Signature Procedure

Hip Resurfacing

A bone-conserving alternative to total hip replacement for active patients — preserving your natural anatomy, enabling return to high-impact activities, and now available to both men and women with the latest ceramic-on-ceramic implant technology.

Book a Consultation → How It Works
Understanding the Procedure

What is Hip Resurfacing?

Hip resurfacing is a surgical procedure that treats hip arthritis while preserving significantly more of your natural bone than a traditional total hip replacement. Instead of removing the entire femoral head (the ball of the hip joint), it is reshaped and capped with a smooth metal or ceramic covering. The damaged hip socket is also resurfaced with a matching shell.

Because the natural bone structure is preserved, the replacement closely matches the size and mechanics of your original hip. This results in a more stable joint with a lower risk of dislocation, and makes any future revision surgery — should it ever be needed — significantly easier.

Mr Hussain is currently one of the highest volume hip resurfacing surgeons in the UK and internationally and is recognised by the National Consultant Information Programme (NCIP). He is also listed among the UK surgeons performing ReCerf ceramic-on-ceramic hip resurfacing on Surface Hippy, the international patient community directory.

AP pelvis X-ray showing a total hip replacement and a hip resurfacing performed in the same patient by Mr Shakir Hussain, illustrating the bone preservation of resurfacing
Mr Hussain's patient with both procedures performed — total hip replacement (left of image), hip resurfacing (right). The bone-preserving advantage of resurfacing is clearly visible.
Why Choose Resurfacing

Advantages Over Total Hip Replacement

Bone preservation — the femoral head is reshaped, not removed, preserving your natural bone stock for the future
Lower dislocation risk — the larger ball size closely matches your natural anatomy, providing greater stability
Return to high-impact activities — running, skiing, tennis, and competitive sports are realistic goals
More natural movement — patients frequently report the hip feels closer to their original joint
Easier future revision — if ever needed, conversion to a total hip replacement is more straightforward
Available to men and women — Mr Hussain uses ceramic-on-ceramic implants that eliminate metal ion concerns, making resurfacing suitable for female patients too
Implant Technology

The Implants Mr Hussain Uses

Mr Hussain selects the most appropriate implant for each patient based on their anatomy, bone quality, activity goals, and gender. He is one of few UK surgeons offering both metal-on-metal and ceramic-on-ceramic resurfacing options.

Metal on Metal

Adept

by MatOrtho

A proven metal-on-metal resurfacing system with excellent long-term results. Used primarily in male patients with adequate femoral head size. Well-established track record with robust clinical evidence.

Ceramic on Ceramic

ReCerf

by MatOrtho

A ceramic-on-ceramic resurfacing implant suitable for both male and female patients. Eliminates metal ion concerns associated with traditional resurfacing. Uses hybrid fixation with cement in the femoral component.

Ceramic on Ceramic — Cementless

H1

by Zimmer

The latest generation ceramic-on-ceramic resurfacing implant with totally cementless fixation. Suitable for both men and women. Represents the cutting edge of hip resurfacing technology.

Clinical Gallery

Surgical Images & X-rays

Am I a Candidate?

Who is Suitable for Hip Resurfacing?

Hip resurfacing is best suited for active patients with hip arthritis who wish to preserve their natural bone and return to demanding physical activities. Mr Hussain will assess your suitability based on your imaging, bone quality, femoral head size, and activity goals during your consultation.

Ideal candidates typically include:

Active patients with osteoarthritis, avascular necrosis, or inflammatory arthritis
Good bone density and adequate femoral head size
Patients wishing to return to high-impact sport or physically demanding work
Male patients — suitable for metal-on-metal (Adept) or ceramic-on-ceramic (ReCerf / H1) implants
Female patients — suitable with ceramic-on-ceramic implants (ReCerf or H1), which avoid the metal ion concerns that traditionally excluded women from resurfacing
Mr Shakir Hussain with a patient following hip resurfacing surgery at the Royal Orthopaedic Hospital Birmingham
Same-Day Discharge

Day-Case Hip Resurfacing

Mr Hussain was the first surgeon at the Royal Orthopaedic Hospital to perform day-case hip and knee arthroplasty. For suitable patients, hip resurfacing can be performed as a day-case procedure — meaning you go home the same day as your surgery.

Suitability for day-case discharge depends on the timing of your surgery, your overall medical fitness, and the distance between your home and the hospital. Mr Hussain will discuss this option with you during your consultation.

Getting Back to Life

Recovery Timeline

Every patient is different, but here is a typical recovery journey following hip resurfacing surgery.

Day 1
Up and walking with crutches. Many patients go home same day or next day.
2 Weeks
Wound check and clip/stitch removal. Gradually increasing activity.
6 Weeks
Follow-up clinic appointment. Most patients off crutches and driving.
3 Months
Return to low-impact sport — cycling, swimming, gym work.
6 Months
Return to high-impact activities — running, skiing, tennis, competitive sport.
Patient Experience

What Patients Say

★★★★★
Hip Resurfacing

"As a highly experienced orthopaedic consultant myself, I can confidently reassure anyone under his care. He performed a hip resurfacing on me four months ago and I was back operating on my own patients. He has a lovely demeanour and instils confidence with those he consults with. A treasure to his hospital."

Verified Patient — Orthopaedic Consultant
via Doctify
Real Results

Patient Stories

Every patient's journey is different. These are real accounts from people who chose hip resurfacing with Mr Hussain — in their own words.

Hip Resurfacing · Age 43

Dan's Story

The Woodlands Suite, Royal Orthopaedic Hospital

"The payoff is so awesome compared to the pain you had before."

Dan, 43, spent over two years living with severe osteoarthritis that was threatening his career and daily life. Unable to sleep, struggling with basic movement, and facing ill-health retirement, he came to Mr Hussain at The Woodlands Suite. Following hip resurfacing surgery, Dan was walking without crutches at seven weeks and described the change in his underlying pain as "honestly life-changing."

Read Dan's full story →
Hip Resurfacing · Age 53

Spartykus's Story

Royal Orthopaedic Hospital, Birmingham

"I feel like I have an 18 year old hip again."

A lifelong runner and fell racer, Spartykus had his left hip resurfaced by Mr Hussain at 53, after years of progressive osteoarthritis forced him to stop racing entirely. One year on, he kept pace with his 78-year-old father on a 20-mile bike ride — and credits his remarkable recovery to excellent bone stock, careful patient selection, and the skill of his surgical team.

Read Spartykus's full story →
Common Questions

Hip Resurfacing FAQs

How long does a hip resurfacing last? +
Over 90% of hip resurfacings in suitable patients are still working well after 10 years. The Birmingham Hip Resurfacing system has an ODEP 13A* rating, meaning there is better than a 94% chance it will not need revision within 13 years. With careful patient selection and modern implant technology, many resurfacings are expected to last 20 years or more.
Can women have hip resurfacing? +
Yes. Traditionally, metal-on-metal resurfacing was recommended mainly for men due to higher complication rates in women related to metal ion release. However, Mr Hussain uses ceramic-on-ceramic implants (ReCerf by MatOrtho and the H1 by Zimmer) that eliminate metal ion concerns entirely, making hip resurfacing a viable option for suitable female patients.
What sports can I return to after hip resurfacing? +
One of the key advantages of hip resurfacing over total hip replacement is the ability to return to high-impact and competitive sports. Patients commonly return to running, skiing, tennis, cycling, swimming, gym training, football, and other demanding activities. Mr Hussain will discuss your specific sporting goals during your consultation.
What is the difference between metal-on-metal and ceramic-on-ceramic resurfacing? +
Metal-on-metal resurfacing (such as the Adept by MatOrtho) uses cobalt-chrome bearing surfaces and has an excellent long-term track record in male patients. Ceramic-on-ceramic resurfacing (ReCerf and H1) uses ceramic bearing surfaces instead, eliminating the release of metal ions. This makes ceramic implants suitable for both men and women and removes the need for long-term metal ion monitoring.
Can I go home the same day? +
Yes, for suitable patients hip resurfacing can be performed as a day-case procedure. Whether same-day discharge is appropriate depends on the timing of your surgery, your overall health, and the distance between your home and the hospital. Mr Hussain was the first surgeon at ROH to offer day-case arthroplasty and will discuss this option with you.
How does hip resurfacing compare to robotic hip replacement? +
These are different procedures suited to different patients. Hip resurfacing preserves your natural bone and is ideal for younger, active patients wanting to return to sport. Robotic total hip replacement uses CT-guided technology for precise implant positioning and is suitable for a wider range of patients. Mr Hussain is experienced in both and will recommend the best option based on your individual circumstances.

Considering Hip Resurfacing?

Book a specialist consultation with Mr Hussain to discuss whether hip resurfacing is the right option for you.