THR Dual Mobility hip replacement cost?

golfer67

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I have decided that if (and I probably will) I need a hip replacement due to my FAI and torn hip labrum that I will settle for nothing less than a Dual Mobility hip replacement. I have a fused spine and a fused SI joint so I need the added mobility of the Dual Mobility implant. My question is, does it cost more for the Dual Mobility hip implant if a person requests it instead of a standard implant.



Thanks
 

Jaycey

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I think it's more about finding a surgeon who specifies this implant. You won't get a surgeon who has never used the implant to operate with it. Maybe do some research on the manufacturer's website?
 

zauberflöte

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In addition to what Jaycey says, if you live in US, check your Medicare and supplemental fine print, I'd think. I am pretty sure mine does not specify as to brand-- it didn't even occur to me to delve deeper; I never had a problem with coverage either before or at 65. For my first hip, we'd already blown away our deductible AND most of the OOP on previous expenses. For the second, all that mattered was that it was covered.

Also, once you find your surgeon who uses it, their surgical coordinator and/or office insurance person might know more (again, US-specific). I've had some helpful conversations with those in-office insurance experts.
 

Celle

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@golfer67 - While you may believe that the Dual Mobility hip replacement would be the best option for your hip, don't let that distract you from looking for the best surgeon you can find.

The most important factor for success with hip replacement is not the type of hardware used, but the skill of your surgeon. The best equipment in the world can't turn a mediocre surgeon into one with the necessary skills.
 

Celle

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I hope your appointment goes well. do let us know how you get on.
 
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golfer67

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Thanks for the replies. I go to the Doctor that I have been referred to next Tuesday 07/21/20 for my first appointment so I can’t ask too many questions of his staff just yet. From the research that I have done it looks like the Doctor is affiliated with Depuy because he uses the Jointpoint system that Depuy manufactures so I would assume that he would use the Depuy Bi-mentum system. https://www.corailpinnacle.net/supporting-portfolio/bi-mentum#

This Doctor was in the top 70 list of hip Doctors in the article here in 2011 so he should be a good doctor who is up on the latest techniques.

https://www.beckersspine.com/orthop...8-70-outstanding-hip-surgeons-and-specialists

Here is the Doctor

https://health.usnews.com/doctors/shiraz-patel-225454
 

Jamie

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As to your question about the cost of a specific implant, some do cost more than others. But it won't likely be anything you would notice assuming you have Medicare coverage. The cost of implants is something that is negotiated between insurance companies, hospitals and the manufacturers. The issue with wanting a specific implant is that you need to find a surgeon who is trained with that particular prosthesis and does a lot of them......like 150 or more a year.

Generally the type of implant doesn't really make a difference to the patient and how the hip performs. A lot of the "special" implants are more marketing than anything else. But this is something you need to talk over with your surgeon(s) when you meet. That is the person who will know your specific medical needs and can best tell you what will get you the results you want.
 
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golfer67

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Here is the reason that I think I need a Dual Mobility implant if you go to the six minute mark of this video the Doctor tells who would benefit from a Dual Mobility hip implant and I check most of the boxes. I have 11 of 24 vertebras fused in my spine and my left SI joint fused which is what I think caused the FAI and torn labrum so I would be at greater risk for a dislocation. Yes it is my left hip that is bad.
 

TomT

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I'm having my surgery next week and I asked my doctor if this was an option for me and he indicated that he planned on using the anterior approach so wasn't planning to use a dual mobility but it would be available in the surgery room if he felt like he needed to use it. I hope you are able to get the implant you want but the members here make a good point that you should go with what your surgeon recommends for you and not what you have previously decided what is the best for you.
 
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golfer67

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I'm having my surgery next week and I asked my doctor if this was an option for me and he indicated that he planned on using the anterior approach so wasn't planning to use a dual mobility but it would be available in the surgery room if he felt like he needed to use it. I hope you are able to get the implant you want but the members here make a good point that you should go with what your surgeon recommends for you and not what you have previously decided what is the best for you.
Hello TomT

First off good luck with your surgery next week I hope all goes well and you have a good recovery. The reason that I am going to all but insist that I get a Dual Mobility hip implant is because of my limited flexibility due to my lumbar spine fusions. I am one of the few people in the entire world that has a fused SI joint. My SI joint went bad because the motion that would have taken place in my lumbar spine after my fusions was transferred to my SI joint which wore all the cartilage out in my SI joint causing pain. In 2016 I had my left SI joint fused using the IFUSE Implant system. See link.

https://si-bone.com/providers/resource-library/ifuse-surgery-demonstration-video

This stopped all my pain for 4 years but it apparently caused unwanted bone to form on the femoral head in my hip causing the FAI and torn labrum condition to form in my hip. Since all movement that I have left on the left side of my pelvis is now in my hip I am sure that a normal hip implant will wear very fast and be at a high risk for dislocation so I don’t want to trade a sore hip joint for an artificial hip that won’t work well for me. See the 6 minute mark of this video.
Thanks for the reply and I will certainly consider your recommendation.
 

zauberflöte

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@golfer67 I didn't watch the video, but your reasoning is compelling to a know-naught like me. I had a thought, went back to your first post, and had a memory:

I was at my sign-off final followup for hip #1, as I recall. I know my conversation was with my OS, at any rate. I knew my other hip was going downhill, and asked if we couldn't just replace it now. I can't remember his precise wording, but the gist was that it's an elective surgery, and if he couldn't justify it to my insurance on their terms, they wouldn't cover it. And that would be expensive. If it's insurance calling the shots, we know somebody's going to have to pay somewhere. Pardon my cynicism! My payment was three more years with worsening hip pain, and an additional year of unavoidable circumstances-- and after all that, the hip was easily justifiable to Medicare.
 

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