Dr. De SmetWhat will be done when a resurfacing fails?
A normal primary THR can be done. In rare cases a revision to
another resurfacing is still possible. The procedure needed
depends on the reason for revision. If the femural head requires
a revision, due to wear, a large diameter modulair head on stem
could be placed, with a perfect fitting into the existing cup.
Even the cup can be revised with a new resurfacing cup with a
one size larger diameter. We have done extensive research on
this topic together with the manufacturers of the device.
What will happen when the hip resurfacing wears
When a hip resurfacing wears out, it is generally because the
femoral cap loosens from the underlying bone. If this happens,
it can be converted to a traditional total hip replacement with
a stem in the thigh bone, utilizing a big metal ball to match
your socket. Generally, the socket is firmly attached to your
bone and will not need to be revised. The end result is a
metal-on-metal hip replacement with a big metal ball.