Hip resurfacing replacement

Hip resurfacing, also known as surface replacement, is a surgical procedure designed to relieve hip pain and restore mobility in patients with advanced arthritis or other hip joint damage. Unlike a traditional total hip replacement where the entire femoral head (the “ball” of the hip joint) is removed, hip resurfacing preserves more of your natural bone.

During the procedure, your orthopedic surgeon will:

Reshape the Femoral Head: Instead of removing it, the damaged cartilage and a small amount of bone are trimmed from the femoral head.
Cap the Femoral Head: A smooth, durable metal cap is placed over the reshaped femoral head.
Replace the Socket: The damaged cartilage in the acetabulum (the hip socket) is removed and replaced with a metal shell.

This “metal-on-metal” bearing couple allows for a smooth, fluid motion, mimicking the natural movement of a healthy hip joint. For many patients, especially younger, more active individuals, hip resurfacing offers a number of advantages over a total hip replacement.

Why Choose Hip Resurfacing?

The primary reason to undergo any type of hip replacement surgery is to relieve pain and improve function. Hip resurfacing is a particularly attractive option for many patients due to its unique benefits:

Bone Preservation: By preserving the femoral head and neck, hip resurfacing leaves more bone intact. This can be a significant advantage if a revision (a second hip surgery) is needed in the future, as it provides a more stable foundation for a traditional hip replacement.
Reduced Risk of Dislocation: The larger size of the femoral head in a resurfaced hip more closely mimics the natural anatomy of the joint. This can lead to a lower risk of dislocation, a potential complication of all hip replacement surgeries.
More Natural Gait: Some studies have shown that patients who have undergone hip resurfacing have a more natural walking pattern compared to those with a total hip replacement.
Greater Stability and Range of Motion: The larger implant size can provide greater stability, allowing patients to return to a higher level of physical activity, including running, jumping, and other high-impact sports.
Durability: The metal-on-metal components are highly durable and have a low wear rate, which can be beneficial for younger, more active patients who may outlive a traditional hip replacement.

However, it’s important to note that hip resurfacing is not suitable for everyone. The best candidates are typically younger (under 60), larger-framed males with good bone quality. Your orthopedic surgeon at California Pacific Orthopaedics will conduct a thorough evaluation, including a physical exam, X-rays, and possibly other imaging studies, to determine if hip resurfacing is the right choice for you.

What to Expect: Before, During, and After Your Hip Resurfacing Procedure

Undergoing any surgery can be a stressful experience, but being well-informed about the process can help alleviate some of your anxiety. Here’s a general overview of what you can expect before, during, and after your hip resurfacing procedure at California Pacific Orthopaedics:

Before the Procedure

Initial Consultation: You will meet with one of our experienced orthopedic surgeons to discuss your symptoms, medical history, and treatment options. This is a great time to ask any questions you may have about the procedure, recovery, and potential risks.
Pre-Operative Evaluation: Once you and your surgeon have decided that hip resurfacing is the best course of action, you will undergo a comprehensive pre-operative evaluation. This may include blood tests, an EKG, and a physical exam to ensure you are healthy enough for surgery.
Pre-Habilitation: Your surgeon may recommend a pre-habilitation program, which involves exercises and physical therapy to strengthen the muscles around your hip. This can help improve your recovery and overall outcome.
Planning for Your Recovery: You will need to make arrangements for someone to drive you home from the hospital and assist you with daily activities for the first few weeks after surgery. You may also need to make some modifications to your home, such as removing tripping hazards and setting up a comfortable recovery area on the first floor.

During the Procedure

Anesthesia: You will be given either general anesthesia (you will be asleep) or a spinal block (you will be awake but numb from the waist down). Your anesthesiologist will discuss the best option for you.
Surgery: The surgery itself typically takes two to three hours. Your surgeon will make an incision on the side or back of your hip to access the joint. They will then resurface the femoral head and replace the socket with the metal implants.
Recovery Room: After the surgery, you will be taken to the recovery room where you will be closely monitored as you wake up from anesthesia.

After the Procedure

Hospital Stay: Most patients stay in the hospital for one to two days after hip resurfacing surgery. During this time, you will receive pain medication and begin physical therapy.
Physical Therapy: Physical therapy is a crucial part of your recovery. You will work with a physical therapist to learn exercises that will help you regain your strength, flexibility, and range of motion.
Pain Management: You will experience some pain and discomfort after surgery, but it can be managed with medication. Your surgeon will provide you with a pain management plan to keep you comfortable during your recovery.
Incision Care: You will need to keep your incision clean and dry to prevent infection. Your surgeon will give you specific instructions on how to care for your incision.
Activity Restrictions: You will have some activity restrictions for the first few months after surgery. You will need to use a walker or crutches for a few weeks and avoid high-impact activities. Your surgeon will let you know when it is safe to return to your normal activities.

Follow-Up Appointments: You will have several follow-up appointments with your surgeon to monitor your progress and ensure you are healing properly.