Hip Resurfacing with Ceramic-on-Ceramic (ReCerf)
What is Hip Resurfacing?
Hip resurfacing is an alternative to conventional total hip replacement in which the femoral head is reshaped and capped with a prosthesis rather than removed. The acetabulum is resurfaced with a separate cup that articulates with the femoral cap. Because the femoral head and neck are preserved, resurfacing maintains the natural biomechanics of the hip, conserves bone stock for any future revision, and can allow a remarkable return to high-impact activities in selected patients.
Traditional metal-on-metal hip resurfacing was introduced in the 1990s and gained widespread popularity in young, active patients because of its excellent functional results. However, concerns about metal ion release, adverse local tissue reactions (pseudotumours) and higher revision rates, particularly in women and patients with smaller femoral heads, led to a significant decline in its use.
ReCerf is a modern ceramic-on-ceramic hip resurfacing implant, developed specifically to address the limitations of metal-on-metal resurfacing while preserving the functional advantages of the resurfacing concept. It uses a fourth-generation alumina-matrix composite ceramic (BIOLOX® delta) for both the femoral cap and the acetabular cup, eliminating metal ions from the bearing surfaces.
ReCerf is one of the most significant advances in hip resurfacing and represents a true evolution of the procedure. Its main advantages include:
• No metal ions
• Suitable for a broader patient population
• Extremely low wear
• Preservation of femoral bone
• Restores native anatomy
• Lower dislocation risk
• Supports high-impact activity
Who is suitable?
ReCerf ceramic-on-ceramic resurfacing is particularly indicated for:
Dr Stoita will review your symptoms, activity goals, and any existing imaging. A detailed clinical examination is performed to confirm the diagnosis and discuss whether this procedure is the right option for you.
Initial visitX-rays, MRI or other imaging may be used to confirm the diagnosis and assess the extent of the condition. In complex cases, 3D computerised modelling may be used to assist with surgical planning.
Pre-surgeryThe procedure is performed under anaesthesia using the most appropriate surgical technique for your condition. Dr Stoita uses minimally invasive approaches where possible to reduce recovery time and optimise outcomes.
Day of procedureMost patients are standing and walking with a physiotherapist on the day of surgery.
Discharge home with protected weight bearing using crutches.
Use of walking aids is required to protect the femoral head during remodelling. Return to desk work is generally possible during this phase.
Return to low-impact recreational activities including walking, swimming and stationary cycling.
Graduated return to higher impact activities including running, hiking, skiing and sport.
Frequently Asked Questions (FAQ)
Hip arthritis usually develops over time rather than from a single cause. The most common reason is gradual wear of the joint cartilage with age. However, many people develop it earlier due to subtle issues with the shape of the hip, when the ball and socket don’t fit perfectly, it creates uneven pressure that slowly damages the joint. Previous injuries, such as fractures or dislocations, can also speed up this process. In some cases, genetics, inflammation, or increased load on the joint (including higher body weight or repetitive stress) contribute.
