A Short Guide to Bilateral Hip Resurfacing Recovery

Bilateral hip resurfacing is a specialized surgical procedure designed to alleviate severe hip pain while preserving the natural bone structure. This type of hip surgery is especially beneficial for younger, active patients with hip osteoarthritis. 

At Ortho Westmount, we believe that understanding the recovery process is key to achieving the best outcomes, so we have prepared this short guide to bilateral hip resurfacing recovery to help you get a better understanding.

Hip Resurfacing Surgery vs Total Hip Replacement: What’s the Difference?

Total hip arthroplasty involves replacing both the acetabulum (hip socket) and the femoral head with prosthetic components. This traditional total hip replacement procedure replaces both of the structural components in the ball-and-socket joint of the hip; it is typically recommended for older, less active patients with extensive joint damage. The recovery period from a conventional total hip replacement is often longer and requires careful post-operative care.

Hip resurfacing procedures, in contrast, the femoral head is shaved away and replaced with a smooth metal cap. The acetabulum is also shaved, using a reamer, and a smooth metal covering is impacted into place. This procedure is well suited for younger, more active patients with good bone quality. 

Both procedures provide long-term relief from hip joint pain and improve mobility, but they cater to different patient profiles and activity levels.

Lateral vs Bilateral

In a lateral hip procedure, only one side undergoes the procedure. This could be a hip replacement or hip resurfacing, targeting either the left or right hip. 

Bilateral hip procedures involve surgery on both hips, either simultaneously or staged (one after the other in separate surgeries). This approach is often used when both hips are affected by similar conditions, offering the benefit of a single recovery period.

What to Expect Immediately Following a Bilateral Hip Resurfacing

Hip arthroscopy is usually performed as a day surgery, meaning you will go home the day of the surgery. Your surgeon may provide you with specific instructions for mobility, and you may need to use crutches for several days.

During the initial weeks at home after bilateral hip resurfacing, it's important to gradually increase your activity levels to facilitate recovery. Effective pain management includes taking prescribed medications, applying ice packs to reduce swelling, and elevating the operated leg to minimize discomfort. Sticking with your personalized physical therapy regimen is of fundamental importance to rebuilding strength and mobility over the long term. 

Recovery from 6 Weeks to 3 Months

As recovery progresses after bilateral hip resurfacing, patients should transition from using crutches to walking unassisted. It's important to start incorporating light activities such as walking, stationary biking, and swimming into your routine. These activities help maintain cardiovascular health and promote joint flexibility without putting too much strain on the hips. Continued physical therapy plays a vital role during this phase, focusing on exercises that build strength and improve flexibility. This ensures a steady improvement in mobility and helps patients regain their independence and confidence in everyday movements.

Long-Term Recovery 

By the 3 to 6-month mark, patients typically can return to their normal activities, including sports and high-impact exercises. This period marks a significant milestone in the recovery journey as the hips have regained substantial strength and mobility. Regular follow-ups with your surgeon during this time are crucial. These appointments allow the surgeon to monitor your progress closely, ensuring that your recovery is on track. They also help in promptly addressing any potential complications, such as implant issues or delayed healing, ensuring a smooth and successful return to an active lifestyle.

Benefits of Bilateral Hip Resurfacing

Bone Preservation: Preserves more of the natural bone compared to total hip replacement.

Reduced Risk of Dislocation: The larger femoral head reduces the risk of hip dislocation.

Improved Range of Motion: Facilitates an active lifestyle with better joint function.

Potential Risks and Complications

• Infection
• Implant Loosening
• Femoral Neck Fracture

Tips for a Successful Recovery

1. Adherence to Physical Therapy: Follow your prescribed exercises diligently to regain strength and flexibility.
2. Healthy Diet: Maintain a balanced diet to support healing.
3. Hydration and Weight Management: Stay hydrated and maintain a healthy weight.
4. Seek Support: Lean on family, friends, and healthcare providers for support throughout your recovery.

As a premier private orthopedic clinic in Montreal, Ortho Westmount offers a comprehensive range of hip surgery options. We specialize in minimally invasive procedures to minimize recovery times and help our patients such as the direct anterior hip replacement. Each procedure is designed to relieve pain, improve mobility, and restore the quality of life. Our experienced surgical team utilizes the latest techniques and technology to ensure the best possible outcomes for our patients. For more detailed information, call 514-932-6455 or complete our patient questionnaire to get started.

References

• AAOS OrthoInfo - https://orthoinfo.aaos.org/en/treatment/hip-resurfacing
• Canadian Journal of Surgery - https://www.canjsurg.ca/content/65/3/E296
• PubMed - https://pubmed.ncbi.nlm.nih.gov/21667732/
• Orthopedic Reviews - https://orthopedicreviews.openmedicalpublishing.org/article/77745-hip-resurfacing-arthroplasty-past-present-and-future
• National Library of Medicine - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535122/

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