Hip Resurfacing

Hip Resurfacing

Hip resurfacing is a surgical procedure used to treat hip joint arthritis, typically in younger, active patients. Unlike a traditional total hip replacement, where the entire hip joint is replaced, hip resurfacing preserves more of the patient’s natural bone. The surgeon reshapes and caps the head of the femur (the thighbone) with a smooth metal covering, and the damaged hip socket is fitted with a metal cup.

Key Features of Hip Resurfacing
Bone Preservation

More of the patient’s femoral bone is preserved compared to a total hip replacement.

Durability

The metal-on-metal articulation can be more durable in young, active individuals.

Reversibility

If the resurfaced hip fails, it can often be revised to a total hip replacement without losing significant bone.

Ideal Candidates

– Younger, active individuals with good bone quality (typically under 60 years old)
– Patients with hip osteoarthritis or certain forms of arthritis like rheumatoid arthritis or dysplasia

– People who want to maintain an active lifestyle after surgery

Risks and Concerns

– Metal ions: Metal-on-metal surfaces can release tiny metal particles into the bloodstream, potentially leading to complications like metallosis.

– Hip fractures: There’s a risk of femoral neck fracture post-surgery, especially in people with weaker bones.
– Limited use: It’s not suitable for people with osteoporosis or larger femoral head deformities.

Hip resurfacing has gained popularity because it allows patients to return to higher levels of activity post-surgery compared to traditional total hip replacement, but it is not without risks and complications.

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