Beautiful email from Amy to Pat Walter about the Surface Hippy.info website
Hey there! I’m sure you get this all the time but your website was a complete lifesaver for me when it came to finding out more about resurfacing. Of course my doctors had only giving me the option of a total hip replacement and a random comment from a friend of a friend Mentioning something about an alternative to that got me researching! … Read the rest
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replacement were recently dealt a large blow when the smaller sizes of the Birmingham Hip Resurfacing (BHR) device were withdrawn from the market by Smith Nephew Richards because the 10-year revision rate for women was higher than for men in most large registry analyses.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
Only a few hip resurfacing surgeons in the US still do women. If you want a hip resurfacing, you can find out if you are a candidate by emailing the surgeons who do women. Most BHR surgeons no longer do women. Dr. Gross and Dr. Pritchett use different hip resurfacing devices and will give women a hip resurfacing if
Dr. De Smet places his first ReCerf hip resurfacing device on March 3, 2019 in Johannasburg South Africa. ReCerf is a new type of ceramic on ceramic hip resurfacing device. The traditional standard hip resurfacing device is metal on metal like the BHR , Birmingham Hip Resurfacing Device, the Wright C+ and Biomet. New types of devices are being developed which will be used with all good candidates, even women and small men.
April 4, 2019 – Koen De Smet Introduces New ReCerf Ceramic on Ceramic Hip Resurfacing at Anca Clinic and Roseacres Hospital Johannesburg South Africa
Full Information Available in Downloadable PDF: https://surfacehippy.info/pdf/RECERFmin.pdf
ReCerf Ceramic on Ceramic Hip Resurfacing Device Available by Dr. De Smet at ANA Clinic and Roseacres Hospital in Johaneesburg South Africa
Ceramic on Ceramic Recerf
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 … Read the rest
July 29, 2015
Read Patricia’s Full Story Here
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 … 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 … Read the rest
10/8/2015
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 … Read the rest
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Dedicated to the memory of Vicky Marlow, a women’s advocate for hip resurfacing Updated 3/7/2013 |
Hip Resurfacing for WomenDedicated to the memory of Vicky Marlow, a women’s advocate for hip resurfacing.Thomas P Gross MD Grossortho.com prepared on 3/1/2013 PDF of Article is Available here: https://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 |
Dear Patricia,
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 … 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 … Read the rest
https://surfacehippy.info/10-year-results-highly-cross-linked-polyethlene-pritchett-2015.php
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 … Read the rest
Hi Pat
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 … 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 … Read the rest