Synonym: Hip Surface Replacement
What is Hip Resurfacing?
Hip Resurfacing procedure has been promoted as an alternative to Total Hip Replacement and is commonly indicated in patients younger than 55 years of age. It involves the removal and replacement of the surface of the femoral head with a hollow metal hemisphere. This hemisphere fits into a metal acetabular cup. This technique conserves femoral bone and does not compromise the possibility of future Total Hip Replacement if need be. Hip Resurfacing can be Partial Hip Resurfacing or Total Hip Resurfacing. In Partial Hip Resurfacing the femoral shell is implanted over the femoral head. In Total Hip Resurfacing, acetabular and femoral shell are implanted. Partial Hip Resurfacing is considered a treatment option for avascular necrosis with collapse of the femoral head and preservation of the acetabulum. Total Hip Resurfacing is performed in patients who suffer from osteoarthritis, rheumatoid arthritis, and advanced avascular necrosis. Total Hip Resurfacing may be considered an alternative to Total Hip Replacement.
Where can I get Hip Resurfacing?
Cost of procedure performed in the US: $25,000.
All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
What are the indications for Hip Resurfacing?
The indications for Hip Resurfacing surgery include avascular necrosis of hip bone, primary or secondary osteo-arthritis, arthritis following hip fractures, ankylosing spondylitis, long standing perthes disease or a dysplastic hip.
What is the procedure for Hip Resurfacing?
The actual procedure of Hip Resurfacing surgery is much less invasive than conventional Hip Replacement. The area of arthritis in the hip joint is cleaned and shaved out. The surgery for Hip Resurfacing consists of the femoral head being shaved and re-shaped to accept the metal cap with small guide stem. The size of the femoral head is about 50 mm in diameter. The metal cup is set into the pelvis. The parts mostly used for Hip Resurfacing are made from Cobalt-chrome cast. These parts are shaped precisely by a machine to fit each other with small space for body fluid to lubricate. The backside of the cup has a roughened surface to allow bone to grow into implant. One end of the cup is fixed over the ball of the femur bone, and the other end is fixed into a socket in the pelvic bone called acetabulum. This preserves the body's vital bone. It takes about one and a half hours to perform the Hip Resurfacing procedure. The hospital stay is only about 5 - 7 days. You will be able to get out of bed and walk within 2 days of the Hip Resurfacing surgery.
Who are the ideal candidates for Hip Resurfacing?
The ideal candidates for Hip Resurfacing surgery are younger adults who perform a high level of physical activity. There is no activity restriction after Hip Resurfacing surgery as there is hardly any risk of dislocation (you can sit on floor, squat, use Indian toilet, etc). Sport and high demand activities are encouraged after the Hip Resurfacing surgery as joint usage is not related to life of Hip Resurfacing implant.
Who should not undergo Hip Resurfacing?
Patients with very severe osteoporosis, who have been bed-bound for long periods of time, patients with renal failure, people who are above 70 years of age should not undergo Hip Resurfacing surgery
What is the outcome of Hip Resurfacing?
Hip Resurfacing surgery has a 99% success rate. Many adolescent patients have had the Hip Resurfacing procedure with excellent results. Procedure can be done soon after skeletal maturity. Following Hip Resurfacing, there is faster rehabilitation and early discharge from hospital.
B . R . A . N . D . of Hip Resurfacing
Other surgical alternatives to Hip Resurfacing are used to relieve the symptoms of arthritis of hip joint. These include:
Your Questions Answered on Hip Resurfacing
Keywords: Bones & Joints, Arthritis, Joint Pain, Artificial Joints, Osteoarthritis of Hip, Hip Joint, Arthrodesis, Arthroscopy, Osteotomy, Rehabilitation Therapy, Physiotherapy, Avascular Necrosis of Hip Bone, Osteo-arthritis, Arthritis following Hip fractures, Ankylosing Spondylitis, Perthes Disease, Dysplastic Hip, Hip Joint Dislocation