Hip disease - replacement prostheses

Based on the evidence, NICE has recommended to the NHS that: Wherever possible, the NHS should use artificial hip joints that can show they last for 10 years or more. This is called a benchmark. Sometimes a surgeon might need to use an artificial hip that does not meet this benchmark. If t ...

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Based on the evidence, NICE has recommended to the NHS that:

• Wherever possible, the NHS should use artificial hip joints that can show they last for 10 years or more. This is called a benchmark.
• Sometimes a surgeon might need to use an artificial hip that does not meet this benchmark. If this is the case, the hip should have at least 3 years evidence. This evidence should show that the artificial hip is on target to meet the 10-year benchmark.
• Artificial hips that do not meet the standards 1 and 2 above should only be used in the NHS as part of a clinical trial. If you need one of these hips, then your surgeon will discuss the details of the clinical trial with you before you agree to have the operation.
• Artificial hips are described in one of three ways: cemented, uncemented or hybrid. It depends on the design of the artificial hip and how it is fixed into the bone, during the operation. There is more evidence that cemented artificial hips meet the 10-year benchmark (described in point 1) and produce the least pain and discomfort.
• To help the NHS establish and do the best for their THR patients more evidence on the performance of artificial hip joints and THRs
  is needed. Therefore, NICE has recommended that the NHS should set up a hip registry and should encourage more research. This may mean that the NHS and your surgeon will collect information about your hip operation and how well you have progressed.

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