How is total hip resurfacing surgery different from replacement?
Total hip resurfacing
surgery could be the answer to
severe pain, swelling and stiffness in hip joint. The procedure involves
trimming and capping of the femoral head that is the head of the thighbone with
a smooth metal covering.
To understand the
difference between hip replacement and hip resurfacing in detail, you need to
understanding the anatomy of a hip joint.
The hip joint is made up of
the head of the thighbone called femoral head and a round socket of the hip
joint. The femoral head moves smoothly in the socket that is lined with
cartilage that helps in smooth movement of the joint.
The traditional total hip
replacement involves replacing the femoral head and the damaged socket with
artificial components made of metal, plastic or ceramic. But in resurfacing,
the femoral head is cleaned of the damaged portion and only the cartilage
within the socket is removed. A metal shell is placed in the socket to allow
free movement of the joint.
Advantages of resurfacing surgery
1. Easier to revise
Whether it is hip
replacement or resurfacing, use of metal parts is necessary and these parts are
also prone to wear and tear in the long run requiring patients of hip surgeries
to go for revision surgeries. Since resurfacing removes only limited parts of
femoral head and the cartilage, it is easier to revise. But the same can’t be
said about total replacement the removes and replaces the entire joint with
metal parts.
2. Little risk of hip dislocation
Resurfacing can save you
from hip dislocation as the size of ball is larger than the ball used in
replacement. But the size of ball is only one of the many factors that determine
placement of the hip joint.
3. Close to natural
The walking pattern after
hip resurfacing is found to be closer to natural in comparison to that of hip
replacement. But the difference is quite subtle hence difficult to be noticed
with naked eyes.
Should I go for hip resurfacing treatment?
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