What are the most cost-effective hip replacement implants?

In patients younger than 65 years of age, small-head cemented ceramic-on-polyethylene hip implants were the most cost-effective, according to a study in Value in Health.

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In the largest cost-effectiveness economic model study of hip implants to date, researchers compared 24 types of hip implants frequently used.. Researchers used data from more than 1 million total hip replacement patients in the U,K. and Swedish hip registries, with more than 30 years of follow-up.

  • Small-head cemented metal-on-polyethylene implants were the most cost-effective implants for patients older than 65 years of age.
  • There was no evidence that uncemented, hybrid or reverse hybrid implants were the most cost-effective option for any patient group.

“Regardless of their bearing material, there is no effectiveness or cost-effectiveness evidence that uncemented implants last longer and avoid revision surgeries for any patient group,” said Elsa Marques, PhD, who led the study.

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