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Joint Replacement Institute

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    • H. Kurtis Biggs, DO
    • Brian Wallace, DO
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    • Benjamin Schnee, DO
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Resurfacing of the Hip Versus Total Joint Replacement

October 17, 2025

A senior woman at home is experiencing hip pain and is unsure about whether to choose hip resurfacing or total joint replacement.

In short…

  • Resurfacing of the Hip Preserves More Bone: This technique retains more of the natural thighbone compared to total joint replacement.
  • Total Joint Replacement Has Broader Applicability: It is typically more suitable for older patients or those with severe arthritis.
  • Different Recovery Paths and Longevity: Resurfacing may lead to shorter recovery periods for some, while total replacement often lasts longer in older individuals.

Choosing between resurfacing of the hip and total joint replacement is a critical decision informed by various factors, including age, activity level, and overall health.

This blog outlines the differences and provides expert insight to help you make the right choice.

What Is Resurfacing of the Hip

Resurfacing of the hip is a surgical procedure designed to preserve more of your natural bone while treating damaged joints. Instead of replacing the entire hip joint, this approach reshapes the femoral head (the ball at the top of your thighbone) and caps it with a metal prosthesis. The socket portion of the hip is also fitted with a prosthesis, similar to total joint replacement.

Resurfacing is often recommended for younger, active patients with strong bone quality. This option allows for greater bone preservation and may lead to a more natural range of motion following recovery.

What Is Total Joint Replacement

Total joint replacement, also known as total hip arthroplasty, is a more traditional approach for treating hip joint damage caused by conditions like severe arthritis or fractures. This procedure involves replacing both the femoral head and the hip socket with prosthetic components.

Orthopedic doctors in Naples commonly recommend total joint replacement for older patients or those with widespread joint damage.

Key Differences Between Resurfacing of the Hip and Total Joint Replacement

The following highlights the key differences between total joint replacement and resurfacing of the hip.

1.      Bone Preservation

Resurfacing of the hip retains much more of the natural thighbone than total joint replacement. This is why it is often seen as a good option for young, active individuals.

2.      Longevity of the Prosthesis

Studies suggest that total joint replacement prosthetics typically last longer, with some showing a lifespan of over 20 years. Resurfacing of the hip, on the other hand, may have a slightly shorter lifespan depending on factors like bone quality and activity level.

3.      Recovery Period

The recovery for resurfacing of the hips is often faster because it is considered a less invasive surgery. However, this benefit is highly dependent on the individual patient’s condition and adherence to post-operative care.

4.      Risk Factors

Total joint replacement carries a lower risk of complications such as device loosening or metallosis (a condition related to metal debris from the prosthesis). Resurfacing of the hip, while effective, has been associated with these rare complications, making patient selection critical.

Which Option Is Better for Arthritis

If you are comparing hip arthroscopy, resurfacing of the hip, and total joint replacement for arthritis management, the severity of your condition and your personal circumstances are the deciding factors. Resurfacing may work well for active individuals with localized damage, while total joint replacement is generally favored for advanced arthritis or poor bone quality.

A recent study demonstrated that 90% of the artificial hip joints are still functional at 15 years, and up to 60% at 20 years after surgery.

FAQs

The following are the most frequently asked questions that can help you decide between hip arthroscopy vs. total hip replacement and resurfacing of the hip vs. total arthroplasty.

Does Age Matter When Choosing Resurfacing of the Hip

Yes, age is an important factor. Resurfacing of the hip is generally best for individuals under 60 years old with strong, healthy bones. For older adults or those with osteoporosis, total joint replacement is often the safer, more effective option.

How Soon Can I Resume Activities After Surgery

With resurfacing, patients may return to low-impact activities within a few weeks, while high-impact activities may require a few months. Recovery from total joint replacement varies, often taking three to six months for most activities.

Are There Alternatives to Surgery

Depending on the severity of your joint damage, orthopedic doctors in Naples might suggest alternatives like physical therapy, medication, or hip arthroscopy before recommending surgery.

Resurfacing of the Hip in Naples, FL

When deciding between resurfacing of the hip and total joint replacement, consult with an experienced orthopedic specialist who can evaluate your unique situation.

At the Joint Replacement Institute in Naples, our team of board-certified orthopedic doctors provides comprehensive diagnostic and treatment services tailored to your needs. Whether you are experiencing persistent hip pain or considering surgery, our orthopedic doctors in Naples are here to guide you every step of the way.

Contact us today at (239) 261-2663 or use our appointment request form to schedule a consultation or learn more about your treatment options. We look forward to serving you!

Filed Under: hip replacement Tagged With: Arthritis, hip arthroscopy vs total hip replacement, hip pain, orthopedic doctors in naples, resurfacing of the hip, Resurfacing of the Hip in Naples, Total Hip Arthroplasty, total joint replacement

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The Joint Replacement Institute

(239) 261-2663 (BONE) Fax: (239) 262-5633 (KNEE)

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The Joint Replacement Institute in Naples, FL, offers Arthroscopy, Foot & Ankle Surgery, Hip Surgery, Knee Surgery, Robotic Surgery, Shoulder Surgery, and, Total Joint Replacement for a number of orthopedic conditions. In addition, we provide multiple on-site services and products.

MENUMENU
  • Home
  • About Us
  • Meet Our Team
    • H. Kurtis Biggs, DO
    • Brian Wallace, DO
    • Paul Beebe, MD
    • J. Scott Herron, MD
    • Cody Togher, DPM
    • Zachary Elstad, MD
    • Benjamin Schnee, DO
    • Physician Assistants
    • Physical Therapy Team
  • Conditions We Treat
    • Arthritis
    • Bursitis
    • Carpal Tunnel Syndrome
    • Cartilage Tears
    • Elbow Pain
    • Foot & Ankle Injuries
    • Fractures & Dislocations
    • Hand & Wrist Injuries
    • Hip & Knee Injuries
    • Hip Pain
    • Knee Pain
    • Ligament Disruptions
    • Neck & Back Pain
    • Repetitive Stress Disorders
    • Shoulder Pain
    • Spinal Conditions
    • Sports Injuries
    • Sprains
    • Tendonitis
    • Work-Related Injuries
  • Surgery Specialties
    • Arthroscopy
    • Foot & Ankle Surgery
    • Hand Surgery
    • Hip Surgery
    • Knee Surgery
    • Robotic Surgery
    • Shoulder Surgery
    • Spinal Surgery
    • Total Joint Replacement
  • On-Site Services & Products
    • Diagnostic Imaging
    • Clinical CBD™
    • Injection Clinic
    • Pain Management
    • Patient-Specific Implants
    • Physical Therapy
    • Products
    • PRP Therapy
    • Sports Medicine
  • New Patients & Resources
    • Blog
    • FAQs
    • Patient Education
    • Physician Referral
  • Reviews
  • Contact Us