Clinically supported by

HIP FRACTURE IMPLANTS

Mr Terence MurphyORTHOPAEDIC CONSULTANT AND IRISH HIP FRACTURE DATABASE CLINICAL LEAD UNIVERSITY HOSPITAL WATERFORD

@louisebrent28

Role of a registry

Patient outcome

Improve clinical standards

Monitor effectiveness of treatments

Monitor performance of implants

Cost

Benefit Patient, Clinician and industry

Implant Options 15yrs Ago

New Replacement Implants

Fracture type

Why Different Implants

Types of fixation

Types of fixation by fracture type

IHFD Dataset Currently

Development of implant tree

Each hospital submitted a list of all implants used to

fix each fracture type.

Implants THR Cemented

Exeter – contemporary

Exeter – rim fit

Charnley - marathon

Corail - Marathon

Polarstem – reflection

CPT - muller

Bicontact -

Excia -

Implants THR Hybrid

Exeter –Trident

Charnley – pinnacle

Polarstem – R3

Bicontact – plasmacup

Excia - plasmacup

Corail - pinnacle

CPT – continuum / G7

Implants THR Uncemented

Corail - Pinnacle

Summit – pinnacle

Trilock - pinnacle

Polarstem - R3

Synergy - R3

Bicontact – plasma cup

Accolade – trident

Accolade - tritanium

Implants – THR reverse hybrid

Corail - marathon

Summit – marathon

Trilock - marathon

Polarstem - reflection

Synergy - reflection

Accolade – contemporary

Accolade – rim fit

Implants Hemiarthroplasty Cemented

Bicontact Exeter Stem & UHR Bipolar cup (Stryker) Exeter trauma stem Trilliance Polarstem Charnley CPT TridentExeter Excia

Implants Hemiarthroplasty Uncemented

Corail Stem Synergy Stem Polarstem Accolade MEDACTA Trilock Bicontact Excia Summit

Implants – Revision THR

Restoration modular

Reclaim modular

Corail revision

Redapt

Arcos

Wagner

Exeter

Cannulated screws

Richards cannulated screws 4, 6.5 and 7mm

Asnis screws

AO Synthes screws

Accutrak

ACE

Proximal femoral nails

Gamma

InterTan

Meta-Tan

Trigen FAN

PFNA

TFNA

T2

DHS/DCS/Blade plate - Implants

Omega

Compression Hip Screw (Smith and Nephew)

DCS (Smith and Nephew)

DHS (Synthes)

DCS (Synthes AO)

Blade plate (Synthes)

DHS Braun

Proximal femoral plates

LCP Proximal Femoral plate (Synthes)

Periloc proximal femoral locking plate (Smith and Nephew)

LCP Hook Plate (Synthes)

LCP Condylar Plate (Synthes)

Dall Miles hook plate (Stryker)

Dall Miles straight plate (Stryker)

AxSOS plate

AxSOS distal femoral plate

LISS (Synthes)

NCB Zimmer

New IHFD implant fields

Hip fracture

Arthroplasty

Hemiarthroplasty

THR

Cephalomedullary nails

Long

Short

Screws

Plate

Dynamic

Static

Example of hemi-arthroplasty

Hemiarthroplasty

Bipolar

Cemented

PolishedExeter

Trilliance

MattCharnley

Excia

Uncemented

Proximally Coated

Trilock

Accolade

Summit

Bicontact

Fully CoatedCorail

collar

No collarPolarstem

Monoblock

CementedExeter

Trauma Stem

Uncemented AMP

Any questions?

Thank you for listening