Hip replacement surgery is undertaken when the joint surfaces in the hip are worn and the pain from the hip is not manageable by medication.

I use two different types of hip implants:

• Ceramic hips
  I recommend that a young patient (with an expected lifespan of more than 20 years) have an implant with ceramic on ceramic bearings. These have very low wear rates and have the potential to last a lifetime without the need for revision surgery.
• Plastic/Metal hips
  These are used in older patients with lower physical demands and less life expectancy. The component parts are fixed to the bone with acrylic cement.

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