At One Place

What is an Artificial hip made of?

What is an Artificial hip made of?
A titanium or cobalt-chrome stem, a ceramic or metal ball, and a crosslinked polyethylene socket liner that is the wear surface.

The joint does not usually fail because the metal breaks; it fails because of what the wear particles do. Polyethylene debris provokes an immune response that resorbs the bone around the implant — osteolysis — loosening it, which is why reducing wear has driven every material change for thirty years. Highly crosslinked polyethylene, introduced around 2000, cut wear rates by roughly an order of magnitude. Metal-on-metal bearings were adopted in the 2000s to avoid plastic wear entirely, and produced a serious failure of their own: cobalt and chromium ions caused local tissue reactions and revision, leading to the 2010 ASR recall and a wholesale retreat from the design.

Component by component

Every material is a choice, and the third column is the constraint that drove it.
Part Material Why that material
femoral stem titanium alloy (Ti-6Al-4V) or cobalt-chromium Titanium's stiffness is closer to bone than steel, so it transfers load into the femur instead of shielding it and letting it thin.
head cobalt-chrome, or alumina and zirconia-toughened alumina ceramic Ceramic is extremely hard and smooth, so it wears the plastic liner far more slowly, at a very small risk of fracture.
acetabular shell titanium with a porous or plasma-sprayed surface Bone grows into the roughened surface and fixes the cup biologically, which lasts better than cement in younger patients.
liner highly crosslinked ultra-high-molecular-weight polyethylene, often vitamin E stabilised This is the bearing surface and the life-limiting part; crosslinking cut wear dramatically, and vitamin E stops the crosslinked plastic oxidising.
fixation polymethyl methacrylate bone cement, where used Cement gives immediate stability, which matters in older bone that will not grow into a porous surface reliably.

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Common questions

What is an Artificial hip made of?
A titanium or cobalt-chrome stem, a ceramic or metal ball, and a crosslinked polyethylene socket liner that is the wear surface.
What is the femoral stem of an Artificial hip made of?
Titanium alloy (Ti-6Al-4V) or cobalt-chromium. Titanium's stiffness is closer to bone than steel, so it transfers load into the femur instead of shielding it and letting it thin.
What is the head of an Artificial hip made of?
Cobalt-chrome, or alumina and zirconia-toughened alumina ceramic. Ceramic is extremely hard and smooth, so it wears the plastic liner far more slowly, at a very small risk of fracture.

Related pages

Sources

  1. Official vendor product documentation — At One Place

How these figures are compiled and checked