Barbara,
I am curious as to what note you are talking about? The only note I could see dated 06/05/15, is titled "Smith & Nephew BHR - No Longer Used in Females and Small Men". I don't see how your comments are applicable to this note.
I can understand that woman would be upset about the withdrawal of the smaller size implants by Smith and Nephew. Dr. Brooks is just giving the rationale Smith and Nephew used to make the decision to withdraw these components. He obviously does not agree with this decision.
I think it is widely accepted by the surgeons who have done thousands of these procedures that larger implants have had better results then the smaller ones. The decision to use a smaller size implant should be based on the expertise of the surgeon along with the wishes of the patient. In the hands of an experienced surgeon good results can be expected with the smaller size implants. Like any medical procedure it should be viewed case by case and not just a blanket recall of all the smaller size implants.
Again, I am not sure if this is the note you are talking about. If it is I am confused by your statement about BHR failures in the U.S.. I am not sure how additional failures would make your case stronger to not withdraw the smaller sized implants. Or are you implying that collectively, Hip Resurfacing failures are not being reported accurately? You are not clear in your post.