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Unlike traditional total hip replacement surgery, where the entire femoral head is removed, hip resurfacing involves reshaping the damaged surface of the femoral head and capping it with thin-shelled components that have a similar thickness to the removed cartilage.
1.1 This document is a statement of current best practice in primary total hip replacement (THR) and metal-on-metal hip resurfacing (MOMR) in the United Kingdom (UK) in all settings. It has been approved by the Council of the British Orthopaedic Association (BOA) and by the Executive and Members of the British Hip Society (BHS).
This guideline is designed to progress the individual through rehabilitation to functional activity participation. The therapist may modify the program appropriately depending on the individual’s goals for activity following total hip arthroplasty.
Total Hip Arthroplasty (Replacement) is a complex procedure that involves the removal and replacement of both the head of the femur and the acetabulum. First, an incision is made, most commonly, along the back or side of the hip. Next, the hip joint is exposed and the head and neck of the femur are removed.
Hip resurfacing is recommended as ‘one option for people with advanced hip disease who would otherwise receive and are likely to outlive a conventional primary total hip replacement’ – The National Institute for Health and Care Excellence (NICE) guidance for metal-on-metal (MoM)1.
26 lut 2022 · 3.3 Hip resurfacing arthroplasty involves removing and replacing the surface of the femoral head with a hollow metal hemisphere, which fits into a metal cup fixed into the acetabulum. All resurfacing arthroplasty prostheses currently on the market are metal-on-metal (MoM), and can be hybrid or cementless. As with
P3 Health Partners will consider Replacement/Revision of Total Hip Arthroplasty medically necessary when one or more of the following criteria are met. Loosening of one or both components. Fracture or mechanical failure of the implant. Recurrent or irreducible dislocation. Infection.
