Hip Resurfacing Or Hip Replacement: Which Is Better Option
Deciding between hip resurfacing and total hip replacement is a highly individual choice that should be made in consultation with an experienced orthopedic surgeon. Factors such as age, activity level, bone quality, and long-term goals all play a role in determining the best option.

Hip pain can severely affect your mobility and quality of life. When conservative treatments fail to provide relief, surgical options such as hip resurfacing or total hip replacement may be recommended. But how do you determine which is the better option for you? Understanding the differences, benefits, risks, and suitability of each procedure can help you make an informed decision.
What is Total Hip Replacement?
Total hip replacement (also known as total hip arthroplasty) involves removing the damaged femoral head and replacing it with a metal or ceramic ball attached to a stem that is inserted into the femur. The acetabulum is replaced with a durable socket component, often lined with plastic, ceramic, or metal.
Benefits of Total Hip Replacement
Total hip replacement is a highly successful and widely performed procedure with decades of positive outcomes. It effectively eliminates hip pain caused by arthritis or injury. Modern implants are designed to last 15-20 years or more, especially with advancements in materials.
Risks of Total Hip Replacement
Although rare, there is a higher risk of dislocation compared to hip resurfacing due to the smaller size of the artificial ball. More bone is removed during surgery, which could complicate future revision surgeries.Patients are often advised to avoid high-impact activities to prolong the life of the implant.
What is Hip Resurfacing?
Hip resurfacing is a surgical procedure that preserves more of your natural bone compared to total hip replacement. In this procedure, the damaged surface of the femoral head (the ball of your hip joint) is trimmed and capped with a smooth metal covering. The damaged cartilage in the acetabulum (hip socket) is also replaced with a metal component. This technique is designed to maintain the natural structure of the hip and is often recommended for younger, more active patients.
Benefits of Hip Resurfacing
More of the femoral bone is retained, which can make future surgeries easier if needed. The larger size of the resurfaced ball mimics the natural hip joint, reducing the likelihood of dislocation. Many patients can return to high-impact activities such as running or sports after recovery.
Risks of Hip Resurfacing
The metal components can release ions into the bloodstream, which may cause complications in some individuals. There is a small risk of fracture in the neck of the femur after the procedure. Not ideal for older patients, those with poor bone quality, or individuals with certain medical conditions such as osteoporosis.
Comparing Hip Resurfacing and Total Hip Replacement
Feature |
Hip Resurfacing |
Total Hip Replacement |
Bone Preservation |
Preserves more bone |
Removes more bone |
Dislocation Risk |
Lower risk |
Slightly higher risk |
Ideal Candidate |
Younger, active individuals |
Older or less active individuals |
Longevity |
May require revision sooner |
Durable with longer lifespan |
Metal Ion Concerns |
Potential issue |
Less common |
Post-Surgery Activity |
Allows high-impact activities |
Low-impact activities advised |
Which is the Better Option?
The choice between hip resurfacing and total hip replacement depends on several factors:
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Age and Activity Level: Hip resurfacing is generally better suited for younger, active individuals who want to maintain a high level of physical activity. Total hip replacement is often recommended for older patients or those with lower activity levels.
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Bone Quality: Patients with strong, healthy bone density are better candidates for hip resurfacing. Those with weaker bones or osteoporosis are typically better suited for total hip replacement.
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Underlying Conditions: Patients with inflammatory arthritis or avascular necrosis may benefit more from total hip replacement.
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Surgeon’s Expertise: Not all orthopedic surgeons specialize in hip resurfacing, so availability and experience may influence your decision.
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Personal Preferences and Lifestyle Goals: Discuss your lifestyle, activity goals, and expectations with your surgeon to determine the best option for your specific needs.
Advances in Technology
Both procedures have benefited from advances in surgical techniques and implant materials. For example, newer hip replacement implants are designed to last longer, while improvements in hip resurfacing materials have reduced complications like metal ion release. Minimally invasive surgical techniques are also improving recovery times and reducing postoperative discomfort.
Conclusion
Deciding between hip resurfacing and total hip replacement is a highly individual choice that should be made in consultation with an experienced orthopedic surgeon. Factors such as age, activity level, bone quality, and long-term goals all play a role in determining the best option. Regardless of the choice, both procedures can provide significant pain relief and improved mobility, helping you regain an active and fulfilling lifestyle.
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