Term: Hip Replacement Surgery

Glossary Definition

Last Updated: 2020-05-21

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.

• section 10.5 Hip Replacement in The Manitoba RHA Indicators Atlas by Martens et al. (2003)
  
• section 6.2 Hip Replacement Surgery in Sex Differences in Health Status, Health Care Use, and Quality of Care by Fransoo et al. (2005)
  
• section 8.4 Total Hip Replacement in Manitoba RHA Indicators Atlas 2009 by Fransoo et al. (2009)
  
• section 11.3 Hip Replacement Rates in Profile of Metis Health Status and Healthcare Utilization in Manitoba by Martens et al. (2010)
  
• section 11.4 Hip Replacement Surgery in Health and Healthcare Utilization of Francophones in Manitoba by Chartier et al. (2012)
  
• section 8.4 Total Hip Replacement in The 2013 RHA Indicators Atlas by Fransoo et al. (2013)
  
• section 8.4 Hip Replacement Surgery Rates in The 2019 RHA Indicators Atlas by Fransoo et al. (2019)

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. [Report] [Summary] [Additional Materials] (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. [Report] [Summary] [Additional Materials] (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. [Report] [Summary] [Updates and Errata] [Additional Materials] (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. [Report] [Summary] [Additional Materials] (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. [Report] [Summary] (View)
• Fransoo R, Martens P, The Need to Know Team, Prior H, Burchill C, Koseva I, Bailly A, Allegro E. The 2013 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] [Additional Materials] (View)
• Fransoo R, Mahar A, The Need to Know Team, Anderson A, Prior H, Koseva I, McCulloch S, Jarmasz J, Burchill S. The 2019 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2019. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)