Hip resurfacing rather than replacement
Discussion
A family member has been offered hip replacements on the NHS. Before they commit to such surgery, they want to explore the option of re-surfacing given their relatively young age and good health.
There isn’t an abundance of information available online and therefore they’ve asked me to enquire on here.
Has anyone got any direct/indirect experience of this procedure?
Thanks
There isn’t an abundance of information available online and therefore they’ve asked me to enquire on here.
Has anyone got any direct/indirect experience of this procedure?
Thanks
What you need is for your relative to sit down with an experienced hip surgeon and talk it through,
Patient recommendations and testimonials are not going to give reliable and useful info for you.
Both options can be great, My Father has had a resurfacing in for 15+ years and has played racket sports throughout this time in addition to skiing 10 weeks of the year.
There are patients who had 'bad' metal on metal resurfacings and have needed multiple operations to remove/put right the joint.
The National Joint Registry collects lots of data on survival of all these implants. But it's data looks like this https://goo.gl/images/ykN8P3 which makes my had hurt a bit, and I am on the inside.
Ask GP to refer to senior hip surgeon and take his advice. I used to do hips, but I don't any more.
Patient recommendations and testimonials are not going to give reliable and useful info for you.
Both options can be great, My Father has had a resurfacing in for 15+ years and has played racket sports throughout this time in addition to skiing 10 weeks of the year.
There are patients who had 'bad' metal on metal resurfacings and have needed multiple operations to remove/put right the joint.
The National Joint Registry collects lots of data on survival of all these implants. But it's data looks like this https://goo.gl/images/ykN8P3 which makes my had hurt a bit, and I am on the inside.
Ask GP to refer to senior hip surgeon and take his advice. I used to do hips, but I don't any more.
I'm a specialist hip surgeon, and one of the few who still does resurf. I've done about 1000 Adept/BHR resurfs over the years.
My criteria for using resurf are: man <55y, big, hard bones, osteoarthritis, non-smoker, light boozer, and generally fit and healthy.
Most NHS and many private hospitals no longer offer it because of the bad results of some devices. If I were to have one done to me I'd want a specialist hip surgeon who does it regularly and who has done at least 200. Email me for more info.
My criteria for using resurf are: man <55y, big, hard bones, osteoarthritis, non-smoker, light boozer, and generally fit and healthy.
Most NHS and many private hospitals no longer offer it because of the bad results of some devices. If I were to have one done to me I'd want a specialist hip surgeon who does it regularly and who has done at least 200. Email me for more info.
I've had partial hip resurfacing done on my left hip, must have been in around 2005 at the Cambridge Bupa Lea hospital. I had all sorts of funny pains and impingement so had X-Rays, MRI's etc and was referred to a hip surgeon. He basically said it was osteoarthritis and I should wait until I'm in total agony and can barely walk and then consider a replacement.
The sports injury clinic who referred me to him phoned a couple of weeks later to see how I was getting on so told them I've just been told to leave it. They disagreed as I was about 28 at the time and said I shouldn't have to suffer and sent me off to a specialist in Cambridge. He said I was a good candidate for resurfacing and had the op performed a couple of weeks later. It was fairly non-invasive as it was done via arthroscope with my leg under traction.
Being fairly young, I was told to listen to my body, it will let me know if I'm pushing it too hard. I've been in to Martial Arts since I was 4 years old and remarkably, I did fight competitively in MMA for a number of years after surgery and got my pro fight card. I've bowed out now as I do need to look after myself.....and I am a powerfully built company director so can't meet clients in the absolute state I have got in to after a fight, but have literally stopped in the last year. I've just turned 42.
I still get a few pains and my legs are stiff when I've been sitting down for a long time and look like the evolution of man as I'm slowly able to stand all the way up as they loosen off. As my symptoms are a bit intermittent, I'm seeing a pelvis specialist tomorrow who believes they can beat me back in to shape and it's not a hip problem. I'd be inclined to agree with them.
Happy to offer any help if I can but as above, each persons experience can differ, it's best to speak to the professionals.
The sports injury clinic who referred me to him phoned a couple of weeks later to see how I was getting on so told them I've just been told to leave it. They disagreed as I was about 28 at the time and said I shouldn't have to suffer and sent me off to a specialist in Cambridge. He said I was a good candidate for resurfacing and had the op performed a couple of weeks later. It was fairly non-invasive as it was done via arthroscope with my leg under traction.
Being fairly young, I was told to listen to my body, it will let me know if I'm pushing it too hard. I've been in to Martial Arts since I was 4 years old and remarkably, I did fight competitively in MMA for a number of years after surgery and got my pro fight card. I've bowed out now as I do need to look after myself.....and I am a powerfully built company director so can't meet clients in the absolute state I have got in to after a fight, but have literally stopped in the last year. I've just turned 42.
I still get a few pains and my legs are stiff when I've been sitting down for a long time and look like the evolution of man as I'm slowly able to stand all the way up as they loosen off. As my symptoms are a bit intermittent, I'm seeing a pelvis specialist tomorrow who believes they can beat me back in to shape and it's not a hip problem. I'd be inclined to agree with them.
Happy to offer any help if I can but as above, each persons experience can differ, it's best to speak to the professionals.
My 28 year old son has recently had both his hips done, at the same time, while having a broken hand.
Both himself, me and the missus live in first floor buildings in different towns.
They had to keep him in a much needed hospital bed for 3 weeks until he could use an elbow style zimmer frame to be able to get himself about.
Both himself, me and the missus live in first floor buildings in different towns.
They had to keep him in a much needed hospital bed for 3 weeks until he could use an elbow style zimmer frame to be able to get himself about.
My Mum was among the first half dosen people to have UK 'Birmingham Hip Resurfacing' operations by Dr. Cobb in C.2001, She was 43 but suffered Osteoarthritis. Still going strong approaching 18 years.
My uncle had one much later and the incision is one third of the size these days
I believe it is always better to have the resurfacing if possible as the full replacement has it's shortcomings and unless you are pretty old the joint is unlikely to see you out, subsequent hip replacement operations carry greater risk. Instead you can have a resurfacing operation and then in 15 years or so junk the whole joint and get a replacement.
My uncle had one much later and the incision is one third of the size these days
I believe it is always better to have the resurfacing if possible as the full replacement has it's shortcomings and unless you are pretty old the joint is unlikely to see you out, subsequent hip replacement operations carry greater risk. Instead you can have a resurfacing operation and then in 15 years or so junk the whole joint and get a replacement.
meehaja said:
This isn't the Pistonheads I know and love... I came here to comment with my slightly better than minimal knowledge on a subject, and already you've been provided with a real world example, evidence and and expert opinion.
I'm going to buy an MX5.
Apologies, I had so many browser windows open that I completely forgot which forum I was typing in to and got Pistonheads mixed up with another site entirely! What I meant to say was to threaten to hammer frozen sausages in to the lawn of the best surgeon there is until he agrees to do the work for you!! With the money you'll save if you've gone private (This is PH!!), you could buy a nice MX5!I'm going to buy an MX5.
Autopilot said:
......... He said I was a good candidate for resurfacing and had the op performed a couple of weeks later. It was fairly non-invasive as it was done via arthroscope with my leg under traction.
That sounds like hip arthroscopy, and a cartilage stimulation technique (or similar) used. Really, hip resurfacing is a replacement of a decent part of the joint with fabricated componants EG plastic, metal ceramic. I'd guess it was Richard Villar in 2005, before he moved to London.I think the OP is asking about joint replacement, rather than joint preservation, which is what you had.
Anyhow, good to hear your story.
HustleRussell said:
I believe it is always better to have the resurfacing if possible as the full replacement has it's shortcomings and unless you are pretty old the joint is unlikely to see you out, subsequent hip replacement operations carry greater risk. Instead you can have a resurfacing operation and then in 15 years or so junk the whole joint and get a replacement.
Not true. See ocd's comments above. Many Hip replacements last 20+ years, some 30+.Our Registry shows 656 resurfacings performed in the UK in 2017, compared to 4300 in 2009. Total number sof hip replacements is around 96,000 in 2017
Edited by The_Doc on Wednesday 3rd October 15:55
I had my total hip replacement 3 weeks ago today, one of the best things I've ever done i'm already doing short walks without sticks and NO pain.
Was contemplating doing a separate thread but if anyone has any questions about the process from a patients point of view i'm happy to help.
gobuddygo said:
I had my total hip replacement 3 weeks ago today, one of the best things I've ever done i'm already doing short walks without sticks and NO pain.
Was contemplating doing a separate thread but if anyone has any questions about the process from a patients point of view i'm happy to help.
Can you get in and out of an MX-5 unaided since your op?Was contemplating doing a separate thread but if anyone has any questions about the process from a patients point of view i'm happy to help.
Funny old things hips. My femur broke through the back of my left acetabulum in a car crash in 2006. As I wouldn't have survived the replacement op at the time due to too many other ops, I was put in traction for it to heal. The idea being I have a replacement at a later date. The consultant told me it would be arthritic within a year, which it was, but here I am in 2018 with the same old hip! I've about 70% rotation which is a bit annoying but doesn't really hinder me too much, but it's a stretch putting socks on and I regularly get a bad lower back through tension from the hip and doing things a bit on one side away from the hip. But I'm gobsmacked that 12 years have passed and I'm not even taking pain killers.
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