Surface replacement

Surface Replacement: A Conservative Approach to Hip Joint Surgery

Surface replacement, or hip resurfacing, is an alternative to total hip replacement, designed for younger, more active patients with hip joint arthritis or joint degeneration. This procedure involves replacing the damaged surface of the hip joint rather than removing and replacing the entire joint, making it an attractive option for patients seeking to maintain a more natural range of motion and bone structure.

What is Surface Replacement?

Hip resurfacing involves replacing the damaged or worn-out surfaces of the hip joint, specifically the femoral head (ball) and the acetabulum (socket), with metal prosthetic components. Unlike total hip replacement, which removes the femoral head and the acetabulum, surface replacement preserves more of the natural bone, particularly in younger patients with good bone quality.

In this procedure, the femoral head is shaved and capped with a metal prosthesis, while the acetabulum is lined with a metal shell. This allows the joint to function more like a natural hip joint, with reduced wear and tear compared to traditional implants.

Surface replacement is ideal for patients who:

1. Are younger (typically under 65 years old) and active.
2. Have arthritis, avascular necrosis, or other conditions causing hip joint pain and dysfunction but still have good bone quality.
3. Want to preserve as much natural bone as possible while still relieving pain and improving mobility.

Benefits of Surface Replacement

1. Preservation of Bone: Since the procedure removes less bone than traditional total hip replacement, it helps preserve more of the natural hip joint, which can be important for younger, active patients.
2. More Natural Hip Function: Surface replacement allows for better preservation of the natural movement of the hip joint, leading to a greater range of motion and more functional hip movement.
3. Reduced Risk of Dislocation: The larger femoral head used in surface replacement is less likely to dislocate compared to the smaller heads used in traditional total hip replacements.
4. Faster Recovery and Return to Activity: Because of the more conservative approach and preservation of natural bone, many patients recover faster and are able to return to physical activities and sports sooner than after a total hip replacement.
5. Long-Lasting Results: When performed on appropriate candidates, surface replacement can offer a durable solution with long-term outcomes, typically lasting 15 years or more.

Our Approach to Surface Replacement

1. Comprehensive Evaluation: A thorough assessment is conducted, including a detailed review of your medical history, physical examination, and advanced imaging studies like X-rays and MRIs. This helps determine if hip resurfacing is the best treatment option for you.
2. Customized Surgical Plan: Based on your condition, age, activity level, and bone quality, a personalized surgical plan is created. We will work closely with you to choose the most appropriate type of prosthesis and surgical approach.
3. Advanced Surgical Techniques: We use minimally invasive techniques where possible to perform the procedure, which helps reduce recovery time, scarring, and muscle disruption. The surgery is performed with precision to ensure proper alignment and long-term stability of the joint.
4. Post-Surgery Rehabilitation: Rehabilitation is a critical aspect of your recovery after surface replacement. A tailored physical therapy plan will help you regain strength, flexibility, and range of motion, so you can return to an active lifestyle as quickly and safely as possible.

Who is a Candidate for Surface Replacement?

Surface replacement is typically recommended for patients who:

1. Are under 65 years old and in generally good health.
2. Have hip arthritis, avascular necrosis, or other hip joint conditions but still have healthy bone structure.
3. Are active and wish to maintain a high level of physical activity after surgery.
4. Are looking for an alternative to total hip replacement that offers more natural movement and bone preservation.

However, this procedure is not suitable for everyone, particularly individuals with poor bone quality, hip deformities, or severe osteoarthritis.

Take the First Step Toward a Pain-Free Hip

If you are young, active, and suffering from hip pain due to arthritis or other joint issues, surface replacement may be the right solution for you. Contact us today to schedule a consultation and find out how this procedure can provide pain relief, improve joint function, and help you return to your active lifestyle with less disruption to your natural bone structure.