Hip Resurfacing

Hip Resurfacing

Hip Resurfacing is a modern surgical procedure aimed at treating hip joint problems while preserving more of your natural bone compared to a total hip replacement. This method is especially beneficial for younger, active individuals. In India, particularly in Chennai, it’s gaining popularity due to advanced techniques and expert surgeons.

Overview

Hip Resurfacing is a surgical technique that helps with hip joint issues by preserving more of the natural bone. Unlike total hip replacement, which removes the entire femoral head, Hip Resurfacing caps it with a metal prosthesis. This approach maintains more of the original bone, provides a better range of motion, and lowers the risk of dislocation. It is particularly useful for those with osteoarthritis, hip dysplasia, or post-traumatic arthritis.

Key benefits of Hip Resurfacing include:

  • Bone Preservation: Retains more natural bone, useful if future surgery is needed.
  • Natural Movement: Allows for a more natural range of motion.
  • Lower Dislocation Risk: Reduced chance of the hip dislocating compared to traditional replacement.

In Chennai, the procedure is performed using the latest technology and techniques, leading to high success rates and faster recoveries. Many patients from across India and abroad come to Chennai for this procedure because of the city’s excellent reputation in orthopedic care.

Who Can Benefit

Hip Resurfacing is best suited for younger, active patients with hip pain from conditions like osteoarthritis, hip dysplasia, or avascular necrosis. Ideal candidates are typically under 60 years old and have strong, healthy bones. This procedure can help maintain an active lifestyle and may be more beneficial than total hip replacement.

Potential candidates include:

  • Active Individuals: Those who want to return to sports or high-impact activities.
  • Younger Patients: Generally under 60, with good bone quality.
  • Patients with Osteoarthritis: Those with severe hip pain from arthritis.
  • Patients with Hip Dysplasia: Those with developmental hip joint abnormalities.
  • Post-Traumatic Arthritis Patients: Those with arthritis after a hip injury.

However, it might not be suitable for everyone. Conditions like osteoporosis or severe bone loss may make Hip Resurfacing less appropriate, and a total hip replacement could be a better option.

In Chennai, top Hip Resurfacing surgeons conduct detailed evaluations to determine if this procedure is right for you. This includes assessing medical history, performing imaging tests like X-rays or MRIs, and discussing your lifestyle and goals.

Surgical Procedure

Hip Resurfacing uses advanced techniques to preserve the hip joint’s natural structure. Here’s an overview of the procedure:

  1. Incision and Access: The surgeon begins by making an incision to access the hip joint, exposing both the femoral head and the acetabulum.
  2. Anaesthesia: The patient is administered general or regional Anaesthesia to ensure they remain comfortable and pain-free throughout the procedure.
  3. Preparation of the Femoral Head: The damaged femoral head is carefully trimmed and reshaped to prepare it for the prosthetic cap.
  4. Implantation of the Prosthesis: A metal prosthesis is then placed over the reshaped femoral head, while a corresponding component is fitted into the acetabulum to recreate the joint.
  5. Final Adjustments: The surgeon ensures that the implants are precisely aligned, enabling smooth and natural joint movement.

In Chennai, surgeons use cutting-edge technologies, including computer navigation and robotic assistance, to ensure precision. The materials used are durable and biocompatible, which helps the new hip joint function smoothly and withstand daily activities.

Benefits and Risks

Benefits:

  • Bone Preservation: More natural bone is kept, which is useful for any future surgeries.
  • Increased Range of Motion: Allows for activities like running and cycling.
  • Lower Dislocation Risk: Reduced risk compared to traditional hip replacement.
  • Quicker Recovery: Many patients recover faster and return to daily activities sooner.

Risks:

  • Infection: Though rare, infections can occur and may need further treatment.
  • Blood Clots: There’s a risk of blood clots, especially in the legs.
  • Metal Ion Release: Over time, metal components may release ions into the bloodstream, potentially causing complications.
  • Implant Failure: Rarely, the implant might not function properly, requiring revision surgery.

Patients should discuss these risks with their Hip Resurfacing surgeon to weigh them against the benefits.

Recovery and Rehabilitation

Recovery from Hip Resurfacing is generally faster than from a total hip replacement. Here’s what to expect:

  • Immediate Postoperative Care: Patients stay in the hospital for a few days for pain management, wound care, and to prevent complications.
  • Physical Therapy: Starts soon after surgery, focusing on restoring strength and mobility. A personalized plan is created to improve range of motion and strengthen the muscles around the hip.
  • Gradual Return to Activity: Patients begin walking with assistance and should avoid high-impact activities initially. Most return to daily activities within weeks, with more strenuous activities resuming after a few months.

Rehabilitation milestones:

  • Week 1-2: Begin walking with help, gentle stretching, and basic exercises.
  • Week 3-6: Increase mobility exercises, start resistance training, and gradually increase daily activities.
  • Month 2-3: Return to low-impact activities.

Conclusion

Hip Resurfacing is an effective option for those with severe hip pain who want to stay active. Chennai offers world-class care with advanced surgical techniques and expert surgeons. The procedure preserves natural bone, improves movement, and reduces dislocation risk. Discuss with your surgeon to understand all the benefits and risks before proceeding. Dr. Omer Sheriff and his team are dedicated to providing excellent care and ensuring the best outcomes for Hip Resurfacing patients.

Frequently Asked Questions

Hip resurfacing and total hip replacement involve artificial components, which typically require revision after 10 to 20 years due to wear and tear. However, revision surgery for hip resurfacing is usually simpler because less bone is removed during the initial surgery.

In hip resurfacing, the surgeon places a metal shell in the socket and covers the femoral head with a smooth metal cap. This procedure offers several advantages over total hip replacement, including faster recovery, enhanced mobility, and a reduced risk of hip dislocation.

While most candidates for hip resurfacing are under 55, the surgery can still be an option for older individuals who are physically active, have good bone density, and do not have a significantly deformed hip joint.