Hip resurfacing can relieve pain from mild to moderate osteoarthritis before major bone damage has occurred.
Hip resurfacing is a conservative alternative to a total artificial joint replacement. The hip is relined instead of being totally replaced. During the procedure Dr. Shah restores the hip’s functionality by replacing its damaged bone and cartilage in the socket. At the same time he preserves as much natural bone as possible. In hip resurfacing, the femoral head isn’t removed and replaced. Instead, it’s trimmed and resurfaced with a smooth metal dome. This is a major advantage of the procedure because it retains the future option to perform a total hip replacement. Other advantages include minimal bone removal, less risk of dislocation, and a shorter recover time. The goal of hip resurfacing is to provide a more active and improved quality of life. 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. These younger active patients are often able to return to their prior activities.
An approximately 6” incision is made over the hip joint. The head of the femur is then exposed and about 1/5th of an inch of outer damaged bone surface is then removed. That surface is then covered with a metal cover or shell. Similarly, about 1/5th” of damaged surface bone is removed from the “cup” of the hip socket and a matching metal cap put in place. The incision is then closed. Studies have shown the outcome of a hip resurfacing is heavily dependent on a surgeon’s experience.
Most patients can walk immediately after their surgery. Physical therapy generally takes place either within the home or at one of IBJI’s many outpatient facilities across Chicagoland. Within one to three weeks most can get back to their regular activities such as driving.