10/08/2025
Hip resurfacing is a type of hip surgery that’s an alternative to a total hip replacement, often considered for younger or more active patients with severe hip arthritis.
Instead of removing the entire femoral head like in a traditional total hip replacement, the surgeon reshapes it and caps it with a smooth metal covering.
The hip socket (acetabulum) is also fitted with a metal cup, so the joint remains metal-on-metal.
Differences from total hip replacement:
Bone preservation: The femoral neck and much of the femur are kept intact.
Revisions are easier: If it fails later, converting to a total hip replacement is simpler.
Larger ball size: This can reduce dislocation risk and improve range of motion.
Typical candidates
Younger (often under 60), active, and generally healthy.
Allows high levels of activity post-recovery (some athletes return to impact sports).
Good bone quality (osteoporosis makes it less suitable).
Potentially longer-lasting in younger patients.
Metal-on-metal wear can release cobalt and chromium ions into the bloodstream, which may cause local tissue reactions or systemic issues in rare cases. But today there are the same implants with the contact area in ceramic-ceramic, wich avoid the problem of metal ions in bloodstream.
More technically demanding surgery, so success rates depend heavily on surgeon experience.
Recovery similar to total hip replacement, but some patients regain function faster.
Dr. Ignatios Chatziandreou
Imed German clinic Marbella
Calle Jacinto Benavente 10, Marbella
+34851413103 / ÷34637806085 (wattsapp)
