Minimally invasive hip resurfacing

Minimally Invasive Hip Resurfacing is a surgical technique designed to restore the functionality and relieve the pain of a damaged hip, while preserving more of the patient's natural bone than a traditional total hip arthroplasty. This procedure is often considered for younger, more active patients as an alternative to full hip replacement.

Overview

Hip resurfacing involves the trimming and capping of the femoral head with a smooth metal covering, and the damaged bone and cartilage within the hip socket (acetabulum) is removed and replaced with a metal shell. Unlike traditional hip replacement, which involves the removal of the entire femoral head and neck, hip resurfacing leaves these in place, which can lead to a more natural feel and greater range of motion post-surgery.

Indications

Minimally invasive hip resurfacing is indicated for patients suffering from hip pain due to conditions such as osteoarthritis, dysplasia, or avascular necrosis, who have not responded to non-surgical treatments. It is particularly beneficial for younger, active individuals due to its bone-preserving nature and the potential for a higher level of post-surgical activity.

Procedure

The minimally invasive approach to hip resurfacing involves smaller incisions and less disruption of the surrounding tissues than traditional methods. The surgery is performed under general anesthesia. The surgeon makes one or two small incisions to access the hip joint, removes the damaged cartilage and bone, and then positions new metal surfaces to cap the femoral head and line the hip socket.

Advantages

The primary advantages of minimally invasive hip resurfacing include:

• Reduced post-operative pain
• Shorter hospital stay
• Quicker recovery and return to normal activities
• Less muscle and tissue damage
• Preservation of natural bone structure
• Potential for a more natural feeling hip post-surgery

Risks and Complications

As with any surgical procedure, minimally invasive hip resurfacing carries risks, including:

• Infection
• Blood clots
• Fracture of the femoral neck
• Dislocation
• Metal ion risk from the metal-on-metal bearing surfaces
• Nerve damage

Recovery

Recovery from minimally invasive hip resurfacing generally involves a shorter hospital stay and a more rapid return to normal activities compared to traditional hip replacement. Patients typically participate in a physical therapy program to regain strength and mobility.

Conclusion

Minimally invasive hip resurfacing offers an alternative to traditional hip replacement for certain patients, with the potential for less post-operative discomfort, quicker recovery, and preservation of the patient's natural bone structure. However, it is important for patients to discuss the risks and benefits of this procedure with their healthcare provider to determine if it is the right option for their specific condition.