Category Archives: FAQ About Hip Resurfacing

Frequently Asked Questions About HR Articles

Hip Resurfacing at Surface Hippy Posted on by
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Hip Resurfacing – A Patient’s Perspective on Long-Term Success

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** March 15, 2025 will be my 19 year Anniversary ** of receiving my BHR Birmingham Hip Resurfacing from Dr. De Smet in Belgium in 2006. During these years, I’ve carefully tracked hip resurfacing outcomes and patient experiences. What I find most encouraging is that 73% of hip resurfacing patients can run within 5 years after surgery, while only 32% of traditional hip replacement patients achieve this milestone.

Jeff Dullum 20 year anniv
Jeff Dullum 20 year anniversary

H1 Ceramic on Ceramic Hip Resurfacing. Professor Cob Patient 3 years post op
H1 Ceramic

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Understanding Hip Resurfacing and Total Hip Replacement

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Many patients don’t know there are two main choices when looking at hip surgery – Hip Resurfacing and Total Hip Replacement (THR). I’ve spent years studying both procedures and helping patients understand their options through the Surface Hippy website.

Hip resurfacing saves most of your natural bone. The surgeon only removes the damaged surface of your femoral head (the ball of your hip) and covers it with a metal cap. THR takes a different approach … Read the rest

Questions to Ask Your Hip Resurfacing Surgeon

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You should ask your hip resurfacing doctor as many of the questions that seem appropriate for your situation.  Your doctor should be patient, willing to talk about what to expect and answer your questions. Having all your questions answered will give you peace of mind and will make your surgery much less stressful.

Download and print the Questions Here:

https://surfacehippy.info/pdf/Questions-to-ask-hip-resurfacing-surgeon.pdf

Will you perform my hip resurfacing personally or have an assistant do the surgery?

 … Read the rest

What Equipment Will I Need At Home After Surgery by Patricia Walter

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What Equipment Will I Need At Home After Surgery?

Everyone has slightly different needs. There are some basic items almost everyone needs and then there are things that some people want and others just don’t need.

Must Haves:

Crutches  – Normally crutches are supplied by the hospital.  I used elbow crutches and they are much easier to use than normal under the arm crutches.  Overseas hospitals use elbow crutches while US hospital still normally use … Read the rest

Clunking Noises after my Hip Resurfacing Surgery

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Dr. De Smet Discusses Clinking and Clicking after Hip Resurfacing Surgery

The clunking noises and clicking feeling in the first 6 months after hip resurfacing surgery is a temporary decoaptation of both components. This means that the two big metal  parts of the prosthesis come apart and come together again. Having a large diameter gives no wear of the prosthesis and will not destroy anything. Because of the release of the capsule around the hip … Read the rest

Will My Neck Capsule Be Preserved?

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Dr. Bose
There are of course many views and opinions amongst surgeons regarding the best approach and what to preserve during the surgical approach. Failures in resurfacing which occurs due to faulty approaches and vascularity issue, do so at the 3-6 yrs mark ( slow varus collapse with loosening of femoral component ie AVN of the entire head). Hence, it is difficult to prove or disprove any concept regarding this issue with statistical proof. One … Read the rest

FAQ Post Op Questions

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Will My Neck Capsule Be Preserved?

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Dr. Bose

The NCP (Neck Capsule Preserving) Approach which is increasingly being adopted by surgeons world wide was developed at ARCH by Dr. Bose. This facilitates a faster recovery due to the repair of the capsule.  The vascularity of the critical regions of the head and neck is also preserved in the NCP Approach.

Dr. De Smet

Do you preserve the hip capsule during your hip resurfacing surgeries?

[Koen De Smet ANSWER/]  YES AND I … Read the rest

How Soon Can I Run After Hip Resurfacing?

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Mr. McMinn

 I advise patients not to return to impact sport for 1 year after surgery. For those patients who want to road run, I get them running on a treadmill at 10 months post-op and they resume road running at 12 months post-op. My unit published on activity level after resurfacing some years ago in a group of patients who followed those rules. In young men with a single osteoarthritic hip resurfaced, 92 %

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Do Metal Ions from Hip Resurfacing Device Cause Health Problems?

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Dr. Amstutz Dr. Gross Dr. Su Dr. Schmalzried

Dr. Amstutz

Metal-metal bearings have advantages for active patients because their wear resistance is much greater than that of polyethylene, they do not fracture and they perform better with larger diameter balls. It has been known for three decades that the serum and urine levels of cobalt and chromium (the main elements in a metal-metal hip bearing) are increased in patients with a metal-metal bearing. The health

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Post Op Tips by Dr. Gross Patients

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Patients often rely on information from other patients that have already had surgery.  Of course, you should always ask you own surgeon what pre op and post op information they can supply.

Dr. Gross patients have posted suggestions for others after their surgery:

and some generic suggestions for post op exercises, of course you should follow your own surgeons suggestions first.

Typical Post-Op Exercises done after hip surgery.

I also included water exercises by Evelyne … Read the rest

Asprin and Xarelto Provide Similar Protection Against Venous Thromboembolism

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Read Full Study Here

Aspirin, Xarelto show no difference in preventing venous thromboembolism after TJA.

Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism.

After patients received once-daily oral Xarelto (rivaroxaban, Bayer Pharma) until postoperative day 5, Michael Dunbar, MD, FRCSC, PhD, and colleagues then randomly assigned 3,424 patients … Read the rest

Recovery & Rehabilitation After Hip Resurfacing

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Published on Dec 15, 2017

Do I need any rehabilitation or physiotherapy after the surgery? Can I return to sports? Patients who received BHR surgery will share the post-operation rehabilitation process and how they benefit from the surgery.

Please visit www.asiamedicalspecialists.hk if you would like to get more information on hip problems or BHR.… Read the rest

Patients Who Live Alone Can Recover Effectively and Safely at Home

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…a new study to be presented Thursday, March 16, at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that even patients who live alone can recover effectively and safely at home…

…(The Study) involved 769 patients undergoing primary THR or TKR. Of these, 138 patients lived alone and 631 lived with other people. In both groups, patients age 75 and older were well represented. The … Read the rest

Exercises at 1 Month Post Op Hip Resurfacing Surgery

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Clamshell Exercise at 1 Month Post Op Surgery

 

Figure 4 stretch Exercise at 1 Month Post Op Surgery

 

Dangle stretch Exercise at 1 Month Post Op Surgery

 

Child’s pose stretch Exercise at 1 Month Post Op Surgery

 

Jackknife stretch Exercise at 1 Month Post Op Surgery

Video demonstration of 1 month exercises (thanks to Dynamic Sports Physical Therapy in NYC!)

Video demonstration of 1 month exercises (thanks to Dynamic Sports Physical … Read the rest