Resurfacing of the Hip Joint Information for Patients

Indications

The hip resurfacing operation is often known as the Birmingham Hip as this surgery was pioneered in Birmingham. It is usually carried out under regional or spinal anaesthesia, and is indicated in patients who have an active life style who wish to maintain this level of physical activity. It is normally reserved for the younger patient with a relatively normal hip anatomy. It does require good bone quality to be successful. It will, (like a normal total hip replacement) achieve pain relief and mobility. Should the Birmingham Hip Resurfacing fail, it can be converted to a standard total hip replacement. Recent results indicate that patients receiving this procedure need to be carefully selected and the risks and benefits of such a procedure will be fully discussed.

The Operation

Birmingham Hip ResurfacingUnlike a hip replacement, a hip resurfacing removes only the worn out portion of the ball and socket using a metal “cap” on the femoral head (ball) and a matching metal socket on the bony acetabulum (socket). This is a metal on metal joint. The scar for this surgery is located over the buttocks area (posterior approach) and a mini incision procedure is not performed for this operation. The cup is uncemented whereas the ball has low viscosity cement as a fixation method.

The patients normally stand the day after the operation and are often safe to return home by between two and five days. They are normally walking with two sticks at this stage and often do not require any additional physiotherapy other than that which they have received during their stay in hospital.

By the time the patients leave, they should be able to safely negotiate stairs, walk with sticks but should not drive for some three weeks after the operation. All patients are seen at six weeks for a check up and an X-ray. Physical and sporting activities are encouraged after some 6 months following surgery.

Your Surgeon

The Birmingham Hip Resurfacing requires expertise in hip replacement surgery and is a relatively new procedure. You should always ensure that your surgeon is sufficiently experienced in such surgery. Mr Drabu would be happy to discus details of his expertise and experience and results in this field and answer any questions or concerns you may have.

” I was amazed at the speed at which I recovered, as were my friends and my GP…. I am so glad I decided to have the operation and very glad I came to Gatwick Park. I am certainly delighted with the outcome”.

Mr R, Shropshire