Video Gallery

Surgical Technique: Hip Resurfacing Posterolateral Approach

February 19, 2016

Contributors: Giovanni Micera, MD; Maria Teresa Miscione, MD; Riccardo Orsini, MD; Antonio Moroni; Antonio Moroni

Because of the development of new surgical concepts and technologic evolution, the traditional hip prosthesis is not the only solution for patients with serious articular pathology. Hip resurfacing is a valid alternative. This procedure involves the use of two very thin metal domes to resurface the acetabular and femoral head joint surfaces, replacing worn cartilage. One of the main advantages of this surgical procedure is that it allows the femoral head and neck, which are removed during traditional hip arthroplasty, to be retained. In addition, because of the excellent tribologic characteristics of the metal/metal coupling, wear, which is the main cause of prosthesis failure, is minimal; this is very important with regard to lifespan. The results of hip resurfacing are better than those of traditional hip arthroplasty, especially in active patients, with regard to relieving pain, recovering functionality, and improving lifespan. Patients return to a normal life more quickly and can participate in sports, even at a competitive level, in a satisfactory manner. Dislocation and differences in leg lengths do not occur. Hip resurfacing also is advantageous because, if the procedure has to be repeated, the patient is in a position similar to that of a patient undergoing hip arthroplasty for the first time. Hip resurfacing is particularly indicated in young patients but can be performed in any patient if the bone is in good condition and the femoral head is sufficiently preserved. This video demonstrates how to perform hip resurfacing, providing tips and tricks.