Unboxing the components of an anterior total hip replacement surgery
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- เผยแพร่เมื่อ 16 มิ.ย. 2024
- Dr. Dan Lieberman unboxes a Stryker total hip replacement implant. The usual hip replacement has four components.
The stem is the Stryker Accolade II. The trunion mates with the ball to make a cold weld to hold the implant together. The body has 2 parts, a hydroxyappetite coated upper part allows for bone growth. The shape of the body was determined by CT reconstructions for a tight fit.
The cup is the shell which holds the ball.The cup is also covered with hydroxyappetite to allow bone growth into the socket. There are holes to permit a screw to temporarily fix the cup into the acetabulum. Thinner is better for a shell because it allows a bigger ball, which reduces the risk of dislocation.
The cup is lined by a polyethylene liner. The plastic is radiated to make it stronger.
The Ceramic head fits inside the cup and replaces the ball. Ceramic is better than metal because it wears better according to registry data.
Just had my anterior hip replacement on 9/27/23 with the same type of components (not sure of the brand) and the recovery was amazingly fast. But what's even more impressive is the smooth natural feeling of the components when walking. I had heard from a friend who had the same surgery a few years ago that the only thing he didn't like was the unnatural feeling of the ball and socket. Mine feels so natural that I can't tell the difference between hips. So glad I had the surgery.
Had both done 3 years ago. Not at the same time. Thanks for your simple “show and tell”. Components work well in harmony.
excellent explanation. Many videos on the actual surgery but nothing good on the components. Thank you.
Had my hip replaced three weeks ago in Spain. Fantastic Surgeon Dr carlos, Yecla. Murcia. Thank you your video explains it all, and your sense of humour xx
TRIDENT Stryker
Thank you for the awesome video. I have all these amazing parts and they are working perfect. 😁
Nice video! Thanks for posting!
You are welcome. I hope it helped!
Great Video Dr Lieberman!
Thanks, Scott! How are you, brother?
Excellent presentation. I’m excited about getting mine now.
Great to hear that! Please let us know how it turns out.
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Awesome explanation Thank U Very Much
You are welcome! Did you see our post today?
Hi Dr Lieberman. I have watched your videos about spine surgery now am looking to get myeft hip done soon. Had anterior procedure done on right hip 15 years ago. Now having a hard time finding a Dr that will do it seems they all want to do posterior and I don't want that. My original surgeon has retired.
Geez talk about dedication- opening sterile implants! Great video overall!
Right?!? Stryker donated them. Very kind of them.
@@hip-replacementinfo6511 It's pretty cool! Stryker is great!
Just got mine put in 9/8/2020! Very interesting video.
Hello, I got mine out in 3 months ago. How is your prosthesis doing no issues? I have the Stryker accolade 2
Great implant! What approach did your surgeon use?
Loved the no "technical" presentation. Appreciate it. My hip replacement happens on 1/4/2023.
Awesome! We hope you are getting a robotic assistant, outpatient setting with spinal anesthesia, and registry proven implants. What approach does your surgeon use --- Anterior, direct superior or superPATH?
NONE YA I had my replacement surgery 11/28/22. Recovery is going great. Should've done it long ago. Wishing you a smooth surgery and speedy recovery.
@@tinman8518 Thank you.
@@hip-replacementinfo6511 Having this but posterior and robotic!
I'm having a bilateral hip replacement ( both at same time) In a couple of weeks with Stryker accolade II. Great stuff, now I now what's going into my body.
I have a Stryker Tritanium from 2010. No problems as far as I can tell. Is that cross-linked polyethylene? Do I have cross-linked polyethylene?
Interesting video. Thank you.
I had both hips replaced in 2021, they are working great. I had a question that I could not find an answer to.
I know they say not to use titanium in tooth fittings as they act like an antenna and can increase EMF, and 5G, how would having Titanium hips affect the body? Would it do the same as having it in the mouth and act like an antenna?
Does it have a less chance of your body rejecting it with this type of replacement
22-6-2021 mine was done, hope this is as good as it looks. Thankyou for the video🇺🇸🏴
It's been 5 months. How is it going?
@@hip-replacementinfo6511 36 Christmas wishes at once🙏 I was 7 when it was pretty evident, there was going to be a long road ahead, after the surgery, unknown to my surgeon, I was playing team golf @ 4 wks and 2 days, outstanding results so far🤞🏽, few muscle issues with an inch lengthening of my leg, but 5 months I am so happy with the results, Thankyou for asking 🤝🇺🇸 🏴
Appreciate it .
Dr.
Want to know what is the best ??
Best what?
My doctor uses the Johnson and Johnson for an anterior hip replacement and wondering what your thoughts are compared to the striker? Thank you
Hi, Mark. Sorry for the slow reply. J&J is great. They are one of the big 4 makers of hip replacements. I would pick the doctor and let them pick the hardware; however, I wouldn't pick an orthopedic surgeon who uses crappy hardware. Please let me know if this helps!
@@hip-replacementinfo6511 and how would the patient know if they are going to receive crappy hardware?
I'm curious do the "necks" come in different lengths?
Yes! There are 2 sizes of necks. The neck length has a huge impact on the construct, as you might imagine. There are so many combinations of parts that make up a construct! Fortunately, the robot helps these orthopedic surgeons sort it out. There are some surgeons I really respect and have seen getting great results who don't use the robot fir hips; but I don't think I would have surgery without a robotic assistant.
Don't you need an adapter for the Accolade II to use a standard Biolox head?
I don't know! But good point.
Only need a sleeve with Biolox option heads
HI, WHAT ABOUT OXINIUM (oxidised zirconium hip stem head surface layer) used by smith & nephew on their Polar 3 implant. Would you opt for the ceramic? Tests show lower wear using OXINIUM with highly crossed PE over 5 yrs. Bottom line would you go for OXINIUM or ceramic? I am deciding for myself soon to be operated on.. Thanks:-)
Ceramic.
Hello, is there a sleeve that goes into the ball than you get that tight weld??
It's a cold weld done by friction of the fit. I find it amazing that this type of joint is nearly as strong as an actual weld. You can't use flame in the operating room as the gasses are flammable.
@@hip-replacementinfo6511 Whats the cold weld made of and the stem where the ball goes on? Thank you!!
@@ricktorres1319 Look up Morse type taper.
I'm reacting to the co cr liner in the other model it looks like they can just take out the liner and put in an oversized bearing ?
No. They need the liner to avoid metal on metal debris from forming in the hip.
@@hip-replacementinfo6511 no the liner in the dual mobility hip basically making it a constrained polyethylene like the one in this video I see where they can. My new question is can they use an adaptor sleeve and put a ceramic ball back on instead of using a cocr ball ?
@@gbany100 yes, Biolox option head
Is accolade stem better then corail stem ?
What is the survivorship data on accolade
Great question. I'm going to answer on my show. I'll send you a link when done.
@@hip-replacementinfo6511 hello can you send the link for that answer?
@@hip-replacementinfo6511 sir , your show link
@@hip-replacementinfo6511sir answer for the question, link ?
can you tell us price of this implant please
Hi, Timepass. We don't see implants separately. If you are interested in hip replacement surgery you can call Phoenix Spine and Joint at 602 256 2525.
this is what im getting soon and im scared to death now
Don't be affraid, you've got this. I hope you did your homework and selected the right doctor. That is they key.
hopefully my doctor wont need the instructions
Total price tell me
Hi, Chouhan. It's a sliding scale. Please call us at 602 256 2525 to find out.
Sir , how much time it takes to completely recover from bilateral total hip replacement in ankylosing spondylitis ?
Nosherwan Adil..H Bhai AAP ne Hip replacement surgery karvaliya kya? bhai please reply BHAi please please please please please reply.mujko bhi Ankylosing spondylitis problem hai.. please reply BHAi please
no , mayray surgeon nay surgery date nhi di abhi ...
@@nosherwanadil6753 TQ for reply BHAi.. AAP Ko kabse hai AS problem..AAP kha se hai....Mai bhi surgery ka plan karrahahu.. money problem ki wajase ruka huwa Hu...
@@sfrq7045
Mujhe 2011 mein start hoi thi us wakt mayri age 12 year thi , 2017 say mujhe hips knee problem hay , 2020 mein doctor nay bilateral total hip replacement and bilateral total knee replacement advice ki thi .
@@sfrq7045
I am from Multan , Pakistan
Maybe like 10 grand in medical supplies wasted. Cool content. I just had my right hip done
More like 700$ for Stryker.. I don't know how much they sell the actual components in the States but building price is surely less than 1.000.. Also one more thing I am pretty sure that the acetabulum has a titanium porous coating and not HA..
@@petroulakisnikolaos8213 the "parts" list and billed out amounts to do my hip in Sept was around 14k all said and done it was around 23k. Thank god for insurance and working for a living right..??
OK, I get it. You are on top of your game as a specialist doctor. But being obese and eating pizza to boot, come on? why do you think people develop situations that warrant hip replacements. (By the way, save me a slice bro!)