View Vol. 1 Iss. 1
Orthopedics Magazine Articles

Twin Cities Orthopedics Hip Surgeons:  

• John T. Anderson, M.D.
• Kurt D. Anderson, M.D.
• Scott D. Anseth, M.D.
• Jonathan P. Asp, M.D.
• Anthony N. Brown, M.D.
• Paul M. Cammack, M.D.
• Robin C. Crandall, M.D.
• Paul R. Diekmann, M.D.
• Douglas A. Drake, M.D.
• Paul G. Dworak, M.D.
• David R. Edwards, M.D.
• Joseph Flake, M.D.
• Mark E. Friedland, M.D.
• Benjamin Gulli, M.D.
• Peter D. Holmberg, M.D.
• Neil R. Johnson, M.D.
• Cyril (Jay) F. Kruse, M.D.
• Christopher M. Larson, M.D.
• William R. Lundberg, M.D.
• Christopher P. Meyer, M.D.
• Steven A. Moen, M.D.
• Thomas E. Nelson, M.D.
• Randall J. Norgard, M.D.
• Patrick F. O'Keefe, M.D.
• Brian T. O'Neill, M.D.
• Gavin T. Pittman, M.D.
• Thomas J. Raih, M.D.
• Gary R. Sager, M.D.
• Robert W. Tuttle, M.D.
• Loren N. Vorlicky, M.D.
• Gary E. Wyard, M.D.

Twin Cities Orthopedics physicians practice in 30 locations throughout the Minneapolis metro are including clinics in: Edina, Maple Grove, Coon Rapids, Burnsville, Eden Prairie, Chaska, Waconia, Shoreview, Plymouth, Elk River, and many more.

Hip Resurfacing Offers Younger Patients More Mobility

Patients younger than 55 years of age with hip arthritis have become one of the most rapidly growing patient groups at Twin Cities Orthopedics (TCO). This condition has presented a difficult problem for medical doctors and orthopedic surgeons over the years.

It used to be that total hip replacement (arthroplasty) was the only option for these patients. Although the traditional surgery offers pain relief, it is often accompanied with limitations. Many patients are prevented from maintaining a more active lifestyle.

A new pain-relieving procedure known as hip resurfacing can be benefi cial for younger hip arthritis patients. Current studies show that after 10 years, 95 percent of patients with a resurfaced hip are functioning well.

Pluses and minuses
Compared with conventional total hip arthroplasty, hip resurfacing off ers distinctive advantages in the appropriate patient with end-stage hip arthritis. Th e most obvious advantage is bone preservation, because bone on the upper femur is maintained rather than resected, or removed. Another advantage is a more physiologic transfer of stress to the proximal thigh with activity.

These two advantages may make revision surgery at a later date less difficult because more femoral bone remains.

Another advantage is that with hip resurfacing the incidence of dislocation is lower. The larger diameter femoral head used reduces the dislocation rate when compared tothe smaller 28mm and 32mm heads used in a conventional total hip arthroplasty. For younger patients, the larger head also offers a greater range motion, which is essential for physical activities.

The risks of resurfacing are similar to those of total hip arthroplasty. They include infection, venothrombolic disease, neurovascular damage, wear, loosening, limb length inequality, and the physiologic stresses associated with surgical intervention. Hip resurfacing patients are also at risk for fractures of the femoral neck below the resurfacing, which occurs in roughly 2 to 3 percent of the procedures.

Dramatic changes
Hip resurfacing can produce dramatic changes in patients’ lives and activity levels. Several TCO patients have returned to skating, skiing, and bike riding. Some physicians will also allow patients to return to running and contact activities after the first year. There is hope for high activity and mobility after hip replacement surgery, even though patients might not feel as if they have returned to their athletic prime.