Can a resurfaced hip be revised?

Failed metal-on-metal hip resurfacing prostheses can be successfully revised without conversion to total hip replacement in most instances. A detailed knowledge of matching prostheses is necessary. Polyethylene prostheses for the acetabular or femoral reconstruction are often needed.

Is Hip resurfacing successful?

At short- to mid-term follow-up, clinical success has been reported to be greater than 94% of patients who have undergone a resurfacing hip arthroplasty [8–11]. Clinical outcomes may improve when orthopaedic surgeons move beyond their learning curves and use narrower, more rigorous selection criteria [12, 13].

How long does a hip resurfacing procedure last?

The best reports on standard metal plastic hip replacement indicate that in patients with average age 70, 95% last 10-15 years.

Is patient selection important for hip resurfacing?

They concluded rigorous patient selection is essential to minimize femoral component failures in this patient population, and the morphology and quality of the bone stock of the femoral head should be judged on a case-by-case basis before proceeding with hip resurfacing.

Can you have a second hip resurfacing?

Over time, however, a hip replacement can fail for a variety of reasons. When this occurs, your doctor may recommend that you have a second operation to remove some or all of the parts of the original prosthesis and replace them with new ones. This procedure is called revision total hip replacement.

What happens when hip resurfacing fails?

There are many complications associated with hip resurfacing some are common for any orthopaedic procedure such as infection, nerve palsy, deep vein thrombosis, and dislocation. Even though the complications are similar the complication rates differ between hip resurfacing and total hip arthroplasty.

What happens when hip resurfacing wears out?

Unfortunately, over time prosthetic (artificial) hip implants can wear-out as well as loosen. When this occurs, patients encounter pain, a loss of functional ability and possibly even loss of bone. With both traditional hip replacement and surface replacement, the socket is inserted in a similar fashion.

How do I know if my hip resurfacing is failing?

Hip pain, groin pain, or thigh pain are all signs that your hip replacement could have an issue, although other referred pains can cause these symptoms too. Pain when you first get up to walk can also be a concern. Some people report instability or feeling like their hip is going to give out.

Who is not a candidate for hip resurfacing?

Hip resurfacing isn’t right for everybody. People older than 65 shouldn’t get the procedure. Hip replacement works fine in the elderly. This age group is more likely to have weaker bones (osteoporosis), which can complicate both hip resurfacing and hip replacement.

Is hip resurfacing better than replacement?

Potential Advantages of Hip Resurfacing over Hip Replacement: Preservation of bone on the thigh bone, potentially making revision surgery easier. Reduced risk for dislocation (where the ball disengages from the socket) due to the large size of the ball when compared to most hip replacements.

Why does my hip hurt 10 years after hip replacement?

It’s possible that you’ve developed an infection around the artificial joint. Many infections can be treated effectively with antibiotics. But a major infection near your artificial hip joint may require surgery to remove and replace the joint. Another potential cause of your pain could be a loose implant.