Hip resurfacing:

I have performed 332 hip resurfacings over the
last 2 1/2 years and feel that the best criteria
as to who should recieve the procedure is what
the patients physiologic (not chronologic) age
is, the patient''''s bone density, activity level
and aspirations are, and weight and sex. There
are many 60-65 year old patients with severe
arthritis who have excellent bone density and
aspire to continue to be physically active.
These patients do extremely well with resurfscing
and are likely to avoid total hip replacement
later by doing resurfacing or at least make
future revision much easier. In summary,
chronologic age is not a good determiner as to
who should have resurfacing . Should instead be
determined on patient''''s bone density, weight,
activity level and aspirations and bony femoral
head cysts. Sincerely, John S. Rogerson,
MD