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Hip Resurfacing

Hip resurfacing�is an alternative to standard�hip replacement surgery�used for the treatment of severe�hip arthritis. Hip resurfacing can be recommended to younger patients who may face multiple surgeries over the course of their lifetime. In this procedure less bone is removed than in case of a standard�hip replacement. Unlike in a standard hip replacement where the entire ball of the ball-and-socket hip joint is removed, in a hip resurfacing surgery, a metal cap is placed around the ball where the cartilage has worn off.

The metal cap is supported by the bone around the implant and this helps the bone to remain healthy and strong.

Usually patients arrive at the hospital on the day of the surgery. The procedure lasts for about 2 hours. The kind of anesthesia to be given (anesthesia, spinal and epidural and other regional nerve blocks) can be discussed with your doctor and�anesthesiologist.

The patient may have to stay in the hospital for an average of� 3-5 days. Progress made with�physical therapy�will be monitored and a decision will be made regarding in-patient rehabilitation or home physical therapy. Post surgery, patients will be encouraged to be out of bed the very next day. There may be restrictions given about how much weight a patient will be allowed to place on the operated leg.

BRIEF ABOUT THE PROCEDURE

The surgery will be performed under general or spinal anesthesia. The�surgeon�makes an surgical cut, often over the buttocks, to expose the hip joint. The head of the diseased joint is shaved of the remaining cartilage and the dome is fixed over the head of the joint. The new socket is fixed suitably. Since it has a porous surface bone tends to grow inside thereby anchoring it firmly over time. The muscles and tendons are then replaced against the bones and the surgical cut is closed.

Moderate to severe pain will be there after surgery and you will receive painkillers which may be given as IV or orally. A small drainage tube to help drain excess fluids from the joint area will be placed.

Advantages of Hip Resurfacing

  • Femoral head is preserved
  • Femoral canal is preserved and no associated femoral bone loss with future revision. Also, the risk of microfracture of femur with uncemented stem implantation is eliminated
  • Larger size of implant "ball" reduces the risk of dislocation significantly
  • Resurfacing patients are more likely than total hip replacement patients to recover a natural gait
  • Stress is transferred in a natural way along the femoral canal and through the head and neck of the femur. With the standard THR, some patients experience thigh pain as the bone has to respond and reform to less natural stress loading
  • Use of metal rather than plastic reduces osteolysis and associated early loosening risk
  • Use of metal has low wear rate with expected long implant lifetime
SOME ASSOCIATED RISKS

There is some risk of the femoral neck breaking. This risk can be nearly eliminated by correct angle of implantation of the device and avoiding notching of the neck when preparing the femoral head in surgery.

Not sure on long-term track records the current device has only been used for about 10 years.Despite known low wear rate, longevity and longterm effects of wear debris are unknown.For some surgeons, the procedure has a longer surgical time. The procedure requires somewhat more skill of surgeon. Because of this, a learning curve" has been documented where it is common for a surgeon to have more complications in his first series of patients.

TIPS ON RECOVERY

The stay in the hospital is shorter and often has a faster recovery in comparison with traditional�hip replacement surgery. The hospital stay is usually between 3 to 5 days and the patient is able to walk on the new hip immediately. Rehabilitation is often straightforward and most people return to normal physical activities in a very short period of time.

RELATED ARTICLES

The other Orthopedic Procedures are:

HOSPITALS FOR HIP RESURFACING

Few Major Hospitals for Hip Resurfacing are:

DESTINATIONS FOR HIP RESURFACING

Thailand,�Malaysia, Singapore, Turkey�and�India�are the most cost effective locations that offer up to almost 80% savings in comparison to the US.

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