- 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. De Smet Offers New ReCerf Ceramic on Ceramic Hip Resurfacing in South Africa
- Dr. De Smet Places First ReCerf Hip Resurfacing Device on March 3, 2019
- Dr. Gross Discusses Hip Resurfacing and Women
- Dr. Pritchett Discusses
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replacement were recently dealt a large blow when the smaller sizes of the Birmingham Hip Resurfacing (BHR) device were withdrawn from the market by Smith Nephew Richards because the 10-year revision rate for women was higher than for men in most large registry analyses.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
Hip Resurfacing is still possible for women. See the wonderful stories from active, athletic women below
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
Ceramic on Ceramic Recerf
- Manufactured by MatOrtho Limited United Kingdom
- Minimal bone removal compared to total hip
- Ball-and-socket bearing with same size
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
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
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
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 3/1/2013 PDF of Article is Available here: https://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
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
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
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
- Voluntary actions initiated to remove smaller size components and change Instructions for Use (IFU) following analysis of recent performance data
- No action required from patients; no change to current practice for patient follow-up care
- BHR continues to perform amongst the best hip replacements for the right patients
FOR WOMEN THIS IS NOT AN ISSUE, BECAUSE THEY CAN GET CONSERVE PLUS WHICH HAS NOT THESE RESTRICTIONS, BECAUSE THERE IS A LARGER MARGIN AND COVERAGE!!!!
SO YOU CAN PUBLISH THIS ON YOUR WEBSITE ALSO WITH MY REMARKS!!!
THAT IS WHAT I WROTE IN MY BOOKLET ALREADY 6 YEARS AGO (you can find on my website)
WITH THE DIFFERENCES BETWEEN BHR AND CONSERVE.