hip resurfacing

[raafox]

Dear All,

does anyone have any information about hip re-surfacing?

Rob

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[Physiobase]

Look for the work done in the UK by Derek McMinn. Try this link for a start www.essexhipsurgeon.co.uk

[physiosmith]

This from the Centre for Clinical Effectiveness at Monash University.

www.med.monash.edu.au/hea...Report.pdf

We have a surgeon performing Birmingham hip resurfacing in our practice, I have no hard research but the patients we have had have done remarkably well. We normally keep them to 90 degrees of flexion for six weeks then aim for maximum available range, with no other restrictions.

They have returned to golf, mountain biking, jogging - I saw a man recently who is aiming to get back to serious karate and who four months post-op was able to demonstrate a very passable sidekick and roundhouse kick, albeit at a lower height than previously.

They have the advantage, of course, of being much younger than most THR patients, but the patients I have seen have all been very happy with their lot post-surgery.

www.med.monash.edu.au/hea...Report.pdf

[MrPhysio+]

The birmingham Hip is a great advancement. Younger patients are able to utilise the technique, with much reduced risk of leg shortening. Revision later in life may require a total hip, and further revision if it fails in 10 - 15 years, with all the associated risks.
Patients may have more pain with a Birmingham resurfacing, as the amount of muscle cut to do the operation can be greater than with a total hip. Access is more difficult with a Birmingham, as the femoral neck and head is preserved, requiring a dislocation.
Overall, following initial increases in pain, patients recover function more fully. Hope this helps.

[janecam]

One of our surgeons pushes for full flexion immediately post-op hip-resurfacing and is getting great results!