Term: Hip Replacement Surgery

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Glossary Definition

Last Updated: 2011-08-12

Definition:

During hip replacement surgery, the ball and socket of the hip joint are completely removed and replaced with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur (thigh bone) and an artificial plastic cup socket is placed in the acetabulum (a "cup-shaped" part of the pelvis). The prosthesis may be fixed in the central core of the femur with cement. Alternatively, a "cementless" prosthesis is used which has microscopic pores that allow bony ingrowth from the normal femur into the prosthesis stem. The cementless hip lasts longer and is especially an option for younger patients.

Total Hip Replacement versus Partial Hip Replacement

There are two types of hip replacement surgery: total and partial. At MCHP, research has focused on total hip replacement surgery.

Total hip replacement surgery is defined using:

• ICD-9-CM procedure codes 81.50, 81.51 or 81.53 or
  
• CCI codes 1.VA.53.LA-PN^^ or 1.VA.53.PN-PN^^
  
  in any procedure field in the hospital discharge abstracts data. In some cases, age restrictions (i.e.: age 40 and older) may apply to the definition.

Partial hip replacement surgery can be defined using:

• ICD-9-CM procedure code 81.52 or
  
• CCI codes 1.VA.53.LA-PM^^ or 1.VA.53.PN-PM^^
  
  in any procedure field in the hospital discharge abstracts data.

Related terms 

• Canadian Classification of Health Interventions (CCI)
• CCI
• Hip Fracture
• Hip Fracture Hospitalization Rate
• Hip Fracture Repair
• ICD-9-CM
• International Classification of Diseases, 9th Revision, with Clinical Modifications (ICD-9-CM)
• Joint Replacement Surgery
• Total Hip Replacement

References 

• Fransoo R, Martens P, Burland E, The Need to Know Team, Prior H, Burchill C. Manitoba RHA Indicators Atlas 2009. Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Full Report] [Summary] [Data extras] (View)
• Fransoo R, Martens P, The Need to Know Team, Burland E, Prior H, Burchill C, Chateau D, Walld R. Sex Differences in Health Status, Health Care Use, and Quality of Care: A Population-Based Analysis for Manitoba's Regional Health Authorities. Winnipeg, MB: Manitoba Centre for Health Policy, 2005. [Full Report] [Summary] [Data extras] (View)
• Martens PJ, Bartlett J, Burland E, Prior H, Burchill C, Huq S, Romphf L, Sanguins J, Carter S, Bailly A. Profile of Metis Health Status and Healthcare Utilization in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2010. [Full Report] [Summary] [Data extras] [Errata] (View)
• Martens PJ, Fransoo R, The Need to Know Team, Burland E, Jebamani L, Burchill C, Black C, Dik N, MacWilliam L, Derksen S, Walld R, Steinbach C, Dahl M. The Manitoba RHA Indicators Atlas: Population-Based Comparison of Health and Health Care Use. Winnipeg, MB: Manitoba Centre for Health Policy, 2003. [Full Report] [Summary] [Data extras] (View)

Term used in 

• Chartier M, Finlayson G, Prior H, McGowan K, Chen H, de Rocquigny J, Walld R, Gousseau M. Health and Healthcare Utilization of Francophones in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Full Report] [Summary] (View)