Tag Archives: BHR

Birmingham Hip Resurfacing. Metal on metal hip replacement device by Smith & Nephew

The anterolateral approach

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The anterolateral approach leads to less disruption of the femoral head-neck blood supply than the posterior approach during hip resurfacing 2007 R. Steffen, MRCS, Clinical Research Fellow1; K. O’Rourke, FRCS, Consultant Orthopaedic Surgeon2; H. S. Gill, DPhil, University Research Lecturer1; and D. W. Murray, FRCS, Consultant Orthopaedic Surgeon1 1 Nuffield Department of Orthopaedic Surgery, University… Continue reading →

DuPuy Reaches $2.5 Bln Deal To Compensate Revision Patients 2013

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Read Complete Article Here November 19, 2013 Health care giant Johnson & Johnson Co.’s ( JNJ ) medical-device unit DePuy Orthopaedics, Inc., announced Tuesday that it has reached a $2.5 billion settlement to compensate patients in the U.S. who were subject to a second surgery, known as revision surgery, to replace their recalled DePuy ASR… Continue reading →

Acetabular Revision in Hip Resurfacing by Thomas Gross MD 1/9/2015

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January 9, 2015 THR= total hip replacement HRA= hip resurfacing arthroplasty If an HRA has failed, I try to solve the problem by revising only the acetabular component whenever possible because HRA are functionally better than THR. If only the acetabular component is revised, the patient still has a HRA. If the femoral component is… Continue reading →

Preparations for hip resurfacing by Marla Jacobson with Dr. Gross 2006

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Preparations by  Marla Jacobson 2006 Hip Resurfacing with Dr. Gross Other Information by Marla Research & Decision Making Preparations The Big Event Coming Home and Surviving at Home 1.  Keep a notebook with all of your questions, and the answers as you receive them.  There is no question that is too trivial. 2.  If you’re… Continue reading →

Dr. Rogerson Replies to Dr. Kurtz Book and Opinions

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Dr. Kurtz had an article online that had concerns about the head neck rations of hip resurfacing compared to total hip replacement. We wanted to provide potential hip resurfacing patients with opinions of other top resurfacing surgeons to explain their views. Vicky, I read over the discussion of the head-neck ratios and impingement that you… Continue reading →

Medical Study – Patients’ Perceptions of Hip Resurfacing Arthroplasty

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By Todd P. Murphy, MD; Robert T. Trousdale, MD; Mark W. Pagnano, MD; Tad M. Mabry, MD; Rafael J. Sierra, MDORTHOPEDICS 2009 Abstract The purpose of this study was to understand patients’ perceptions regarding hip resurfacing arthroplasty relative to conventional total hip arthroplasty (THA). A consecutive group of 139 patients being evaluated for hip symptoms… Continue reading →

THE DURABILITY OF HIP RESURFACING by Dr. Gross 2012

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Updated 10/2/2014 Thomas P. Gross, MD 13 years experience. Over 3000 cases. For more information: www.grossortho.com A recent Article in the Lancet medical journal has criticized hip resurfacing arthroplasty (HRA) as less durable than cemented 28mm total hip replacement (THR). I take exception to the inappropriate conclusion that the authors drew from this highly flawed… Continue reading →

Metal Ion Testing by Dr. Su 2013

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Updated 4/1/2013 Dr. Su’s Protocol for Metal Ion Testing Metal Ion Testing The testing of metal ion levels after hip resurfacing is controversial, to say the least. Because we are still learning about the metals used in resurfacing, how they are released (and in what quantity), and how the body reacts to these metals, there… Continue reading →

Surgical Approach by Mr. Mcminn

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Surgical Approach by Mr. McMinn I started back in 1991 with the antero-lateral approach to the hip for resurfacing. At that time we were worried about blood supply to the femoral head and on theoretical grounds the antero-lateral approach preserved the blood supply well. For many patients the approach was satisfactory but there were some… Continue reading →

BHR Birmingham Hip Replacement FDA Approved

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FDA Approved in US Updated 11/9/09 The BHR, Birmingham Hip Resurfacing, offers younger, active patients more ROM, no restrictions of activities and almost no possiblity of dislocations as many of the older THR hip devices. Derek McMinn and Ronan Treacy at the Royal Orthopaedic & Nuffield Hospitals, Birmingham, UK, have more than 9 years experience… Continue reading →

Prevalence of associated deformities with cam-type femoroacetabular impingement

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Updated 7/28/09 Prevalence of associated deformities and hip pain in patients with cam-type femoroacetabular impingement 2009Link Click Here to Read Complete ArticleD. Allen, MSc, FRCS, Ed(Trauma & Orth), Consultant Orthopaedic Surgeon1; P. E. Beaulé, MD, FRCS C, Associate Professor2; O. Ramadan, MD, Resident Adult Reconstruction Service2; and S. Doucette, MSc, Statistician2 1 Hairmyres Hospital, Eaglesham… Continue reading →

Metal Allergies to Chrome and Cobalt

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Question from poster: Hi, I am 32 years old and had CDH and hip displasia. My blood test revealed that I have a metal allergy, so total hip replacement is the only option for me. jing Answer from Gord Rathbone I had a reaction to both chrome and cobalt, in preliminary skin tests, prior to… Continue reading →

Hip Resurfacing Still an Excellent Option by Dr. Raimund Voelker

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Updated 3/15/2013 Hip Resurfacing Still an Excellent Option by Dr. Raimund Voelker There has been a big hype about and towards hip resurfacing and now there is a big hype against metal-on-metal. As a specialized hip surgeon it is quite easy to see the differences in all conclusions and recommendations. The problems with stemmed metal-on-metal… Continue reading →

Hip Resurfacing for Women by Dr. Brooks

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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… Continue reading →

Painful Metal-on-metal Hip Resurfacing Study 2009

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The painful metal-on-metal hip resurfacing 2009 A. J. Hart, FRCSG(Orth), Clinical Senior Lecturer & Honorary Consultant Orthopaedic Surgeon1; S. Sabah, BSc, Medical Student1; J. Henckel, MRCS, Clinical Research Fellow & Specialist Registrar in Orthopaedics1; A. Lewis, FRCS(Orth), Consultant Orthopaedic Surgeon1; J. Cobb, FRCS, Professor of Orthopaedic Surgery1; B. Sampson, MRSC, CChem, Director of Supraregional Trace… Continue reading →