The orthopedic surgeons perform hip resurfacing or hip replacement surgeries to treat hip pain and improve the patients’ mobility. But they differ in their approach and suitability. When non-invasive treatments like physical therapy and medication are not enough. Then, many individuals face two surgical options: hip replacement and hip resurfacing. And both of these are the right decisions when a patient is suffering from hip pain. Various conditions like arthritis problems, injury, and many more can cause hip pain. In this blog, we will understand both of these procedures and the key differences between hip replacement vs hip resurfacing.
While both procedures aim to restore flexibility and alleviate pain. Both methods have different approaches. And the best choice for you depends on your lifestyle, age and individual medical factors.
What is Hip Replacement?
Hip arthroplasty is another name of this surgical process. A surgeon removes the broken bone and cartilage of the hip joint. And replace it with prosthetic components. These are made of metal, ceramic, or plastic. The procedure is considered the gold standard for treating cutting-edge arthritis or joint degeneration. In this situation, surgeons replace the head of the femur with a metal or ceramic ball. And also, the hip socket in the pelvis with a durable cup, usually striped with plastic or ceramic.
What is Hip Resurfacing?
This is a bone-conserving alternative to total hip replacement. It is mainly executed on younger and active patients. The surgeon trims and caps it with a smooth metal covering instead of removing the complete femoral head. The injured bone and cartilage in the acetabulum are also removed. After that it is replaced with a metal socket. This process largely preserves the thigh bone. And it may benefit those needing a future revision surgery.
Hip Replacement vs Hip Resurfacing: Which One is Right for You?
Choose the right procedure between hip replacement vs hip resurfacing based on numerous important factors given below:
- Age and Quality of Bone: Mostly, good candidates for hip resurfacing are younger patients. They are less than 60 years old with good bone quality. Older patients, especially those with brittle bones, are suitable for hip replacement surgery.
- Health Conditions: If a patient is suffering from osteoporosis or other conditions. Then, hip replacement could be a safe option for them. Hip resurfacing is less ideal for individuals with these conditions. Because it depends on strong bone structures to anchor the metal cap.
- Activity Level: If you want to lead an active lifestyle or resume activities that are highly effective. Then hip resurfacing would be the best choice. But, if your activity level is lower, then hip replacement can provide great relief.
- Personal Goals: If your aim is simply to relieve pain and regain basic mobility, then hip replacement is best. If you want to get back to more intense sports or running, hip resurfacing might be a better alternative for you.
Benefits of Both Procedures
- Hip replacements are a highly successful process. It eliminates pain caused by arthritis, fractures, or avascular necrosis. Patients often report feeling normal again within a few months. Whereas, Hip resurfacing keeps more of your natural bone intact. It can be important for younger patients who may need a revision surgery later.
- Most individuals regain their range of motion with hip replacement surgery. And they can return to activities like swimming, walking or light sports. But in resurfacing cases, the joint often uses a larger ball size, which improves joint stability. And reduces the risk of dislocation of joints.
- Modern implants can last between 15 and 25 years. It is dependent on the patient’s activity level, weight, and overall health. In hip resurfacing, patients report a more natural feeling in the joint. Because of the larger size and shape of the implant it looks like a natural hip.
- Total hip replacement is widely accessible and supported by decades of research and surgical expertise. Some surgeons allow hip resurfacing patients to return to high-impact activities.
Risks and Considerations
Check out the risks & complications of hip replacement & resurfacing:
Hip Replacement:
- Bone Loss: Removing the femoral head means more bone is taken out. This can be complicated for future revision surgeries if the implant wears out.
- Risk of Dislocation: Smaller prosthetic heads can lead to a higher risk of the joint popping out of place.
- Infection and Implant Failure: Problems of infections or loosening of the implant can occur. In some cases, there is a need for another surgery.
- Activity Restrictions: Heavy activities may be not allowed to protect the prosthesis. It can be frustrating for some patients.
Hip Resurfacing:
- Metal Ion Release: Most hip resurfacing implants are of metal. This can cause tiny particles to enter the bloodstream. And lead to metal hypersensitivity or systemic complications.
- Not Perfect for Everyone: This procedure specifically indicates that young males with strong, healthy bones should undergo it. It is generally not the best option for:
- Women of childbearing age,
- Those with osteoporosis,
- Elderly people with low bone density.
- Availability of Experts: Not all orthopedic surgeons do this type of medical surgeries. It requires a great level of skill and experience.
- Shorter Track Record: While hip resurfacing has several advantages, it is not as common as total hip replacement. Researchers are currently looking into the long-term results.
Who is the Perfect Candidate for these Procedures?
Hip Replacement is Best for:
- Older people (over 60)
- Patients with severe joint degeneration or deformities.
- Those who do not engage in high-impact sports.
- Patients with low bone density.
- People looking for long-term pain relief with a conventional procedure.
Hip Resurfacing is the Best Decision for:
- Men under 60 with strong and healthy bones.
- Athletes or very active persons.
- Individuals with a desire to preserve bone for future revisions.
- Patients seeking a joint that feels more natural and allows a greater range of motion.
Recovery Time and Rehabilitation
Significant gains in quality of life are possible with both operations. The majority of patients report feeling less pain, having more mobility, and being able to resume various previously abandoned activities. Recovery time can vary:
- Patients who have hip replacement surgery might need to use a cane or walker for a few weeks. A complete recovery could take three to six months.
- Hip resurfacing patients may recover faster, with some returning to high-impact activities within 3-4 months.
Conclusion
Hip resurfacing and hip replacement treatment both have their advantages and disadvantages. If you are a young and active person with high bone quality and seeking for a hip surgery, then resurfacing of the hip may be the best option for you to recover sooner.
However, if you are older or suffering from worsening joint disease, then hip replacement may be a safer and more effective choice for them. Although a knowledgeable orthopedic doctor must provide consultation before making a decision. They can make specialized recommendations depending on your specific needs.
