Femoral Head and Neck Excision (FHNE)

A Femoral head and neck excision is usually indicated in patients with severe degenerative joint disease; however this surgery is also used for patients with complicated femoral head/neck fractures and dislocations that cannot be reduced.

The Surgery

The Surgery involves exposing the joint by making an incision over the hip joint and cutting through the thick muscle layers to reach the joint capsule. Once the ligaments in the joint have been separated, the surgeon makes a cut through bone at the neck of the femur. This removes the ‘ball’ part of the joint. The joint capsule is closed and the wound sutured.  The aim of the surgery is for scar tissue to form creating an artificial join and supporting the joint alongside the strong thigh muscles.

Recovery 

Recovery time varies between patients. The initial hospitalisation period is 24-48 hours to allow continuous pain relief using high strength pain killers, and to ensure strict cage rest immediately following surgery. Gentle lead exercise is encouraged quite soon after surgery to allow for healthy blood circulation and muscle stimulation. Pain relief will be provided for another week after surgery with a short course of antibiotics to prevent infection in the joint capsule.

Physiotherapy is essential following the procedure to improve muscle usage and tone.

Wound checks are usually carried out at 48hours and 10 days post surgery with a nurse.