I’m part of an international group of surgeons who has done lots of them. We believe that hip resurfacing offers definite advantages compared with hip replacement, particualrly in younger men (<50 years old).
Recently we submitted and pooled all of our data to look at the long term outcomes. The results are amazing! When we compared the long term survival of resurfacing and hip replacement, we found that at 19 years after surgery 96% of hip resurfacings had not been revised (re-done), compared with 91% of hip replacements.
We know that small bearing sizes in hip resurfacing don’t do as well as the larger ones, and we are much more careful about selecting the right patient for the procedure. Hip resurfacing is a metal-on-metal bearing, and many surgeons and helathcare providers are unhappy that some of us continue to use these implants. The results speak for themselves. It’s not the right thing for everyone, but with careful patient selection, meticulous surgical technique and well established implants, there is an excellent chance that hip resurfacing will perform well in the long term. This is particularly the case in younger, active men. Get in touch if you would like more information.