Here is an excellent summary of current opinion on hip resurfacing from Bone & Joint360 volume 9 issue 1 February 2020 – hot off the press!

There is now good evidence to show that for many patients, hip resurfacing is an excellent option. Just make sure that you seek the opinion of an experienced hip surgeon (I’ve done nearly 1000 hip resurfacings since I’ve been a consultant). Please get in touch if you’d like to know if it’s the right thing for you.

‘Hip resurfacing preserves much of the femoral
head and neck and restores femoral head size. It
has some advantages over hip replacement:
enhanced stability, a more normal gait, greater
possibility for participation in high demand activities,
lower mortality, and easier femoral revision.
Resurfacing is limited by technical difficulty.
Femoral neck fracture and adverse reactions to
metal debris are particular complications and
more common in smaller patients. However,
both implant and patient survival and function
are superior when performed on suitable patients
by experienced surgeons using safe implants.
Recognising this risk and benefit profile – and the
excellent performance and longevity of modern
total hip replacement – resurfacing should be
discussed as an option for younger and more
active patients with end-stage hip arthrosis.’