The ACCIS® hip system is a Ceramic Surface Engineered hard-on-hard (TiNbN-on-TiNbN) bearing, large head, resurfacing and total hip system with modular formats. The bearing surface differs from other metal-on-metal (CoCrMo-on-CoCrMo) bearings because it is Ceramic Surface Engineered with...

The Accolade C Femoral Component from Stryker is a cemented hip stem with a dual wedge design manufactured from chrome cobalt. There are 132 and 127 degree neck angle options, and a universal distal spacer or ring centraliser options. The V40 taper allows a range of heads including Vitallium...

The Accolade femoral stem from Stryker is an uncemented, proximally coated, collarless femoral component manufactured from Stryker’s proprietary beta titanium alloy, TMZF. TMZF has a modulus of elasticity closer to that of bone than Ti-6Al-4V alloy. The proximal coating is 50 micron thick...

The Active Articulation E1 Hip System is specifically indicated for patients at risk of dislocation. According to the manufacturer, it is the only dual mobility system to use Antioxidant Infused Technology which is intended to prevent oxidative degradation of the polythene component. ...

The ADEPT hip resurfacing from Finsbury is an as-cast metal on metal system, which includes a tapered femoral stem, and a cast-in hydroxyapatite and beaded coating on the socket. Finsbury also manufacture the MITCH resurfacing system and the Birmingham Hip Resurfacing . The Extra Fixation...

The Stryker ADM X3 is a bipolar or “mobile bearing” acetabular system, launched in early 2010 and comprising an X3 polyethylene intermediate bearing, which lies between the (ceramic) head and the shell. The shell is cutaway anteriorly with the intention of reducing the risk of psoas...

The Aida Short Stem hip from Implantcast is a shortened titanium stem with a proximal coating of both pure titanium and hydroxyapatite. The modular neck is compatible with ceramic and large diameter bearings, such as the ACCIS hip. There are no published results. Do you have experience...

The Allofit/Allofit-S Cup System from Zimmer is an acetabular component which is hemispherical, but with a flattened pole geometry. The shell is titanium (Protasul-Ti) with an excellent macro-structure for locking into subchondral bone.  Neutral and 10 degree hooded polyethylene inserts,...

The aMace acetabular revision system from Mobelife involves the customised manufacture of implants for complex hip revision surgery. The system comprises the aMace Augment, the aMace Augmented Cup, the aMace Cage, the aMace integrated system and the aMace plate. The key feature of these...

The Zimmer Apollo hip system is a collared straight stem, cobalt chrome cemented hip replacement. The Apollo cup is an all-polyethylene cemented acetabular component. Although first used in 1990, the socket is rated “pre-entry” by ODEP.  

The Articular Surface Replacement (ASR) hip resurfacing from DePuy was introduced in July 2003, at around the same time as a number of other hip resurfacing devices. It was marketed as having the advantages of a reduced diametrical clearance (said to reduce wear) and a sub-hemispherical cup...

The Avantage Acetabular System is a Dual Mobility hip bearing system comprising a cemented shell and cementless component with pegs (Avantage 3P) , a cementless component without pegs (Avantage Reload) and a revision cup and reinforcement plate.   

The Balance Microplasty hip stem is a shorter version of the Balance uncemented stem from Biomet. The stem is collarless and porous coated. It is a standard 80mm in length, and the design is intended to fill the proximal metaphysis and provide immediate three point fixation. The stem geometry...

The Birmingham Hip Resurfacing likely needs no introduction, as the device which kicked off the hip resurfacing revival of the last ten years. The device has been successfully marketed as a solution for younger patients requiring hip replacement, preserving bone on the femoral side. The...

The Birmingham Mid Head Resection Prosthesis is a device which, in terms of the bone resected, lies between the Birmingham Hip Resurfacing and a more standard total hip replacement. It can be used when it is possible to preserve part, but not all, of the femoral head. This may be helpful if...

The C-stem AMT (Articul/Eze 12/14 mini taper) total hip system from Depuy is a triple-tapered polished cemented stem for use in primary hip arthroplasty. As with other systems, the third taper runs from narrow medial to broad lateral, with the aim of improving load transfer proximally and...

According to the manufacturer, the Cannulok Plus Revision System comprises a molular revision hip prothesis with a locking intramedullary nail. They describe the device as a CE Marked product which is available as an 'off the shelf' and a customised solution.  Orthodynamics say that the...

The Cenator acetabular cup is manufactured from ultra high molecular weight polyethylene and achieves fixation via bone cement. The internal diameters of the Cenator cup are available in size 22, 26 and 28mm, and can be selected with or without an extended posterior wall and cement...

The CFP (Collum Femoris Preserving) stem is a collared, curved short stem device designed for minimally invasive implantation. It is a modification of the stem originally designed by Pipino in the early 1980s, the design aims of which included rotational stability by triplanar fixation,...

The COLLO-MIS femoral stem is a collarless bone preserving femoral stem. It is proximally tapered and has reduced cross-section distally and is HA coated. We are not aware of published results at the present time. Do you have experience of the COLLO-MIS femoral stem ? Tell us...

The Conserve Plus is a hip resurfacing device from Wright Medical which obtained FDA approval in 2009. The socket is manufactured from cast cobalt-chrome and it has a sintered porous coating for cementless fixation. The geometry of the socket includes a 170 degree coverage angle, and the edge of...

The Contemporary Acetabular Cup from Stryker is a cemented, flanged, polyethylene component used for primary or revision hip arthroplasty. The cup has methylmethacrylate studs on the base which are removable but which are intended to remove the risk of bottoming out. The flange can be trimmed to...

The Zimmer Continuum Acetabulum System is a flexible acetabular implantation system. It comprises a Trabecular Metal backing and has Longevity cross-linked polyethylene and Metasul bearing options. In 2011, the system was used in 3% of primary uncemented hip implantations, and had a pre-entry...

CONTOUR Acetabular Rings are titanium rings designed for the protection of acetabular bone graft in revision hip surgery. The ring provides a stable base for a cemented socket and is indicated in large cavitary defects, medial wall defects, segmental defects involving the anterior or posterior...

The Corail stem has been in clinical use since the 1980s. It is a fully hydroxy-apatite coated (150 micron thickness) non-porous forged titanium alloy stem. The design includes a proximal trapexoidal cross section, intended to resist axial/torsional stresses and promote initial stability, and a...

The Cormet 2000 hip resurfacing is manufactured from cast cobalt chromium molybdenum. The acetabular component has a plasma sprayed titanium coating (Corin’s Bi-coat) and has an equatorially expanded geometry with anti-rotation fins. The femoral component comes in both cemented and...

The Smith and Nephew CPCS (Collarless Polished Cemented Stem) is a polished tapered femoral component, available in cobalt chrome and stainless steel versions. The design incorporates a “triple taper” meaning that not only does the femoral stem narrow from proximal to distal in...

The CPT hip stem from Zimmer is a collarless, polished, double taper hip stem. Date released : First clinical use in 1990. Material : Cobalt-chromium alloy. Surface : Polished cobalt-chrome. Geometry : Double taper design. Extended and extra-extended...

The H-A.C Coated CSF plus Cup from JRI is an evolution of the Furlong H-A.C CSF cup. Improvements include the availability of two shell types with differing internal tapers. The 18 degree internal taper is for ceramic (Biolox delta) liners, and the 5 degree for UHMWPE, including...

The CUT femoral neck endoprosthesis is a short stem device with a modular dual cone proximal component that allows the selection of different offsets and versions once the stem has been implanted. The implant is made from CoCrMo alloy and has a macroporous structure. The stem is curved at the...

The DeltaMotion bearing from Finsbury is a large ceramic-on-ceramic bearing system. Femoral head diameters range from 32 to 48mm, shell sizes from 42 to 66mm. This system is said to be suited to patients with smaller acetabulae who would benefit from a large diameter bearing. The ceramic...

Tornier's Dual Mobility Cup is available in cementless and cemented versions for primary replacement of the hip joint. The device has a metal back which, according to the manufacturer, ensures the joint range and stability are maintained. This image is provided courtesy of Tornier.

The Durom hip resurfacing is a metal-on-metal hip resurfacing introduced in 2003. The device has a Metasul® bearing, which is wrought-forged Cobalt Chrome – the Protasul-21 WF alloy. This bearing was developed by Sulzer (subsequently Centerpulse, itself acquired by Zimmer in 2003), and...

The Elite Plus Cemented Cup from Depuy-Synthes is a cemented acetabular component which is most often implanted with the Charnley stem. In the 2011 National Joint Registry report, the cup had an ODEP 10A rating and was used in 9% of primary hip implantations. The Elite plus flanged socket...

The Elite Plus Ogee Cup from Depuy is a UHMWPE cemented acetabular component for primary or revision hip arthroplasty.  In the 2011 National Joint Registry report, the socket had an ODEP 10A rating, and was implanted in 13% of all registered primary hip replacements. When used with the...

The Exceed ABT (Advanced Bearing Technology) Acetabular System from Biomet is an uncemented acetabular system applicable to both primary and revision hip implantations. Bearing choices include C2A-Delta Ceramic, M2A Series (metal) and E1 Anti-oxidant Infused polyethylene, which includes a number...

The Exeter hip is a cemented, polished tapered stem hip replacement with a long pedigree. The device was developed in 1969 and intended as a cemented implant for insertion by the posterior approach. In 2010 the device celebrated its millionth implantation, 40 years of clinical use and, possibly...

The Exeter Trauma Stem is a lower-cost monobloc stem for hip hemiarthroplasty in the context of an intracapsular hip fracture. The surface finish differs from that of the Exeter stem in that it has not been hand polished. A surgical technique can be found here .    Reference:...

The Exeter Comtemporary X3 RimFit socket is a cemented socket for primary hip arthroplasty. The RimFit reamer is designed to flatten the rim of the socket in order to maxmise pressurisation and cement penetration into acetabular bone. 

The Zimmer Fitmore stem system is a curved, short (44 to 60 mm in length), uncemented femoral stem with a trapezoidal cross section and triple taper geometry, available since 2008. The device is manufactured from Zimmer’s Protasul™ titanium alloy, has a proximal Ti-plasma coating and...

The Furlong EVOLUTION stem is a modification of the highly successful Furlong HAC hip. The stem includes the following modifications: a reduced lateral shoulder for ease of insertion optimised neck geometry collared and non-collared options zoned coating with...

The Furlong HAC Coated Total Hip Replacement Stem is a fully HA coated titanium femoral component designed to provide a good metaphyseal fit. It has a rectangular cross section proximally, a cone shaped transition section and a distal stem. The canal is overreamed to allow space for the stem....

The Global Tissue Sparing (GTS) primary hip stem is a short uncemented hip stem intended to spare bone and possibly soft tissue. In an early series of 81 stems in 80 patients, there was one calcar fracture and no loosening at a mean of 16 months (6 to 24 months). Reference: Morales...

The MARATHON cemented acetabulum is a cross-linked polyethylene socket for hip replacement. The device has a flange which can be trimmed after trialling and before insertion. The socket has an alignment wire which is supplied separately and should be affixed to the polyethylene component before...

The Maxera ™ Cup from Zimmer is a large diameter ceramic acetabular component. The ceramic is Biolox delta, the design includes a 180 degree full hemisphere, with three anti-rotation fins. Large diameter heads ranging from 32mm to 48mm are available. The bearing is intended for younger...

Designed by Morrey in 1984, this conservative bone preserving femoral component has the longest track record in short stem devices. This is a neck-retaining device. The Mayo stem has a proximal wide trapezoidal cross-section in order to gain multipoint contact within cortical bone, and is wedge...

The Modular Dual Mobility acetabulum from Stryker (MDM) complements the ADM system, but is based on the Trident or Tritanium uncemented acetabular shells. The polyethylene component is manufactured from X3 polyethylene . The femoral head is either 22.2mm for smaller size shells, or 28mm. A CoCr...

The Metha Short Hip Stem is a modular femoral stem designed for metaphyseal anchorage in the proximal femur. The curved stem has a rounded tip and sits against the dorsolateral cortex of the proximal femur. There is no collar. It varies in length from 9.75 to 12.25cm. The modularity allows the...

The Corin MiniHip is a short-stemmed uncemented device intended to be more conservative on the femoral side than conventional femoral components, and requiring a mid-neck resection. The system is compatible with Corin’s Cormet resurfacing, and total hip systems, allowing some...

The MIHR International Hip Resurfacing is a cast high-carbon cobalt chrome metal-on-metal hip resurfacing device intended to facilitate “small incision” surgery, and which has an appropriately specialised set of instruments for doing so. These include a retractor, femoral head...