Which is better, resurfacing or standard total hip replacement?
I try not to say one is better than the other but rather list out possible advantages and disadvantages of a resurfacing vs. a THR. 25. What are Advantages and Disadvantages of Resurfacing? Advantages of a resurfacing in my hands are: • More range-of-motion • Less risk of dislocation • More normal “feeling” • Leaves options open for later conversion to standard THR • Easy revision if necessary • Useful for certain deformities • Preservation of femoral bone stock Disadvantages are: • Harder to do • Less follow-up – up to 10 years max • Risk of femoral neck fracture • Possible elevated metal ion in blood issues 26. I am looking at a steroid shot as the first step is this correct? Start with meds, activity restrictions, exercise, weight loss, typically even before steroid injections. 27. Some surgeons prefers the THR approach because there is evidence for a 1%/year failure rate for the femoral cap on resurfaced hips vs. a 1%/10 year failure rate for THRs? Is this true? Failure rates early
