What is Hip Resurfacing?
Hip resurfacing is a surgical procedure that involves removing the damaged surface of the femoral head and capping it with a metal prosthesis. Unlike total hip replacement, which involves removing the entire femoral head, hip resurfacing preserves more of the patient's natural bone. It is typically recommended for younger, active patients with good bone quality and suitable anatomy.
Here are some key points about hip resurfacing :
Indications: Hip resurfacing is typically recommended for younger, active patients who have good bone quality and suitable anatomy. It is commonly performed in patients with hip arthritis, particularly those with large femoral heads, as well as in patients with certain hip conditions such as hip dysplasia or femoroacetabular impingement (FAI).
Procedure: During the hip resurfacing procedure, the damaged surface of the femoral head is removed and shaped to receive a metal cap. The metal cap, made of cobalt-chromium alloy, is then placed over the reshaped femoral head. The acetabulum is usually left intact or may be fitted with a metal socket liner.
Advantages: Hip resurfacing offers several potential advantages, including:
Preserving more bone: The procedure conserves the patient's natural femoral neck, allowing for potential future revisions if necessary.
Better range of motion: Hip resurfacing can provide a more natural range of motion compared to total hip replacement.
Reduced risk of dislocation: The larger femoral head used in hip resurfacing provides better stability and a reduced risk of hip dislocation.
Lower risk of leg length discrepancy: Since more of the patient's natural bone is preserved, there is less chance of leg length discrepancy after surgery.
Rehabilitation: Following hip resurfacing, patients typically undergo a rehabilitation program involving physical therapy to restore strength, range of motion, and mobility. The specific rehabilitation plan will be tailored to the individual patient's needs and may involve exercises, walking aids, and activity modifications.
It's important to note that hip resurfacing may not be suitable for everyone. Factors such as bone quality, underlying conditions, and surgeon experience may influence the suitability of the procedure. Consultation with the best orthopedic surgeon is necessary to determine if hip resurfacing is the right option for your specific hip condition and personal circumstances.
