Improper indications lead to early failure of hip resurfacing

A 49 year old man with secondary hip arthritis approached us for a hip replacement/ Hip resurfacing. He was suffering from Perthes disease. After seeing his x ray, I told him that he was not a suitable candidate for hip resurfacing. However he went to another surgeon who offered a hip resurfacing.
Interestingly within a span of one and half years, this poor man has developed pain in his hip. His latest x rays show thinning of the inferior portion of the neck and acetabular edge loading. This has probably lead to increased wear and metallosis leading to bony resorption.
This as leading hip surgeons should know is a disastrous complication. It leads to gross bony and soft tissue destruction.
No doubt he will need a revision to a total hip replacement soon.