Hip resurfacing is a surgical alternative to total hip replacement (THR). In a traditional total hip replacement, the head of the thighbone (femoral head) and the damaged socket (acetabulum) are both removed and replaced with metal, plastic, or ceramic components.
In hip resurfacing, the femoral head is not removed, but is instead trimmed and capped with a smooth metal covering. The damaged bone and cartilage within the socket is removed and replaced with a metal shell, just as in a traditional total hip replacement.
Who should consider undergoing Hip Resurfacing ?
Unlike hip replacement, hip resurfacing is not suitable for all patients. Generally speaking, the best candidates for hip resurfacing are younger (less than 60), larger-framed patients (often, but not always male) with strong, healthy bone. Patients that are older, female, smaller-framed, with weaker or damaged bone are at higher risk of complications, such as femoral neck fracture. A comprehensive evaluation by our joint replacement surgeon specializing in hip resurfacing surgeries will help you determine if you are a good candidate for hip resurfacing.
You will likely be admitted to the hospital on the day of surgery or a day before the hip resurfacing surgery.
Before your procedure, a doctor from the anesthesia department will evaluate you. He or she will review your medical history and discuss anesthesia choices with you. You should also have discussed anesthesia choices with our surgeon during your preoperative clinic visits. Anesthesia can be either general (you are put to sleep) or spinal (you are awake but your body is numb from the waist down).
Our surgeon will also see you before surgery and sign your hip to verify the surgical site.
In most cases, patients go home 1 to 4 days after surgery.
You may begin putting weight on your leg immediately after surgery, depending on your doctor's preferences and the strength of your bone. You may need a walker, cane, or crutches for the first few days or weeks until you become comfortable enough to walk without assistance.
A physical therapist will give you exercises to help maintain your range of motion and restore your strength. You will continue to see your orthopaedic surgeon for follow-up visits in his or her clinic at regular intervals.
You will most likely resume your regular activities of daily living by 6 weeks after surgery. Cost of the hip resurfacing surgery in India is very low as compared to other parts of the world.
As with any surgical procedure, there are risks involved with hip resurfacing. Although rare, the most common complications of hip resurfacing are blood clots. Blood clots in the leg veins are the most common complication of hip resurfacing surgery. Other complications seen are infection, injury to vessels, dislocation and risk of anesthesia.