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Hip Resurfacing |
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Click here for printable version Who is a candidate for Hip Resurfacing? Why do I need a Hip Resurfacing? How can I reduce the risk of problems? How long will my new hip last?
Hip Resurfacing Patients who need to have hip replacements under the age of 50 - 55, assuming they have normal life span, have a very high chance that the conventional hip replacement will wear out and need to be replaced during their lifetime. The resurfacing procedure offers potentially significant advantages in this group.
What is Hip Resurfacing Hip Resurfacing is a type of hip replacement which replaces the two surfaces of the hip joint. The procedure is very bone conserving as the head of the femur is retained. Instead of removing the head completely, it is shaped to accept an anatomically sized metal sphere. The surface of the acetabulum (the socket) is replaced with a metal implant, which is fitted directly into the bone. There is no large stem to go down the central part of the femur as with a total hip replacement.
Who is a candidate for Hip Resurfacing? This operation is primarily intended for use in people who are in need of a hip replacement at a younger age, primarily under 55 years old. People aged between 55 and 65 who are very active and otherwise fit may also be suitable and this will be determined by their bone quality. Patients who have extreme deformity of either the head of the femur or the acetabulum due to arthritis of the hip unfortunately are not good candidates for this type of surgery.
Why do I need a Hip Resurfacing?
How can I reduce the risk of problems? To minimise the risk of your new hip dislocating, you are advised to follow a few simple rules for the first six weeks. Do not bend your new hip more than a right angle or 90. Especially when sitting down or getting up off your chair, your bed or the toilet. Do not bend far when putting on clothes or shoes. Do not bend down to the floor. Do not cross your legs at knee or ankle (even when sleeping).If you normally sleep on your side, talk to your physiotherapist or occupational therapist about safe ways to do this. Do not twist on the operated leg when standing or walking. Always pick up your leg to turn.
How long will my new hip last? Your new hip should work well for many years. In studies, at least seven in ten people find that their new hip lasts at least ten years. However, as this is a newer operation there are not many long term studies. Eventually, your hip will stop working properly through wear and tear. When this happens, you can have an operation to replace it.
Possible Complications This is a very successful operation, but there are some risks associated with any procedure. For a Hip replacement they include: Anaesthetic- Modern anaesthetics are generally very safe. The anaesthetist will explain any particular risks to you. Infection - There is a small risk of infection of the joint following the operation but you will be given antibiotics to help prevent this. If after you get home you notice fever, increased pain, swelling and redness around the wound, please phone contact our office. Deep vein thrombosis (a blood clot in a leg vein) - You may have anti- coagulant medication and support stockings to help prevent it. A symptom of this may be an acute pain in your calf. Please contact us urgently. Dislocation- The two parts of your hip can slip out of place (dislocate). This can happen because ligaments and muscles that normally keep your hip in position are disrupted during the operation. Therefore, your hip is at risk of dislocating until these structures become stronger. Dislocation is most likely to happen in the first six weeks after surgery. If this happens, you may need another operation to put the parts back together.
Please talk to Mr Haddad before your operation if you have concerns about possible risks. We hope the information provided has been of benefit to you. For further information please contact us on 0207 935 6083.
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© Fares Haddad, Consultant Orthopaedic Surgeon, 2006. Home. Contact. Top of Page |
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