Surface Hippy A Patient to Patient Guide to Hip Resurfacing

Surface Hippy

A Patient to Patient Guide About Hip Resurfacing

Surface Hippy is Patricia Walter's Personal Project to help people lean about Hip Resurfacing
Patricia is the fulltime author, editor, webmaster and owner of the site

 

Bone Cysts and Hip Resurfacing

by  Dr. Rubinstein

2860 N. Broadway  Suite 202
Chicago, IL 60657
Phone: 773-327-8300
Website: http://www.hiportho.com
 

Cysts are very common in arthritic hips and can usually be seen on x-rays. Most of the time they are not a problem with resurfacing because they are small and in the part of the bone removed in milling the femoral head for a resurf. Most larger ones can be filled with a cement of bone chips and still do a good resurf. The only cysts that are problematic are those that erode the superior femoral neck weakening the bone at a critical place. This can lead to fracture with a resurf and that is an indication for a THR instead. They can usually be seen on a pre op x-ray so I can tell the patient that a resurf may not be possible and a decision can be made at surgery. In the one case I was surprised on the cyst was under a large osteophyte and was obscured on the x-ray. The patient got a big head metal-metal THR and is doing fine.

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