Steven Weeden MD, PA
400 Hip Resurfacings to date
Adult Orthopaedic Reconstruction
The Texas Hip and Knee Center, L.L.P.
750 8th Avenue, Suite 400
Fort Worth, Texas 76104
Texas Hip and Knee Center
Dr. Weeden Interview
When did you start doing hip resurfacing? Where did you train?
My first resurfacing was in 2002, I later trained
with Dr. Derrick McMinn in Birmingham 3 years ago.
Why were you interested in hip resurfacing?
We finally have an implant for sports, this was
very exciting. I also loved the fact that this is a bone
What Hip Resurfacing Device Do You Prefer?
What Surgical Approach Do You Use? Why do you prefer that
Posterior, and a smaller incision if possible.
This approach protects the abductors and the patient is less
likely to limp after appropriate healing
Do you have a cut off age for resurfacing patients or do you
go on a case by case basis?
I try not to perform this procedure on men over 65 and women
much over 55.
How do you feel about cementless devices? Do you prefer
cemented and why?
I commonly use cementless implants for hip replacement and
feel that we will have a similar device for resurfacing in the future,
however, cementing the femoral implant at the present time
appears to result in fewer failures.
What size incision do your normally give your patients for
4 to 7 inches.
Does the length of incision influence the rehabilitation?
Not completely, yet if the procedure can be done safely,
there are advantages to MIS such as less trauma, decreased blood
loss, and cosmetic improvement.
Do you preserve the hip capsule during your hip resurfacing
Always if possible.
What is your typical recovery time after resurfacing, what
is your typical rehab protocol?
Crutches for ? amount of
time? 90 degree restriction?
2days or so in the hospital, crutches for a couple of weeks
and hip precautions for 4-5 weeks.
What type of anesthesia do you use general or epidural or ?
I prefer a spinal whenever possible
How long do you feel it takes for the bone to be fully
healed, grow into the prosthesis?
What is the recommended time you tell your patients before
they can start to run again/do impact sports?
Why is Hip Resurfacing better than a THR – for the proper
This is a bone preserving hard bearing implant that allows
athletic activity that we were never able to recommend prior
to this technology.
What other important information about hip resurfacing do
you want to share with possible patients?
You may have a hip arthroplasty if the resurfacing cannot be
(usually 2 to 3 out of 100 patients), trust your doctor. Make
sure you find a doctor who has done over 200 procedures,
experience matters as this is harder to perform for the