Minimally InvasiveHip Resurfacing

Hip Resurfacing is a conservative alternative to a total hip replacement. Dr. Shah trims (does not remove) the femoral head (ball), removes damaged bone and cartilage from the acetabulum (socket) & covers all surfaces with a smooth metal cap & shell.

Ritesh Shah, MD, FAAOS

Ritesh Shah, MD, FAAOSFellowship Trained Orthopedic Surgeon

Asked Question:
Is Hip Resurfacing Right For Me?

Do you enjoy exercise or athletic activities like walking, jogging, running, racquet sports, golf, martial arts, yoga, pilates, dance, hockey, soccer, and other sports on a regular basis? Do you plan on returning to a regular schedule of high-level activities?

Does hip pain limit your activity?

Has pain in the hip (groin, buttock, outside of hip, or thigh) limited your ability to enjoy activities or even perform activities of daily living (ADLs) such as sitting, standing, walking, climbing stairs, and pivoting?

Have you exhausted conservative treatments?

Have you tried limiting activities, possibly some over-the-counter medications, physical therapy, a home exercise program, or maybe even an injection? Then a hip resurfacing may be a viable treatment option.

Recovery time is typically the same or slightly shorter with hip resurfacing than with traditional hip replacement because there is less disruption to the soft tissue surrounding the joint.  Minimally invasive hip replacement and hip resurfacing have similar recovery times.

Because more natural bone is preserved on the femur with hip resurfacing, patients may have an increased range of motion compared to those who have had a hip replacement.

There is a lower risk of dislocation with hip resurfacing compared to traditional hip replacement because more bone is preserved on the femur. Patients can usually return to the highest activity levels after a hip resurfaces compared to a traditional hip replacement.

Hip Resurfacingis performed to treat a variety of problems that cause hip pain such as:

Avascular Necrosis or Osteonecrosis is the loss of blood supply to the ball part of the hip joint.

Some infants and children have hip problems resulting in childhood hip disease. Even though the issues are successfully treated during childhood, they may cause arthritis later in life. This happens because the hip may not grow normally, and the joint surfaces are affected.

Osteoarthritis 0r OA is age-related wear and tear type of arthritis. It usually occurs in people aged 50 and older and often in individuals with a family history of arthritis. The cartilage cushioning the bones of the hip wears away. The bones then rub against each other, causing hip pain and stiffness. Osteoarthritis may also be caused or accelerated by subtle irregularities in how the hip developed in childhood.

Labrum Tears & Impingement result in pain, locking, catching, popping, and/or feelings of instability. The labrum is a cartilage gasket for the hip joint and provides stability. Problematic labrum tears should be treated.

Hip Labrum Tears Dr. Ritesh Shah, Chicago Hip arthroscopy

Schedule A Consultation

Are you experiencing groin or hip pain? Let's go over your treatment options today.

How Does It Work?

the r3 process


Consultation &
Exam + Imaging

Dr. Shah is dedicated to providing you with a personalized experience. At your appointment, Dr. Shah will meet with you personally and:

  • Perform your evaluation
  • Review your imaging
  • Share insight into his findings
  • Discuss your options ranging from conservative care to joint reconstructive surgery.

Team Meeting

Before undergoing surgery, you’ll meet with Dr. Shahs’ team to:

  • Clearly establish expectations
  • Review necessary paperwork
  • Discuss medical clearance with primary care
  • Review pre & post-operative medication lists
  • Obtain all prescriptions ahead of your surgery

Nutrition &
Physical Therapy

Our preoperative & post-surgical care plan is tailored to you for optimal success – enhanced nutrition helps ensure that your body is well prepared before the surgery, and a personalized physical therapy plan grants strength, balance, and confidence leading to surgery. We’re dedicated to ensuring you experience Rapid Recovery.


Hip ResurfacingSurgical Procedure

Estimated Surgical Time: 60-90 Minutes

  1. Dr. Shah makes a 5-inch incision over the hip joint.
  2. The head of the femur is then exposed and made perfectly spherical.  That surface is then covered with a metal cap with a peg.
  3. Similarly, the damaged surface bone is removed from the acetabulum and made spherical (socket). A matching metal shell is put in place.
  4. The procedure is technically demanding, and as most orthopedic surgeons do not perform hip resurfacing, patients are often referred to Dr. Shah specifically for hip resurfacing.
  5. Once your procedure is complete, the incisions will be closed with stitches or skin adhesive strips and covered with a dressing.
  6. With advanced pain control processes, less invasive surgery, and current anesthesia practices, patients sleep comfortably during the procedure but walk within minutes of waking up from surgery.
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Recovering FromHip Resurfacing Surgery

  • Most people who undergo hip arthroscopy experience minor pain. You can go home the same day as your surgery and have just 2 to 3 months of physical therapy.
  • Most patients use crutches for the first few weeks, along with a hip brace.
  • Dr. Shah will give you specific instructions on caring for your incisions and when you can resume normal activity.
  • After healing, patients can usually resume all athletic activities.

Expected Outcomes

Most of our patient experience similar outcomes, but results may vary.

Frequently Asked Questions:About Hip Resurfacing

Patients traveling from other states or countries will usually be able to travel home the same, or the next day depending on distance and assistance.  

This will depend on several variables, including your progress in rehab, the physical demands of your job, and whether or not your job offers reduced duty. The goal is to get you back to work as quickly as possible without risking your personal safety.

There are no posterior hip precautions unless stated after surgery.

As long as needed until you feel stable.

As long as needed until you feel stable.

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Schedule A Consultation

Are you experiencing groin or hip pain? Let's go over your treatment options today.

How to schedule yourpre-surgery mri or CT

Once you have chosen your surgery date, you can schedule your PRE-Surgery MRI with any of these three facilities:

When scheduling your image study, please confirm the type of image study designated on your prescription, as they both have different lead time requirements:

  • Microport MRI or CT Scan
    Images must be completed 16 days before surgery
  • Zimmer MRI or CT Scan
    Images must be completed 20 days before surgery

Once your image study has been scheduled, please contact our office to update the staff on your appointment date. 

If you cannot secure an appointment by the required date or your appointment has been rescheduled, please let us know as soon as possible.