Hip resurfacing is an operation in which the damaged head of the femur is capped with a metal covering instead of being removed, and the socket is prepared, with the aim of easing pain while keeping more of the patient's own bone. It suits only some carefully selected patients, and the surgeon decides after assessment.
Note: This is general information. Not every case is suitable, and the surgeon chooses the most appropriate option after examination and imaging.
When This Operation May Be Considered
It may be considered in selected cases where there is:
- Hip pain from joint damage that limits daily activity
- Non-surgical treatment that has not been enough
- Suitable bone on X-ray, with bone strong enough for the operation
- An active patient discussing joint options with the surgeon
What the Operation Addresses
The operation addresses damage to the joint surface from causes such as:
- Hip osteoarthritis and cartilage wear
- Joint shape problems present from birth or childhood
- Damage to the femoral head after some injuries or diseases
- Chronic joint inflammation in selected cases
Diagnosis
The surgeon assesses the hip by examining movement, strength and walking, and by an X-ray that shows the size, shape and quality of the bone. More tests may be needed.
Choosing the right patient is an important step, and your own case can only be judged by an in-person examination.
Treatment options
Non-surgical treatment
Non-surgical options are tried before surgery is considered.
- Activity changes and avoiding what worsens pain
- Physiotherapy and hip-strengthening exercises
- A walking aid when needed
- Treatments under medical supervision to ease pain
Surgical treatment
In this operation the femoral head is kept, carefully reshaped and capped with a metal covering, and the socket is prepared and fitted with a metal component. For cases that do not suit this operation, hip replacement may be the better option.
Each operation has its own benefits and risks, including some specific to metal components, which the surgeon explains before any decision. No particular result can be guaranteed.
Recovery and rehabilitation
Recovery time varies from person to person and is set by the surgeon after assessment. Regular follow-up after the operation is needed.
- Walking with help after surgery as the team directs
- Wound care and medication as prescribed by your doctor
- Exercises to regain movement and strength guided by a specialist
- Gradually moving away from walking aids
- A gradual return to activities with the surgeon's approval
- Regular check-ups with the surgeon
When to see the doctor
See an orthopedic surgeon if you have:
- Hip pain that continues despite non-surgical treatment
- Stiffness or difficulty with daily movement
- A wish to know which surgical options suit your age and activity
- New pain, swelling or warmth after an earlier hip operation