Introduction: Hip resurfacing is a method of treating the degenerative hip joint in higher demand patients. In this study we present the results of the first four years of using this technique in a typical District General Hospital.

Materials and Methods: This is a review of the outcome of 303 consecutive hip resurfacing procedures performed at Ashford and St. Peter’s Hospitals NHS Trust. All patients had a posterior approach to the hip joint, followed by standard resurfacing using metal on metal components. The patients were evaluated radiographically and clinically pre-operatively and post-operatively. All patients had regular follow up.

Results: The mean age was 56 with a range from 24 to 75 years old. There was a statistically significant improvement between the pre-operative Harris Hip Score and those at the latest follow up. All patients achieved a full range movement in the hip within twelve weeks following surgery. There were four fractures of the femoral neck, one was intra-operative and was converted to total joint arthroplasty. Three further fractures occurred, two were revised and one was treated conservatively. Two patients had transient femoral nerve palsies. There were no cases of dislocation or deep infection. All the prostheses remain well fixed with no signs of osteolysis.

There were three cases of avascular necrosis, all of which show no signs of further collapse.

Conclusions: The short and medium term results that have been achieved in a District General Hospital are comparable to those that have been achieved in the originator’s institution.