Hips

Arthroplasty (UK)

Incidence

55,000 / year

Indications

Hip joint degeneration from degenerative or inflammatory arthritis
Inter-capsular head of femur fracture

Pain - Main indication
Functional limitation
Stiffness - e.g ankylosing spondylitis
Failure of non-surgical interventions
General Health
Age - life expectancy vs expected life of prosthesis

Contraindications

Systemic infection (Absolute)
Obesity (Relative)
Poor blood supply

Risks

Infection
Thrombo-embolism
Dislocation (joint or interface)

Types

Total hip replacement - Replacement of acetabulum and head of femur
Osteotomy - Reworking of existing bone
Hip resurfacing - Longer lasting - better for under 60s

Costs (Private)

Total Hip Replacement £6000