- 7 Year Update Luann’s Hip Resurfacing with Dr. Sparling 2010
- Dr. Bose of India Discusses Hip Resurfacing for Females and Small Men 2015
- Dr. Brockwell Discusses Women and Hip Resurfacing
- Dr. De Smet Discusses Hip Resurfacing for Women
- Dr. Gross Discusses Hip Resurfacing and Women
- Dr. Pritchett Discusses Hip Resurfacing for Women and Small Men
- Dr. Rogerson Discusses Hip Resurfacing and Women
- Dr. Su Responds to Hip Resurfacing for Women & Small Men
- Dr. Voelker of Germany Discusses Hip Resurfacing for Women and Small Men
- Hip Resurfacing for Women Articles
- Hip Resurfacing for Women by Dr. Brooks
- Hip Resurfacing for Women by Dr. Gross 2013
- I am a Female – Can I have a Hip Resurfacing by Patricia Dukes
- I am Female/Small Man – Can I have a HR?
- Smith & Nephew Removes Small Sized BHRs from Market and No Longer Recommend use in Females
- Tina’s Biomet Hip Resurfacing with
October 11, 2016
I had my right hip resurfaced, BHR, by the amazing Dr. Peter Brooks in 2008. I was 50 yrs. at the time and due to an injury I developed severe avascular necrosis. The surgery was a huge success and my hip is still going strong. I developed bone on bone arthritis, which ended up with avascular necrosis in my left hip, because I had to put off surgery longer than I wanted to because my husband had unexpected health issues which required more immediate attention.
When I was able to take care of my hip, at the age of 59, I was devastated to find out Dr. Peter Brooks could no longer do BHR on women. I was sick about this. I had such a wonderful recovery with my right hip with no problems whatsoever. My right hip feels like a normal healthy hip! I was so … Read the rest
July 29, 2015
As one of Dr Gross’ earlier patients, and a woman with small bones, I am saddened to hear the decision by S&N to prevent access of women to hip resurfacing. The real truth of it IS and HAS ALWAYS BEEN the expertise of the surgeon that determines your outcome. I recall when S&N was so anxious to get their products out that they required very minimal standards for surgeons.
At one time (it may have changed) their requirement was simply to have observed (even by teleconference) two resurfacing surgeries and to have done one on a cadaver and then to have oversight by a company rep (non-physician) for the first few surgeries.
I knew many patients were in the first few (1-6) resurfacing their doctors performed, including a friend of mine that was #5 for his surgeon (mid-west) and has had trouble … Read the rest
I am still using the BHR. I will resurface appropriate women (i.e. with head size over 48mm…).
I think the majority of young men men have osteoarthritis (OA) secondary to FAI (which I treat by arthroscopy) but about half of the young women have some form of acetabular dysplasia/DDH, and the other half have OA because of FAI. Thus tall phycially active women with OA from FAI can expect to do well with resurfacing, but women with dysplasia are probably better off with THR.
I have now performed over 300 resurfacings. I offer free email consultations.… Read the rest
Dr. Su explained: “I continue to offer resurfacing for men and women of all sizes, based upon my own personal experience that resurfacing can work well even in the smaller sizes.”… Read the rest
June 4, 2015 Smith & Nephew … is therefore removing (BHR) small sizes and
updating the IFU to contraindicate the BHR for women.
“However, the revision rates associated with men requiring femoral head sizes
46mm or smaller and with all women patients exceed the current benchmark
established by the UK National Institute for Health and Care Excellence (NICE).
Based on this information, Smith & Nephew considers that these patient groups
may be at a greater risk of revision surgery than previously believed, and is
therefore removing small sizes and updating the IFU to contraindicate the BHR
for women.” Original Smith & Nephew press release available here:
“BHR continues to perform amongst the best hip replacements for the right
patients according to Smith & Nephew.”
If you are a woman or small man, do
you have other options? Read experienced hip resurfacing surgeons’ answers.
Dedicated to the memory of Vicky Marlow, a women’s advocate for hip resurfacing
Hip Resurfacing for Women
Dedicated to the memory of Vicky Marlow, a women’s advocate for hip resurfacing.Thomas P Gross MD Grossortho.com prepared on 3/1/2013PDF of Article is Available here: http://www.surfacehippy.info/pdf/Hip-Resurfacing-for-Women-Dr-Gross-2013.pdf There has been extensive recent negative media attention focused on metal bearing total hips, hip resurfacing and particularly hip resurfacing in women. Many hip surgeons feel that this operation should not be offered to women. I disagree. The advantages of hip resurfacing over stemmed total hip replacement are:• Normal hip stability • Bone preservation • Ability to resume impact sports • No stem related thigh pain • No restrictions on hip positioningIf you have a severely arthritic hip, a hip replacement is the only treatment that will remove the pain and return you to normal function. What you need to decide
I would like to comment on Smith&Nephew’s BHR decision to exclude
females and smaller sizes than 48 mm.
The decision has been based on the renewed NICE criteria. I wouldn’t
say that I don’t want best outcomes for all of my patients. But if
you compare those criteria to other surgical outcomes it looks
extremely strict. I think it would be just consequent if the
collected data would have been collected the same way. The data
results could never be lets call it clean like they have been
collected. They are naturally influenced by so many things. For
example: Revision of resurfacing is so much easier (also the
decision is easier) than revision of THRs especially of cemented
stems, or let’s face the understandable poor results by some
surgeons especially in the past because of only few numbers of
performed resurfacings. That’s all in the statistics!
I question … Read the rest
The continuing controversy – Thomas P. Gross MD. 7/4/2015
Young women who desire a more functional hip replacement were recently dealt
a large blow when the smaller sizes of the Birmingham Hip Resurfacing
(BHR) device were withdrawn from the market by Smith Nephew Richards because the
10-year revision rate for women was higher than for men in most large registry
analyses. (The major national registries are Australia, Combined Scandinavia,
and Great Britain).
Joint implant registries estimate an overall failure rate for different
implants when used by the average surgeon in a country. Specialist surgeons can
typically perform better than these data suggest.
Hip resurfacing is a treatment for severe hip arthritis that results in a
nearly normally functioning hip. Scientific studies demonstrate that
patients walk more normally in gait studies, and are more likely to be able to
resume full impact sports if they have a hip resurfacing rather than … Read the rest
Pat: Thanks for asking. In my view Smith & Nephew has acted
responsibly. I have not been offering metal on metal resurfacing in
the withdrawn smaller sizes. We have been offering just polyethylene
in these sizes. I am attaching my abstract for an upcoming meeting.
Yes, we use the implants shown on the Synovo Preserve site.
We offer this to both men and women. We always use a cementless
acetabular component and usually a cementless femoral component as
Let me know the best way to reach patients. We are happy to talk
I am concerned that patients might misinterpret the recent decision
by Smith & Nephew as not supportive of resurfacing. As you know
resurfacing is alive and well and works better than ever.
We actually have more rather than less to offer patient.
James Pritchett MD
email@example.com… Read the rest
Yes, it is true.
Smith and Nephew was asked to respond to the long-known worse outcomes in females. This was precipitated by the UK’s National Institute of Clinical Excellence (NICE) raising their 10 year outcomes requirement from 90% where it been for years, to 95%.
Raising the bar left females and small sizes below the bar (along with a great many total hips as well, so expect more fall-out), and males well above the bar. If you remember, the UK registry, on which their regulators base decisions, had an average doctor’s resurfacing volume of just 4 per year, of which 3 would be expected to be men. So this decision, made for the safety of women, was based on the combined data in the UK of docs doing 1 per year.
Honestly, if I did one heart transplant a year, it wouldn’t do very well!
As a woman … Read the rest
June 30, 2015 – From a very philosophical standpoint hip arthroplasty is very unfair towards women!!!
Most men will have a socket size of 52 or over and therefore a 36 mms head can be used in all types of hip replacements. The 36 mms head is technically a “large head” and is a good option having serious resistance against dislocation. In addition men in general or not as lax / flexible as women and the risk of dislocation is significantly smaller. However the typical acetabular size in most women is 46 to 50. The small acetabular size in most women will dictate having a ridiculously small 28 mms or smaller head making it prone for dislocation. Added to this is the flexibility / laxity in women which would accentuate the problems imposing lot of restrictions in active
The decision by smith and nephew to withdraw 46 and below … Read the rest