Can you have a second hip resurfacing?

Answered by Phillip Nicastro

Can you have a second hip resurfacing?

It is possible to have a second hip resurfacing procedure, but it is not always the best option. Hip resurfacing is a type of hip replacement surgery where the damaged surfaces of the hip joint are removed and replaced with metal implants. The main advantage of hip resurfacing over traditional total hip replacement is that it preserves more of the patient’s natural bone, which can be beneficial if a revision surgery is needed in the future.

However, there are some factors to consider when deciding whether a second hip resurfacing is appropriate. The success of a revision surgery depends on various factors, including the initial reason for the failure of the first implant, the quality of the remaining bone, and the overall health of the patient.

One of the main reasons for needing a second hip resurfacing is the wear and tear of the artificial hip parts. Over time, the metal-on-metal or metal-on-polyethylene surfaces can wear out, causing pain, instability, and decreased function. This is more likely to happen in younger and more active individuals who put more stress on their hip joint.

Newer materials and advancements in implant design have led to improved longevity of hip implants. Modern implants are made from highly durable materials such as ceramic or highly cross-linked polyethylene, which can significantly reduce the risk of wear and failure. As a result, the need for revision surgery, including a second hip resurfacing, has become less common.

If a second hip resurfacing is necessary, the surgeon will evaluate the patient’s individual case and determine the best course of action. In some cases, a traditional total hip replacement may be recommended instead of another resurfacing. This decision will depend on factors such as the amount of remaining healthy bone, the size and location of the previous implant, and the patient’s overall health and lifestyle.

It is important to note that revision surgeries, including second hip resurfacing procedures, can be more complex and have a higher risk of complications compared to primary surgeries. The surgeon will need to carefully assess the risks and benefits of the procedure and discuss them with the patient before making a decision.

Personal experiences may vary when it comes to second hip resurfacing. Some individuals may have successful outcomes and regain their previous level of function and mobility, while others may continue to experience limitations and require further interventions. It is crucial for patients to have realistic expectations and to follow post-operative rehabilitation protocols to optimize their chances of a successful outcome.

While it is possible to have a second hip resurfacing, it is not always the best option. The decision to undergo a revision surgery depends on several factors, including the cause of implant failure, the condition of the remaining bone, and the patient’s overall health. Advances in implant materials and design have increased the longevity of hip replacements, reducing the need for revision surgeries. However, if a second hip resurfacing is necessary, it should be carefully considered and discussed with a qualified orthopedic surgeon.