- Five to Ten-Year Results of the Birmingham Hip Resurfacing Implant in the U.S. 2018
- Hip Resurfacing Devices Medical Studies
- One-component revision of failed hip resurfacing Study by Dr. Pritchett 2014
- Hip Resurfacing Using Highly Cross-linked Polyethylene Study 2016
- Outcomes of the Birmingham Hip Resurfacing System Study 2016
- Long-term Outcome of a Metal-on-Polyethylene Cementless Hip Resurfacing Study 2014
- Polymotion Hip Resurfacing Device by Mr. McMinn 2015
- Conserve Plus 3-5 Year Outcome Study 2015
- Global Study on Hip Resurfacing Implants 2015 – 2021
- Hip Resurfacing and Conventional THR Comparison of Acetabular Bone Stock Removal, Leg Length, and Offset Medical Study 2013
International surgeon series and registry data have demonstrated positive outcomes and long-term survival of the Birmingham Hip Resurfacing (BHR) implant. We report the 5 to 10-year results from a single center in the U.S.
…Conclusions: BHR demonstrated excellent survivorship and clinical outcomes at 5 to 10 years in selected patients. As compared with total hip arthroplasty, the use of the BHR may provide highly active patients with clinically important advantages in postoperative activity as well as a greater likelihood of remaining highly active. Continued follow-up is
necessary to validate long-term BHR outcomes…
By Pritchett JW
In this prospective study, 190 hip resurfacing procedures (164 participants) were performed using a cobalt-chromium femoral component and a cementless acetabular cup with a 3.8-mm highly cross-linked polyethylene acetabular liner…
…The mean follow-up was 8.5 (range, 7-10) years…
…(With Highly Cross-linked Polyethylene device) The low incidence of osteolysis and the low rate of wear found on retrievals suggest that many years of use in highly active patients is possible.… Read the rest
…it may be beneficial to investigate the long-term outcome of hip resurfacings using metal-on-polyethylene in the 1980’s. We report the long-term survivorship and modes of failure of a cementless metal-on-polyethylene resurfacing.
Ongoing developments using the lessons learned from these previous generation components and utilizing modern low wear materials, e.g., cross-linked polyethylene, may lead to improved implants for future hip resurfacings.
The Polymotion Hip Resurfacing device is an allergy-free device that uses a 3mm-thick cup made with a material known as cross-linked polyethylene, one of the toughest plastics in existence.
Traditional metal-on-metal hip resurfacing uses cobalt chromium alloy, explains Mr Derek McMinn, a consultant orthopaedic surgeon at BMI Edgbaston Hospital in Birmingham, who developed the new procedure.
‘Metal reactions vary in severity, but in the worst cases can lead to necrosis [death] of surrounding hip muscle and permanent disability for the patient,’ he said.
Another benefit of the capping procedure is that less bone is removed, in contrast to total hip … Read the rest
|Link 2006D.H. Williams; U. Masood; and M.N. Norton Royal Cornwall Hospital, Truro, Cornwall TR1 3LJ, UK.|
Decreased head-neck ratio diameter and component malposition in total hip arthroplasty are factors known to result in impingement, increased rates of dislocation, wear and failure. In addition to these complications, impingement of the femoral neck on the acetabular component of a hip resurfacing may result in femoral neck fracture and loosening of the acetabular component. Little is known regarding the optimum femoral and acetabular hip resurfacing component position to avoid impingement.
In the first part of this study we analyzed the radiographic component
Joseph Daniel, Director of Research at the McMinn Center in Birmingham UK, talks about the 10 year survival of double heat-treated resurfacings from 1996 and the effect that these heat treatments had on this series of hip resurfacings.
McMinn’s BHR Videos
Mr. McMinn’s Profile
Hip Resurfacing With the Biomet Hybrid ReCap-Magnum System: 7-Year Results by Dr. Gross & Fei Liu 2012
|Gross TP, Liu F. – Midlands Orthopaedics, P.A., Columbia, SC.Abstract The purpose of this study was to report our clinical outcome of a large series of metal-on-metal hip resurfacing arthroplasty (HRA) using the hybrid Biomet ReCap-Magnum system. This is a single-designer surgeon series with an average of 5 ± 1 years. Seven hundred forty consecutive hybrid HRAs were performed in 653 patients. Kaplan-Meier survivorship with any revision as an end point was 96.4% at 7 years. Twenty-five (3.4%) cases were revised: 8|
|Larger cups and optimal positioning produced lowest ion
levels and wear|
In a review of 585 blood serum evaluations following hip resurfacing, only femoral size and cup inclination were found to have an effect on ion levels, according a study by orthopedic investigators.
The findings were presented at the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons.
David J. Langton, MRCS, and his colleagues also found that the size of the coverage angle of the acetabular component contributed significantly to its tolerance of suboptimal positioning.
“Larger joints, it must be emphasized, tolerated suboptimal cup position,” he said. “This
by Thomas P. Gross, MD (d),
Fei Liu, PhD (d)
|Incidence of Adverse Wear Reactions in Hip Resurfacing
Arthroplasty: A Comparison with the Oxford StudyThomas P.
Gross, MD (d), Fei Liu, PhD (d)
Midlands Orthopaedics, Columbia, SCIntroduction|
In 2009, the Oxford Group reported a 1.8% rate of revision for pseudotumours in a series of 1419 hip resurfacings performed by multiple surgeons within a mean 4 year (0-9 years) time period and a 6% Kaplan-Meier failure rate for pseudotumour by 8 years. We were surprised by this high rate of failure due to a primary inflammatory reaction to metal bearings
Bone density of the femoral neck following Birmingham Hip Resurfacing A 2-year prospective study in 27 hips
Authors: Nick J. Cooke a; Lauren
Author(s): Carlos A. Higuera, MD, Bay Village, Ohio; Kurt P. Spindler, MD, Garfield Hts, Ohio; Gregory J. Strnad, MS, Lyndhurst, Ohio; Peter J. Brooks, MD, FRCS(C) Cleveland, Ohio
Hip resurfacing has been proposed as a suitable procedure for young, active patients. Given the concerns with metal-on-metal bearings, and the recall or withdrawal of certain devices, it is appropriate to review our results using a resurfacing device with a relatively good clinical record. As our experience and understanding … Read the rest
Costa CR, Johnson AJ, Naziri Q, Mont MA.
2011 – Source Rubin Institute for Advanced Orthopedics, Sinai Hospital, Baltimore, Maryland 21215, USA.
AbstractINTRODUCTION: Metal-on-metal hip resurfacing has provided an alternative to standard total hip arthroplasty in younger, more active patients. However, detractors argue that many of the benefits of resurfacing can be obtained with the use of larger femoral heads. The purported advantages of the resurfacing procedure include preservation of femoral bone stock, increased range of motion, decreased dislocation rate, excellent performance in high-activity patients, and a potentially easier revision than total hip arthroplasty. The purpose of this study