toxic products are formed as a result of friction of artificial surfaces. According to orthopedists, metal joints are rarely used in practice, and in some countries they are even prohibited.
Metal and plastic are an inexpensive option with moderate toxicity of abrasion products. The combination of materials is considered the most short-lived (10-15 years). Such a prosthesis can be purchased by people of a non-athletic nature with a measured and calm lifestyle. Due to their low cost, implants are available to patients of retirement age.
Ceramic and ceramic artificial joints are equally suitable for patients of any gender and age. They are durable and non-toxic. The main obstacle to purchasing a ceramic endoprosthesis is the high cost. In addition, implants can creak during movement, which creates significant discomfort for patients.
Ceramics and plastic are the cheapest types of prostheses. The combination is characterized by rapid wear and fragility, therefore it is more suitable for elderly patients of both sexes.

3. Method of fixation.

Cementless/mechanical – installation of endoprosthetic elements into bone tissue by wedging or pressing. The joints are coated with a special compound. Thanks to this coating, the bone tissue “fuses” with the endoprosthesis material (usually titanium), securely fixing it. Uncemented dentures are good for young patients. This facilitates future revision hip replacement surgery.
Cemented - all parts of the dentures are fixed using a special biological solution. This connection method ensures reliable fixation even with osteoporosis. Cemented endoprostheses are best installed in elderly patients and people with reduced physical activity.
Hybrid-full – individual parts of the prosthesis can be made from different types of materials. The cup is fixed using a cementless method. Artificial legs are secured with a solution. Hybrid endoprostheses are best recommended for middle-aged patients.

Price overview

In fact, the cost of endoprosthetics consists of two parts. This is the price of the implant itself and the cost of the operation along with the stay in the inpatient department. Depending on the type and manufacturer, an endoprosthesis costs from 60,000–80,000 to 220,000–300,000 rubles. On average, an implant costs 130,000 – 150,000.

The average cost of hip replacement surgery in Russian clinics is 170,000–250,000. The total amount depends on the conditions of stay and the duration of hospitalization. In total, endoprosthetics together with hospital stay costs an average of 350,000–370,000 (30,000–220,000 for single-pole prosthetics, 400,000–600,000 rubles for total). In different countries it is valued at between $8,000 and $40,000.

Hip replacement is often the only method of restoring motor activity. Installation of the implant eliminates the pain syndrome that does not leave the patient with diseases of the musculoskeletal system.

Modern types of prostheses are designed to completely imitate the original joint and fulfill its functional capabilities.

A hip joint implant with a metal friction pair is used less and less in practice due to metal friction products.

From a large number of endoprostheses, you can choose a suitable implant. Sometimes patients try to choose an implant on their own, studying brands, models, and varieties. Orthopedists often hear the following from patients:

I recently read that the most reliable prosthesis is made of ceramics.
A cemented denture is an outdated model, while a cementless one is a good option.
The best prostheses are foreign ones, they have positive reviews.

First myth, which should be dispelled - there is no best endoprosthesis.

Second- there are many variations of orthopedic structures to replace hip joints: some of them are better, others are somewhat inferior in one way, but superior in another. We are talking about well-known companies that have been working in the orthopedic market for several years.

The most durable and expensive implant is with a ceramic friction pair. But this is not always the case: overweight and very active people do not need ceramics - it can crack under load.

There are inexpensive models, but there are also expensive prostheses. This does not mean that the cheaper option may be much worse and cause complications. When releasing a new model of an implant, the company is forced to raise its cost, since development, production, and consumables require large investments. New models will take into account the shortcomings of the previous ones and will no longer contain them. It is possible that the service life will be longer.

This can cause ceramics to crack.

In the third case It is necessary to take into account not only the quality of the prosthesis, but also the work of the surgeon. Even an expensive implant does not guarantee the success of the operation if the doctor is poorly qualified and has no experience in endoprosthetics. Therefore, it is worth focusing not only on models and companies, but also on the knowledge of the person who will operate on you. Don't forget the importance of rehabilitation. A full recovery course will guarantee a successful recovery with any type of prosthetic design.

The models of leading foreign companies do not differ much, so it is difficult to say which is better. Comparison - rather by price-quality standards. Well-known companies Zimmer, De-Puy, Biomet They produce equivalent samples that have no pronounced differences.

The ceramic head destroyed the acetabular component.

Second photo of the destruction.

When choosing a prosthesis, look not at the company or cost, but at a more important feature that affects the life of the adaptation - the friction pair.

Types of endoprostheses, their differences

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If we talk about the appearance of the prosthesis, it is a complete imitation of a person’s native joint, withstanding everyday stress and possessing the same functional abilities as the previously destroyed one.

Features and differences are distinguished by type of endoprosthetics:

superficial. The hip joint head and acetabulum are being replaced;
total. Complete replacement of damaged bone and cartilage with excision of the femoral neck.

An example of a surface implant from Zimmer.

Implants are distinguished by the method of attachment:

Fixation without medical cement. Used for young patients without signs of osteoporosis. With good bone density, they grow into the prosthesis and secure it. For cementless fixation, a titanium alloy stem can be used.
Fastening with cement. The technique is used in elderly people or in patients whose bone density does not allow the use of a cementless method.

Scheme of methods for fixing implants.

Recently you can often hear the term “liquid implant”. It is not related to full endoprosthetics, since it is not a prosthesis. It involves the introduction of certain types of acids, the purpose of which is to restore the connective tissue of the cartilage. Any specialist will tell you that this is impossible. Under the influence of the degenerative-dystrophic process, pathological joints are completely destroyed and have no ability to regenerate. The only way out is surgery.

Metal-polyethylene, polyethylene-ceramics, ceramics-ceramics.

Let's consider friction pairs. There is no point in choosing a specific brand or focusing on price, but it does make sense to consider other characteristics, because wear products will negatively affect the surrounding soft tissue and bones. This is what you really need to discuss with your doctor.

The following varieties exist:

metal combined with metal;
metal and polyethylene;
ceramics plus ceramics;
combination of ceramics and polyethylene.

Each type has its own advantages and disadvantages. It cannot be said that a combination of some components will be bad and another will be good. The prosthesis, like friction pairs, are selected individually. What is not suitable for one patient may be recommended for another.

Variety	Positive aspects	Negative aspects
Combination of ceramic and ceramic	Friction components are non-toxic High wear resistance Possibility to choose a large head diameter	High risk of material splitting during physical activity Fairly high price Often causes squeaks
Metal combined with metal	Short service life Material stability, high mobility New, more advanced models are released every year (there are plenty to choose from)	Low price High toxicity of friction products The cup is sensitive to tilting, it is advisable not to exceed 50 degrees
Metal and polyethylene	Budget implant, the cost is more affordable The most popular type of friction pair Combined with a low price, it has decent quality The tilt of the cup angle can reach 90 degrees	Unlike other types, less wear-resistant Head diameter is not available larger than 32 mm There is some toxicity, although quite mild
Ceramics and polyethylene	The best prosthesis option. Suitable for everyone, without exception, although recommended for older people with a passive lifestyle	Service life is quite long

A popular option is the combination of a metal component with a metal one due to the low price, but it is not recommended for installation by everyone - it has a number of limitations. It is often implanted in men who are accustomed to a more active lifestyle. It is strictly not recommended for women planning a future pregnancy: there is a high risk of toxic products entering the placenta, which negatively affects the fetus. In a number of countries, the use of this combination of components is prohibited.

Wear on metal components is visible to the naked eye.

Ceramics are more often used in combination with polyethylene: it is suitable for patients of any category and has no age restrictions. Revision intervention for replacement may be necessary after 15-20 years.

From 10 to 15% of complications after endoprosthetics are associated with incorrect selection of the prosthesis, and more specifically, the friction pair. That is why it is important to find a qualified orthopedist and pay attention not to the brand of the implant, but to its quality.

The longest service life is for the “ceramics plus ceramics” friction pair. Suitable for almost all patients, the only contraindication is that such prostheses are not implanted for osteoporosis (low tissue density). The main condition for extending the duration of use and reducing the risk of re-operation is the correct installation of structural components.

Hip joint: price of prosthesis

The cost of endoprosthetics and the implant itself depends on the orthopedic surgery medical center. The average price in Moscow according to 2014 statistics is 90,000-120,000 rubles. This price did not include hospital stay and diagnostic tests.

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The price of orthopedic structures depends on the manufacturer and the material used. Foreign companies offer implants in the region of 1300-2000 dollars, domestic ones are several times cheaper.

The quality of endoprosthetics is influenced not by cost, but by the quality of the operation and subsequent rehabilitation. Even the most expensive endoprosthesis does not guarantee a therapeutic effect if the intervention is performed incorrectly and there is no proper recovery period.

Where ?

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You will purchase an implant to replace the hip joint directly with your doctor. They are the ones who collaborate with manufacturers and will be able to tell you how much a certain type costs.

You can buy a prosthesis yourself in a specialized store or order it online. The service is possible provided that you have discussed all the details in advance and found out the required type of prosthesis.

There are companies in Russian cities that are official distributors of foreign manufacturers of orthopedic implants. You can often hear about Legacy MED (working with the world famous American company Johnson & Jonson). Here you can buy titanium and ceramic endoprostheses. The consultant will tell you the exact price.

The development of a pathology such as hip joint dislocation after replacement is a rare case and is diagnosed no more than 2-4 times per 100 operated patients. The symptoms are no different from the dislocation before the replacement. The clinical picture is as follows:

development of pain that cannot be relieved with painkillers;
change in the length of the lower limb, its shortening;
impaired range of motion, stiffness, sharp decrease in physical activity.

The cause of dislocations is injury, but strong muscles and hips trained during the rehabilitation process will help prevent this.

To clarify the stability of the structure, the patient is put into a state of anesthesia, where the doctor deliberately subluxes the prosthesis and then resets it to its original position. This procedure allows us to predict the reasons that provoked the complication and reduce the risk of re-dislocation in the future.

Treatment consists of reduction of the dislocation and subsequent wearing of a special prosthesis, a course of physical therapy, physical therapy, and massage.

Zimmer: hip replacements

A well-known manufacturer of orthopedic equipment, a company founded in the USA more than a hundred years ago, is Zimmer. Throughout its existence, the company has constantly developed, introduced the latest technologies, created new designs and prostheses. Its products are transported to different countries of the world and used in medical centers in Israel, Germany, Russia, and the Czech Republic.

Such popularity is associated with the quality of the product: it is distinguished by durability and high adaptability.

Zimmer is the Mercedes of endoprostheses.

The company's assortment is wide, it is possible to choose a prosthesis in the price-quality ratio. Even inexpensive implants can completely imitate the native joint and have good wear resistance.

What kind of prosthesis can I buy and how long does it last? Production Zimmer produces the following implant structures:

knee replacement prosthesis. The undisputed leader: almost half of the operations are performed using prostheses from this company. Service life - 15 years or more;
endoprostheses for shoulder joint replacement. A unique innovative development - a joint with a maximum level of implantability, restoring hand function by 95%;
implants for hip replacement. A large selection of types, there is the possibility of individual selection, including price.

The main difference between Zimmer products is the high adaptation of the prosthesis, which shortens the rehabilitation period.

According to statistics, artificial joints from this manufacturer in 99% of cases remain stable for 10-12 years after installation. In almost 85% of Zimmer's service life is close to 15-18 years. Therefore, such popularity of the company is quite justified.

Patients often ask the following question: is it possible to install our prostheses, how many years will they last? The quality of domestic manufacturers is not much worse; there are many worthy orthopedic companies. There are many factors to consider when answering another question. Here everything depends not on the price of the implant, but on the chosen design - a friction pair, the skillful hands of a doctor and a rehabilitator.

Cost of hip joint

Complications rarely develop after joint replacement surgery; in 10% they are associated with an incorrectly selected implant. Patients are diagnosed with a neck fracture, the development of an infectious process, swelling, and hematomas.

Fact: there is no specific prosthesis - a universal model that could suit everyone and not cause side effects.

The main mistake many patients make is choosing an endoprosthetic design based on reviews from the Internet and price. A person chooses the most expensive foreign-made prosthesis and has the operation performed by a surgeon with little experience. As a result, adaptation is poor, recovery is long, and there are many complications.

If you decide to undergo endoprosthetics, please note that the price of the implant, Zimmer or ceramic, has nothing to do with the success of the treatment. It makes sense to opt for an inexpensive but suitable orthopedic item.

An experienced surgeon has his own preferences in models and brands, so preliminary consultation and selection is extremely necessary. Experts from both private institutions and public medical centers often advise choosing Zimmer and DePuy. Although the prostheses of these manufacturers have no fundamental differences, they are completely similar in appearance, they are high-quality products with the ability to choose a design taking into account financial capabilities.

How much does treatment with such endoprostheses cost? The average price in Moscow is 200,000 rubles, taking into account a stay in a private clinic, laboratory tests, hospitalization and subsequent rehabilitation under the supervision of a specialized doctor.

There is an important point in orthopedic surgery: the basis for a successful recovery is recovery. Not a single prosthesis, even the most expensive one, guarantees the success of the operation without following the rules of rehabilitation.

There are enough examples in practice where patients, having purchased the most innovative and expensive implant, completely ignored restoration, believing that due to the high price it was not necessary. The result was that patients returned to the doctor several years later with complaints of pain, swelling, and the development of lameness. In this case, there cannot be conservative treatment - a revision operation is prescribed, followed by additional costs and long-term rehabilitation.

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Very often, replacing a native joint with an artificial one is the only way to restore the normal functioning of the musculoskeletal system. Approach responsibly in choosing a prosthesis, diagnosis, clinic, doctor and further recovery.

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During the operation, the installed hip joint endoprosthesis replaces those structures in the hip joint in which pathological changes have occurred.

Many medical centers for medial femoral neck fractures, i.e. when the fracture is in close proximity to the head, total joint replacement is performed. This is done with a complete replacement of the femoral head and acetabulum.

Replacement of only one element of the femur (unipolar prosthesis) is carried out:

in elderly patients in serious condition;
for disabled people who are unable to move independently.

Types of products

Types of hip joint endoprostheses are distinguished by the method of their fixation:

cementless CFP prosthesis;
hybrid prosthesis;
standard endoprosthesis.

The doctor knows which prosthesis is best to use. All prostheses have their pros and cons.

The patient does not need to review photos, study what manufacturers of medical equipment are available, or understand prices. A good surgeon takes into account all the nuances for each patient and selects the appropriate prosthesis for the indications. Recently, the Zimmer hip joint implant has been increasingly used; this company has long established itself in the market for this type of product.

Depuy products are not inferior in quality. Russian manufacturers have also achieved success in this matter (for example, the ESI company). The German company Aesculapius has also proven itself well in the world market, its prosthesis has increased wear resistance. Many doctors praise American prostheses.

When is joint replacement indicated?

The following indications are available for hip replacement:

ankylosis, which occurs with complications;
deforming coxarthrosis at the progression stage;
arthrosis of the hip joint, which developed as a result of congenital dislocation of the hip in people over 30–40 years of age;
deformation of joints as a result of damage by tumor processes in the articular ends and femurs;
disability that develops as a result of damage or complications of diseases of the bone skeleton.

There are also contraindications to the installation of an endoprosthesis. These include:

purulent-inflammatory processes in the joint area, accompanied by complications;
osteomyelitis and the presence of fistulas;
bone tuberculosis in the acute stage.

Material for making prostheses

Hip replacement is an operation that aims to replace a damaged joint with an artificial one. The most commonly replaced bones are the femur and acetabulum.

The artificial ball on the shaft of the prosthesis is made of a durable metal base or ceramic. An artificial cavity is usually made of polyethylene (strong, wear-resistant plastic).

The prosthesis is fixed using bone cement.

Metal prostheses are the most durable and wear-resistant. If used correctly, they will last an average of 20 years. The service life of a hip joint endoprosthesis made of other materials is 15 years.

The price of the product will depend on these and other indicators; durable prostheses will be more expensive, less durable ones will be cheaper. In addition, the cost of an endoprosthesis may depend on its brand. For example, a Zimmer endoprosthesis will be more expensive than a conventional prosthesis due to its guaranteed high quality.

Methods for fixing endoprostheses

The endoprosthesis is attached in 3 different ways:

polymer-based bone cement is used;
when the bone grows into special porous recesses of the implant;
mixed method.

It is impossible to say for sure which one is the best. The choice is made depending on the patient's age, the condition of the femur and acetabular bone. If the patient is over 50 years old and there is no bone growth, it is better to fix it with bone cement.

And in case of osteoporosis of the femur, fastening with bone cement is complemented by the installation of a metal plate that fixes the implant.

In other cases, a cementless fastening method can be used.

Preparing for surgery

Total joint replacement requires preliminary preparation for surgery. It begins a week before the installation of the prosthesis. There are certain points that are important to find out before surgery:

The issue of blood transfusion is raised as a last resort. Most often, such an operation does not require a blood transfusion if the patient's hemoglobin level shows 12%.
All dental pathologies, such as periodontal disease, caries, etc., must be eliminated before endoprosthetics so that bone infection does not occur at the time of surgery.
The doctor finds out what medications the patient is taking and advises on this issue.
Diagnostic measures are being carried out. Blood tests, urine tests, ECGs, and chest x-rays are required. These tests are important before surgery to determine whether surgery is appropriate.

Rules for staying in the hospital

Patients who are preparing for arthroplasty surgery must also be prepared to follow certain rules.

On the day of hospital admission, the patient must be in the hospital at a strictly designated time:

the doctor checks and assesses the patient’s health status;
if necessary, the patient undergoes a series of tests;
the patient goes to a meeting with the anesthesiologist.

On the day the surgery is scheduled:

The patient is transported to the operating room.
Carrying out endoprosthetic surgery. The prosthesis is installed on average in 1–2 hours.
For further postoperative recovery, measures are taken to prevent thromboembolism and the necessary medications are prescribed.
Until the vital signs stabilize, the patient is under constant supervision of doctors in the ward.
A special diet (liquid or soft food) is prescribed.

To prevent infection from entering a weakened body, broad-spectrum antibiotics are used. To prevent a person from feeling pain, as well as to prevent the inflammatory process, analgesics and anti-inflammatory medications are injected into the operated area.

On the second day after surgery, you are allowed to try to perform simple movements: carefully sit down, roll over onto your healthy side.

On the third day, if there are no complications, you are allowed to stand up and walk with the help of crutches. After 2 weeks the patient is discharged. The day before, the doctor removes all stitches.

After the operation, the recovery course will last from 2 to 3 months. If there are complications, the person is placed in special rehabilitation centers.

Currently, only 5% of patients experience complications after surgery. Such a low percentage is associated with the good quality of endoprostheses and improved surgical techniques.

After 3 months, with a successful outcome of endoprosthetics, a person can safely return to his daily activities and even some sports.

All movements are performed without any problems. The only caveat: jumping is prohibited, as you can damage the prosthesis and loosen its fastenings. As a result, the service life of the endoprosthesis will be reduced, and there will be a need to replace it.

Indications and contraindications
Buy a hip prosthesis
Dislocation of the hip prosthesis

Hip replacement is practiced for those patients whose natural joint, for a number of reasons (illness, injury), can no longer function normally. With the help of these artificial joint analogues, it is possible not only to relieve the patient from the unpleasant symptoms of the disease, but also to completely restore his former motor activity.

Modern endoprostheses have the same external structure as a regular hip joint. They perform identical functions and can withstand quite a large load.

In most cases, the selection of an endoprosthesis before surgery is carried out by the attending physician, who takes into account many criteria, namely:

person's weight;
patient's age;
a specific diagnosis that led to limited mobility in the joint and advanced disease;
a person’s tendency to all kinds of allergic reactions.

It should be noted right away that it is impossible to determine “by eye” which endoprosthesis is better, because in this case it is necessary to take into account not only the working mechanism of the implant, but also its manufacturer and, without fail, the materials.
Fortunately, modern endoprostheses can be quite different, which provides a wide range of choices.

Important! According to doctors, high-quality endoprostheses must be manufactured by trusted manufacturers, have a complete set and a perfect operating mechanism. At the same time, experts note that such a product will also have a fairly high cost. According to the quota, one should not hope to install a high-quality product.

Every year, hip replacement surgery is performed in thousands of quantities. To understand its outcome and general impressions of such a surgical intervention in more detail, you can view patient reviews:

The price in Moscow for hip replacement is determined by the following factors:

The specific clinic where the procedure will take place.
Surgeon's qualifications.
Type of anesthesia used.
The complexity of surgical intervention and the goals that doctors will set for themselves.

Also, a large role in the cost of such an operation is played by the type of endoprosthesis selected and what kind of operation it will be (primary joint replacement or revision, which is carried out when complications develop). On average, this surgical intervention in Moscow will cost from 260,000 rubles. If the procedure is practiced in elite private clinics, then the operation will cost much more.

This is what the ceramic components used in hip replacements look like. In the bottom row there are the so-called “heads”, in the top row there are “cups”.

Attention! One of the highest quality and at the same time expensive materials for an endoprosthesis is ceramics, the price of which will be quite high. It should be understood that the lifespan of such implants can reach up to thirty years, which is considered an excellent indicator.

Ceramic friction pair assembly.

In order for subsequent rehabilitation to be as easy as possible, even before the operation a person must successfully choose the type of endoprosthesis for himself.

Particular care must be taken in selecting prostheses in case of illness, because the implant, after installation, should not only provide the opportunity for motor function of the joint, but also minimize the inflammatory process.

There are these types of prostheses (based on materials) that are installed by surgeons today:

Metal + metal. If installed successfully, they can theoretically last up to ten years. Despite this, due to the fact that the metal can be toxic to the body, in some countries it is prohibited to use prosthetics that were made from it. It is recommended to install metal prostheses for overweight men who lead an active lifestyle. Metal implants are contraindicated for women planning pregnancy.
Metal + polyethylene. It is advisable to use these types of prostheses for people who lead a moderate lifestyle and do not practice sports. Unfortunately, due to severe friction, such prostheses need to be replaced after ten years.
Ceramics + ceramics. This is an ideal option for young patients. They move well and do not irritate the joint tissue. Unfortunately, ceramic products are almost twice as expensive as conventional metal dentures.
Ceramics + polyethylene. This is the most affordable, but also the highest quality type of prosthesis. Its advantage lies in the ceramic head, which practically does not wear out, and the polyethylene cup, which, although it wears out, perfectly absorbs the same as healthy human joints.

As hard as ceramics is, it is also brittle. In the photo you see the result of a fracture of the ceramic head of the hip joint.

The most frequently used friction pairs of endoprostheses, from left to right: metal-polyethylene, ceramics-polyethylene, ceramics-ceramics.

In addition, recently the following types of endoprostheses are often used:

Titanium. This is a completely metal prosthesis, which is used for superficial as well as combined endoprosthetics. Despite its durability, this type of implant often provokes inflammatory reactions in the joint.
Biopolar This type of prosthesis is intended for installation in patients who have suffered a femoral neck fracture. They are usually older people. The design of the bipolar prosthesis has a double movement unit in the head. Thanks to this, even older people with limited physical activity after surgery can begin to walk again.
Liquid prosthesis to restore cartilage functions. This type of prosthesis is used in the treatment of arthrosis, which affects the cartilage tissue of the joint. At the same time, the patient is injected with drugs based on hyaluronic acid, which fill the cavity of the diseased cartilage. Unfortunately, liquid prosthetics will not be effective if bone tissue is damaged.

The photo shows two bipolar endoprostheses without a femoral component. If you look closely, you can see two axes of movement and, accordingly, two planes of friction. The porous surface eliminates the need for cement during installation.

Hip joint, prosthesis: price

The minimum cost of a hip joint from foreign manufacturers is $650. In Moscow, you can order this type of joint either directly from the company or from the manufacturer’s representatives.

Moreover, even before purchasing an endoprosthesis, a person must specifically know what specific material the product should be made of (ceramic, titanium prosthesis, etc.).

Indications and contraindications

Coxarthrosis of the right hip joint. Complete absence of joint space.

The main indications for which joint replacement surgery may be required are:

arthrosis and its varieties (coxarthrosis, osteoarthritis);
oncological pathologies of the hip bone;
dislocation or fracture of the femoral neck;
arthritis, including that which developed after a previous injury;
necrosis of the head of the femur;
improper fusion of the hip joint;
joint dysplasia (congenital form).

In turn, it is prohibited to practice this surgical intervention in the following cases:

The period of bearing a child.
Lactation period in a woman.
Poor blood clotting.
HIV infection.
Progressive osteoporosis.
Severe pathologies of the cardiovascular system.
Epilepsy.
Tuberculosis.
Serious impairment of kidney or liver function.
Infectious lesions, especially in the area where the operation will be performed.
The period of acute respiratory diseases.

Endoprosthesis replacement is practiced with caution under the following circumstances:

elderly age of the patient;
the patient has diabetes mellitus;
tendency to allergic reactions;
unstable psycho-emotional state of a person, especially neuroses and periods of depression.

Buy a hip prosthesis

As noted above, how much an endoprosthesis costs is determined by its material, country and manufacturer.

The average cost in Moscow for these implants is as follows:

As you can understand, the price of these products also depends on the friction pair of the joint.

Dislocation of the hip prosthesis

Subluxation or full dislocation of the hip endoprosthesis, fortunately, is observed quite rarely, however, such a complication is still recorded in 1-3% of all cases.

Dislocation of the right hip joint implant (on the left in the picture). This does not happen often, the reason is usually a fall or injury, but it also happens as a result of initially incorrect installation of the implant.

The fact that a person experiences endoprosthesis dislocation can be influenced by many factors, namely:

General physical weakness of human muscle fibers.
Endoprosthesis replacement surgery, which was not performed for the first time (revision intervention).
An advanced form of hip dysplasia, which led to severe deformities.
Incorrect installation of the endoprosthesis.
Looseness of the endoprosthesis, especially in the area of its attachment to bone tissue.
Defect of the liner, which acts as articular cartilage.

Wear of the polyethylene liner, due to which the head of the endoprosthesis has moved higher.

Important! The better the physical preparation of the body, the less likely it is to dislocate the hip joint. That is why, even before surgery, patients must perform special exercises and gymnastics.

The following groups of patients are at increased risk for endoprosthesis dislocation after surgery:

elderly patients;
women (they are the ones who have a higher frequency of movements in the joints, as well as less weight);
patients suffering from obesity;
tall patients;
people suffering from cerebral palsy and other severe types of muscle disorders.

The greatest risk of accidental dislocation of the prosthesis is observed in the first days after surgery. It should be understood that this probability exists for another year after surgery. Moreover, due to the influence of the above factors, the patient may remain at risk of recurrent joint dislocation.

To avoid dislocation in the first time after surgery, it is recommended to use such a roller.

The main symptoms for a patient to have a dislocated prosthesis are:

Severe pain with any movement in the joint.
Stiffness in leg movements.
Shortening the affected leg by several cm.
Swelling of the affected limb.

If a patient experiences such symptoms after surgery, he should consult a doctor as soon as possible before his condition becomes critical. If the implant is completely dislocated, the person needs to have it realigned, which occurs under anesthesia. This procedure can be either open or closed. The attending physician must decide how best to return the prosthesis to its original position in each specific case.

If the implant area hurts, it means something is wrong, see a doctor immediately!

Immediately after the joint has been realigned, the patient may be prescribed a course of therapeutic massage, physiotherapy, or the use of a special orthosis to fix the hip joint.

Remember! If a person has repeated dislocations of an artificial joint, this indicates that the endoprosthesis was initially installed incorrectly (the angle of deviation of the implant does not meet the standards). The only correct decision in this case would be to carry out revision endoprosthetics, after which the risk of re-dislocation will be significantly reduced.

Additional complications after endoprosthetics may include:

Type of complication	Peculiarities
Infection	happens when the operation is not sterile enough. Accompanied by high temperature, fever, pain and profuse purulent discharge from the wound
Sensory impairment	occurs when the surgeon damages nerve fibers. As a rule, poor sensitivity of a limb can lead to its paralysis, so in this condition the patient requires neurosurgical intervention
Bleeding	can occur when blood clots poorly and a blood vessel is damaged
Blood clot formation	happens both during the operation and after it
Necrosis	tissue death occurs when blood circulation is impaired. Usually necrotic areas of skin require surgical removal
General complications (deterioration of the heart, liver, kidneys, increased blood pressure, etc.)	As a rule, these complications were observed in those patients who did not comply with contraindications and agreed to surgery in the presence or exacerbation of chronic diseases

The arrows indicate what an infectious complication looks like on the images.

Important! According to research, the experience of a surgeon is directly reflected in the development of complications in a person. Thus, young specialists have about 5% of all cases of unsuccessful operations, while experienced surgeons with 20-30 years of experience make mistakes only in 1.5% of cases. Despite this, the patient’s age and the presence of severe pathologies play a significant role in the development of complications.

Zimmer hip prostheses

Endoprostheses from the American company Zimmer are very popular today, since these products are of high quality, which has been tested by time. In Russia, such models of endoprostheses appeared at the beginning of the new century and since then have gained a strong position among the entire range of various hip joint implants.

The price of such products is determined by its configuration, features and materials. Compared to models of endoprostheses from domestic manufacturers, the cost of Zimmer products will be an order of magnitude higher.

Zimmer, which has a service life of at least 15 years, is anatomically similar to normal bone tissue of joints, so after surgery it is not at all difficult for a person to perform normal movements of the operated leg.

The picture shows an implant for surface endoprosthetics from Zimmer. Such implants are used less and less.

Today, endoprostheses from this company are used by leading endoprosthesis clinics in America, the Czech Republic and Switzerland, since these products meet the following requirements that surgeons place on them:

Protective influence of the pelvic bones in the acetabulum area.
The ability of the joint to perform maximum motor functions.
Excellent patient tolerance of the prosthesis (the implant does not provoke allergic reactions and oxidation).
Long service life.
Wear resistance.
Small access required for the operation.
The similarity of the prosthesis with bone and cartilage tissues, which is matched as closely as possible.

Moreover, with the help of such endoprostheses, doctors can change the length of the operated leg during the operation, which is especially important when replacing a joint in children and adolescents.

The service life of these products depends on the method of attachment, the age of the patient, the specific type of prosthesis and the characteristics of its operation.

How long an artificial joint lasts is a concern not only for the patient, but also for the surgeon who will perform the operation. In this case, the following factors are identified in which the duration of wear of the endoprosthesis can be significantly shorter:

Performing surgery in the presence of serious contraindications (progressive diabetes mellitus, advanced osteoporosis, etc.).
Incorrect implant placement.
Change in hip angle after surgical manipulation.
Using a low-quality prosthesis.

When asked how many years a Ziemer prosthesis will last, it is impossible to give an exact answer, since this is influenced by many individual factors. Despite this, the manufacturer gives an almost 100% guarantee on its product, which, if installed successfully, should serve properly for at least ten years.

Example of a damaged Zimmer acetabular component (polyethylene cup). The probable cause is an error in the selection of endoprosthesis.

Here are some common questions from patients about Zimmer endoprostheses:

Question	Answer
Is it possible to run with such an implant?	Despite the high quality and durability of these products, it is better not to practice excessive physical activity, including running, after they are installed, as this can damage the joint attachment
How much does an endoprosthesis weigh?	The weight of each endoprosthesis is individual, because it can be of different configurations. Typically, an endoprosthesis (a total analogue of a joint) weighs not much more than natural bone tissue
How long does rehabilitation take?	If the operation is successful and the patient complies with all medical recommendations, the duration of the rehabilitation period is 4-5 months. At the same time, the person’s condition must be monitored by a doctor for another year.

Many patients are interested in whether it is possible to install our prostheses. At the same time, doctors argue that each person must decide for himself what is more acceptable to him in terms of price and manufacturer’s company. If the patient decides to install a domestic endoprosthesis, he must be sure that the particular product is made of high quality. This is the only way to maximize its service life.

Cost of a hip prosthesis

To better understand which endoprostheses are better, here are the advantages and disadvantages of each of them:

The company's standard Zimmer endoprostheses will cost from $2,800. How much different types of endoprostheses cost is determined by their material and the manufacturing company.

For any patient, you can always choose the most suitable endoprosthesis option.

All types of artificial joint analogues have their advantages and disadvantages, so in order not to get confused, it is best to consult with your doctor when choosing a specific product, who will help you make the right choice based on the patient’s age, weight and general lifestyle.

When selecting a specific type of endoprosthesis, it is recommended to pay special attention to the company Zimmer, the price of whose products is average in the field of joint analogues.

Before you buy an endoprosthesis (prices for them may depend on the volume of the desired product), you can read comments about the service life and the feelings of patients after installing each type of implant.

If we compare all types of endoprostheses, then the best choice would be ceramic, the price of which is fully justified by its quality.

The price in Moscow for installing an endoprosthesis is also determined by the type of clinic in which the procedure will take place. Moreover, additional expenses in such a surgical intervention will be the cost of tests, rehabilitation, as well as daily payment for a hospital bed.

Be sure to consult your doctor before treating any illness. This will help take into account individual tolerance, confirm the diagnosis, ensure the correctness of treatment and eliminate negative drug interactions. If you use prescriptions without consulting your doctor, it is entirely at your own risk. All information on the site is presented for informational purposes and is not a medical aid. All responsibility for use lies with you.

In modern medicine and orthopedics, issues of hip replacement are widespread. Today, anyone can have a prosthesis implanted into the hip joint, the cost of which is considered acceptable by the majority of the population.

Who is the operation indicated for?

Orthopedic operations to replace a damaged joint are considered complex.

The basis for replacement is medical indications: high wear and tear of the joint, injuries to the joints, bruises. Such limbs cannot fully function.

patients with arthritis;
arthrosis;
for femoral neck fractures;
dysplasia;
congenital anomalies;
oncological diseases.

Types of surgery

Hip replacement can vary depending on the type of surgery:

replacement of the surface of the hip joint;
complete replacement (total);
installation of a partial denture.

What types of designs are there?

Only a doctor can help you choose an implant.

Choosing a hip joint prosthesis on your own, deciding which one is better, is determined only by a doctor, analyzing the type of injury.

The classic version of the implant consists of a stem (pin), head, and cups. Depending on the purpose, they are distinguished:

by type of construction;
material.

The designs are unipolar, capable of replacing the functions of the head of the joint. Bipolar, replace the femoral head and acetabulum. The main materials for production were metal, plastic, ceramics, and a combination of them.

Fixation methods

There are different methods of fixation:

mechanical (cementless), the product is wedged into the bone tissue, the junction is “masked” with a certain substance, after a while the bone “fuses” with the product;
cemented, the product is completely fixed with a biological solution;
hybrid-hollow, when a product made of different materials is used, the cup is fixed in a cementless manner, the legs are fixed with a biological solution.

Worth knowing! Fixation methods are determined not only by the model of the implanted product, but also by the form of the disease and the age of the patient.

Manufacturers and cost

The cost of the prosthesis depends on the material and manufacturer.

Brand models are in wide demand and popularity: DePuy, Zimmer, Stryker, B. Braun, Smith & Nephew, Biomet, Aesculap.

The cost is determined by the type of model and brand. It is difficult to answer how much a hip joint prosthesis costs in Moscow; its cost can vary from 60,000 rubles to 170,000 rubles.

Abroad, from $8,000 to $40,000. The price in Ukraine ranges from 25,000 to 85,000 hryvnia.

Rehabilitation process

The rehabilitation process takes a long time, the patient is recommended to use antibiotics. To prevent pathology: blood clots, thromboembolism, anticoagulants are prescribed.

The patient is explained how not to bend the leg (toe down, inward; turn 90°). You are allowed to sleep on your back, not on your injured side.

Important! Restoring full functionality requires a series of training, physiotherapy, and therapeutic exercises.

When, to prevent disability, it is necessary to prosthetize not only the bone head, but also the socket, a bipolar hip joint endoprosthesis is recommended. Surgeries to implant artificial joints have been taking place all over the world for decades. The technology is safe and will ensure the patient regains motor function. prescribed by a doctor individually.

What are they?

Depending on whether complete or partial joint replacement is performed, total endoprostheses and structures are used to replace the destroyed part of the joint. The DePuy ASR full implant for surface replacement of the hip joint is structurally designed as an artificial imitation of the joint capsule, where one metal cup is attached to the head of the femur, and the second fully metal cup fits into the acetabulum. The prosthesis works like a normal human joint, the difference is not felt by the patient.

Metal implants are the most durable, but are contraindicated for pregnant women and women preparing for motherhood.

Indications for use

Total arthroplasty is performed in case of complete destruction of the joint.

Endoprosthetics with a metal implant from the DePuy ASR line is indicated when the joint is destroyed due to disease or as a result of injury, when the native joint capsule can no longer provide a person with normal motor function. Various diseases require the installation of certain types of implants. They are selected by the doctor depending on the diagnosis and the wishes of the patient. The operation is indicated for the following ailments:

joint dysplasia;
Bekhterev's disease;
degenerative and dystrophic processes in cartilage tissue;
the appearance of a “false” joint.

Types of Depuy hip endoprostheses

The prosthesis performs all the functions of a joint unit.

Patients who opt for an all-metal De Puy implant can, after consultation with a doctor, depending on the type of operation, choose one of the ASR Hip System prostheses, which imitate a human joint unit. There are two most popular types of joint replacements for surface arthroplasty:

ASR XL for complete replacement of a damaged unit. It consists of a metal analogue of the head of the femur attached to the rod, represented by a ball, and a cup lining the socket.
Implant for surface endoprosthetics. Constructed of a cup that contacts the acetabulum and a cup that fits over the patient's femoral head.

Joint endoprosthetics is currently one of the most common types of operations that allow you to replace some components of the joint with prostheses that have the shape necessary for the normal functioning of the joint. Endoprostheses allow many people to return to a normal lifestyle.

In order for implants to take root in the patient’s body and at the same time have increased strength, special materials are used in their manufacture. This is why the cost of a knee replacement or hip implant is quite high. To produce implants of this type, certain metals, ceramics, plastics that are durable and other high-tech materials are used.

A modern implant for the shoulder, knee or hip joint endoprosthesis, the price of which depends on what materials were used for its production, is an innovative design, for the development and production of which the latest developments from various fields of science and technology are used.

Modern implants that act as joint components can operate inside the human body for approximately fifteen to twenty years; some endoprostheses have a service life of up to thirty years. After the implant wears out, be it a hip, knee, shoulder or any other endoprosthesis, it is replaced with a new one surgically. Modern medicine uses implants that can replace components not only of large joints, but also small ones, for example, the joints of the fingers.

Recently, mesh endoprostheses have been in great demand, which have found wide application in the field of restoration of the chest and abdominal walls. A mesh endoprosthesis will also help in removing a hernia - in hernioplasty. The use of this type of implant helps eliminate the hernia without major surgical intervention. Mesh endoprosthesis, which can be purchased from specialized companies (including ours), is also indispensable in the treatment of many other diseases and defects.

Biological compatibility with the patient, good resistance to infections and increased mechanical strength are the main qualities that a modern mesh endoprosthesis should have. The price of such implants is high, since expensive synthetic materials are used in their production. To improve biocompatibility and other qualities of the endoprosthesis, the mesh is sometimes covered with a special polymer film, which not only reduces the chance of rejection, but also stimulates the growth of connective tissue, and also helps to form a uniform scar that forms after implantation of the endomesh.

Here you can find a wide selection of endoprostheses of various types for a variety of needs. A large assortment of DePuy brand implants is presented, the production of which is carried out by the group of companies of the same name, part of the Johnson & Johnson corporation. The De Pew endoprosthesis is a modern high-quality implant, the cost of which is relatively low, and the quality is at an international level.

Taking a responsible approach to the operation endoprosthetics, many patients try to find information about types and brands of prostheses, manufacturers and modern models of endoprostheses. Indeed, with the development of the Internet, it would seem that you can find an answer to any question.

Often, operating surgeons during consultations hear statements from patients:
— “a cement prosthesis is bad, the best cementless one”
- “I read (read) that the best prosthesis is ceramic”
— “good prosthetics are made in Germany (Great Britain, USA)”

If everything was so simple, then “the best German ceramic cementless prosthesis” would have appeared long ago, and all the others would have been discontinued.

What types of prostheses are there?

If we talk about dry facts, endoprostheses are:

— by type of fixation: cement, cementless and hybrid;
— by type of operation: total and semi-prostheses;
— by hinge type: related and unrelated;
— by type of material: ceramic, polymer, metal and mixed.

What does this information tell us as patients?

To be honest, it doesn't give anything.
The main thing we need to know is that The best prosthesis does not exist!

There are many prosthetics. Some of them are better at one thing, some at something else.
On one condition! If we are talking about manufacturing companies with a worldwide reputation.

Unfortunately, this cannot be said about domestic endoprostheses.
Our technologies and a number of other, sometimes insurmountable factors, do not leave the orthopedic traumatologist any choice between domestic and foreign manufacturers.

If you or your loved ones need medical assistance, contact us. The site’s specialists will recommend a clinic where you can get effective treatment:

Which endoprosthesis manufacturer is the best?

You need to trust world-famous manufacturers who have their own history, production and scientific bases and are world leaders in sales volumes.

There are currently six such companies:

1. Zimmer (Zimmer, international company)
2. DePuy (DePuy, an international company, belongs to the Johnson & Johnson concern, Johnson & Johnson)
3. Stryker (Stryker, international company)
4. Smith & Nephew (Smith & Nephew, international company)
5. Biomet (Bayomet, international company)
6. Aesculap, B. Braun (Aesculap B. Braun, international company)

Each of these companies is international and it is impossible to tell which one is German or American.

The most important thing

Regardless of which prosthesis is chosen, what is more important is how well the operation is performed.
Incorrect installation will not save the “best endoprosthesis,” but a correctly installed “average” one will confidently serve for many decades.

Based on this, no matter how trivial it may sound, the main thing is the hands of the surgeon.
A reputable traumatologist-surgeon will select the necessary prosthesis for you or offer an alternative where possible.

Therefore, it is more reasonable to look for a good specialist than to waste time searching for the “best prosthesis.”
Naturally the question arises: “How to find this very good surgeon?”

As a rule, the surgeon who operates a lot operates well. Thanks to the system of providing high-tech medical care, there are quite a few such surgeons in our country. We now have many 30-year-old surgeons who perform 3-5 operations a day, accumulating several hundred operations a year. Even by world standards, this is a lot and earns the respect of foreign doctors: a surgeon who performs more than 50 operations a year is considered an experienced surgeon in the world. We have something to be proud of!

There is one more subtle and important point.

No matter how brilliantly the operation is performed, much depends on the correct actions during the recovery and rehabilitation of the patient. It's no secret that many doctors don't really like answering questions. And there are many questions after the operation. When can you drive? How long will the temperature last? When can you go to the bathhouse? Why does my leg swell? Of course, you can find answers on the Internet, but only an experienced orthopedic surgeon can answer them as accurately as possible.

To summarize: The main thing is not the search for the “best joint”, but the choice of a truly worthy specialist who will select the necessary prosthesis and successfully perform the operation.

Take care of yourself!

Modern types of prostheses are designed to completely imitate the original joint and fulfill its functional capabilities.

I recently read that the most reliable prosthesis is made of ceramics.
A cemented denture is an outdated model, while a cementless one is a good option.
The best prostheses are foreign ones, they have positive reviews.

The first myth that should be dispelled is that there is no best endoprosthesis.

Secondly, there are many variations of orthopedic structures for hip joint replacement: some of them are better, others are inferior in one way, but superior in another. We are talking about well-known companies that have been working in the orthopedic market for several years.

In the third case, it is necessary to take into account not only the quality of the prosthesis, but also the work of the surgeon. Even an expensive implant does not guarantee the success of the operation if the doctor is poorly qualified and has no experience in endoprosthetics. Therefore, it is worth focusing not only on models and companies, but also on the knowledge of the person who will operate on you. Don't forget the importance of rehabilitation. A full recovery course will guarantee a successful recovery with any type of prosthetic design.

The models of leading foreign companies do not differ much, so it is difficult to say which is better. Comparison - rather by price-quality standards. Well-known companies Zimmer, De-Puy, Biomet produce equivalent samples that do not have pronounced differences.

When choosing a prosthesis, look not at the company or cost, but at a more important feature that affects the life of the adaptation - the friction pair.

Types of endoprostheses, their differences

Features and differences are distinguished by type of endoprosthetics:

superficial. The hip joint head and acetabulum are being replaced;
total. Complete replacement of damaged bone and cartilage with excision of the femoral neck.

Implants are distinguished by the method of attachment:

Fixation without medical cement. Used for young patients without signs of osteoporosis. With good bone density, they grow into the prosthesis and secure it. For cementless fixation, a titanium alloy stem can be used.
Fastening with cement. The technique is used in elderly people or in patients whose bone density does not allow the use of a cementless method.

Recently you can often hear the term “liquid implant”. It is not related to full endoprosthetics, since it is not a prosthesis. It involves the introduction of certain types of acids, the purpose of which is to restore the connective tissue of the cartilage. Any specialist will tell you that this is impossible. Under the influence of the degenerative-dystrophic process, pathological joints are completely destroyed and have no ability to regenerate. The only way out is surgery.

The following varieties exist:

metal combined with metal;
metal and polyethylene;
ceramics plus ceramics;
combination of ceramics and polyethylene.

Variety	Positive aspects	Negative aspects
Combination of ceramic and ceramic	Friction components are non-toxic High wear resistance Possibility to choose a large head diameter	High risk of material splitting during physical activity Fairly high price Often causes squeaks
Metal combined with metal	Short service life Material stability, high mobility New, more advanced models are released every year (there are plenty to choose from)	Low price High toxicity of friction products The cup is sensitive to tilting, it is advisable not to exceed 50 degrees
Metal and polyethylene	Budget implant, the cost is more affordable The most popular type of friction pair Combined with a low price, it has decent quality The tilt of the cup angle can reach 90 degrees	Unlike other types, less wear-resistant Head diameter is not available larger than 32 mm There is some toxicity, although quite mild
Ceramics and polyethylene	The best prosthesis option. Suitable for everyone, without exception, although recommended for older people with a passive lifestyle	Service life is quite long

From 10 to 15% of complications after endoprosthetics are associated with incorrect selection of the prosthesis, and more specifically, the friction pair. That is why it is important to find a qualified orthopedist and pay attention not to the brand of the implant, but to its quality.

Hip joint: price of prosthesis

More details

The price of orthopedic structures depends on the manufacturer and the material used. Foreign companies offer implants in the region of 1300-2000 dollars, domestic ones are several times cheaper.

Where to buy a hip prosthesis?

You will purchase an implant to replace the hip joint directly with your doctor. They are the ones who collaborate with manufacturers and will be able to tell you how much a certain type costs.

There are companies in Russian cities that are official distributors of foreign manufacturers of orthopedic implants. You can often hear about Legacy MED (working with the world famous American company Johnson & Johnson). Here you can buy titanium and ceramic endoprostheses. The consultant will tell you the exact price.

Dislocation of the hip prosthesis

development of pain that cannot be relieved with painkillers;
change in the length of the lower limb, its shortening;
impaired range of motion, stiffness, sharp decrease in physical activity.

To clarify the stability of the structure, the patient is put into a state of anesthesia, where the doctor deliberately subluxes the prosthesis and then resets it to its original position. This procedure allows us to predict the reasons that provoked the complication and reduce the risk of re-dislocation in the future.

Treatment consists of reduction of the dislocation and subsequent wearing of a special prosthesis, a course of physical therapy, physical therapy, and massage.

Zimmer: hip replacements

Such popularity is associated with the quality of the product: it is distinguished by durability and high adaptability.

The company's assortment is wide, it is possible to choose a prosthesis in the price-quality ratio. Even inexpensive implants can completely imitate the native joint and have good wear resistance.

What kind of prosthesis can I buy and how long does it last? Production Zimmer produces the following implant structures:

knee replacement prosthesis. The undisputed leader: almost half of the operations are performed using prostheses from this company. Service life - 15 years or more;
endoprostheses for shoulder joint replacement. A unique innovative development - a joint with a maximum level of implantability, restoring hand function by 95%;
implants for hip replacement. A large selection of types, there is the possibility of individual selection, including price.

The main difference between Zimmer products is the high adaptation of the prosthesis, which shortens the rehabilitation period.

Cost of hip joint

Fact: there is no specific prosthesis - a universal model that could suit everyone and not cause side effects.

If you decide to undergo endoprosthetics, please note that the price of the implant, Zimmer or ceramic, has nothing to do with the success of the treatment. It makes sense to opt for an inexpensive but suitable orthopedic item.

Treatment of joints Read more >>