Hip Resurfacing Arthroplasty

Description

Professor Dominic Meek gives his expert opintions and discusses contraindications for hip resurfacing arthroplasty. He begins by emphasizing the importance of having a strong bone surface for the procedure, as hip resurfacing is an 'onlay' technique. Key contraindications mentioned include acute lack of blood supply to the femoral head, renal failure due to toxic accumulation of cobalt and chromium, and any serious forms of inflammatory arthropathy, including rheumatoid arthritis, due to weakened bone integrity. Interestingly, he states that neuromuscular disorders are not contraindications; rather, they may indicate the need for the surgery, as resurfacing can mitigate dislocation risks by increasing the hip joint size. Developmental dysplasia poses technical challenges but can also be managed with caution. Overall, Professor Meek highlights the complex decision-making involved in determining suitable candidates for hip resurfacing surgery, focusing on their bone condition and associated medical issues.

DOI: 10.1302/3114-251273

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