Surgeon and resurfacing: considerations after a long experience

Last generation resurfacing systems represent the best solution between the highest preservation of the femoral bone and the reliability with time in young patients, on condition that indications and exclusion criteria are observed and a high precision technique is used for performing the implant. The main problem is still the fracture of the neck of the femur which must be described in detail to the patient on which this procedure will be carried out. According to the data reported by literature, the incidence of the fracture of the neck of the femur ranges between 0.2% and 2%. When comparing these data with the incidence ranging between 0.33 and 4.51% of the dislocations caused by traditional prostheses, the obvious question is whether this complication, in case of well osteointegrated prostheses, is a problem less difficult to handle than the fracture of the neck of the femur.