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WHICH PROSTHESIS?

ANCHOR LEAD: WHICH TYPE OF PROSTHETIC HIP IS BEST?  ELIZABETH TRACEY REPORTS

Total hip replacements are so successful they’ve become almost a rite of passage for baby boomers.  In keeping with baby boomer values, a range of designer prosthetic hips is available, but which is best?  Simon Mears, chair of orthopedic surgery at Johns Hopkins Bayview, says his predilection is for the tried and true.

MEARS: The ceramic hips once in a while they can squeak, when you walk, the metal on metal hips there is a higher likelihood of loosening, there is also a chance of having reactions due to the metal wear that can happen in the hip.  So increasingly in my practice I’m sticking with the tried and true, going with the metal on plastic we know that it works very well, we know the downsides of it, we don’t seem to have as many catastrophic problems associated with that it’s very reliable.    :28

Mears says recent reports of metal particle contamination from hip prostheses need further evaluation before concrete conclusions can be drawn.  At Johns Hopkins, I’m Elizabeth Tracey.


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