Unfortunately mr mcminn is purely private these days mate so as far as hip resurfacing goes my choices in the uk would be no1 ronan treacy, no2 mr ohara, no3 mr latham. Hip orthopedic hip replacement surgery in india apollo. Provided the surgeon is trained to perform the procedure and the bone quality. The bhrs unique design remains unchanged in its 14 years of clinical use. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. Hospital for special surgery 535 east 70th street new york, new york 10021. Hip resurfacing is a bone conserving procedure where the acetabulum hip socket is replaced and femoral head is resurfaced. Instead of removing the head and neck of the femur, just the head is trimmed, and then a. We care india birmingham hip resurfacing or surface replacement arthroplasty is a boneconserving alternative to conventional total hip replacement thr. Hip resurfacing has been the poor relation of total hip replacement for the past 50 years. The birmingham hip resurfacing device may be implanted through various hip surgical approaches. The head wouldnt fit into the cup and your hip would be dislocated. The posterior approach is described in this technique.
The procedure consists of placing a cap usually made of cobaltchrome metal, which is hollow and shaped like a mushroom, over the head of the femur while a matching metal cup similar to what is used with a thr is placed in the acetabulum pelvis socket, replacing the articulating surfaces of the. This book was published prior to information on the newer total hip replacement thr technologies and prior to the birmingham hip resurfacing bhr procedure approval by the fda for united states. Orthopaedic hip and knee surgeon hip resurfacing surgeon. Recap magnum by biomet hip resurfacing at surface hippy. Birmingham hip resurfacing bhr, invented by derek mcminn, is a bone. A bhr resurfacing head fitting into a bhr acetabular cup. The use of these hip resurfacing implants has fallen from about 11% in 2006 to about 2. The transmission will be available to view online as a live webcast, commencing at 15.
This is a great alternative for physically active patients. He lectured on the history, indications, surgical technique, and results of hip resurfacing over the 3 day meeting. The effect of patient selection and surgical technique on the results of conserve plus hip resurfacing3. Fifty patients received a cormet hip resurfacing implant stryker, kalamazoo, mi and seven patients received a birmingham hip resurfacing implant smith and nephew, memphis, tn. Hip resurfacing is a newer kind of hip replacement procedure which has advantages for younger patients.
In the younger age group under 55 years with osteoarthritis, the failure rate of mr. Birmingham hip resurfacing or surface replacement arthroplasty bhr with stem. Dr derek mcminn birmingham hip resurfacing surface hippy. The influence of surgical approach on outcome in birmingham hip. The more recent designs like the birmingham hip resurfacing bhr focused on metal to metal bearing surfaces. Hip resurfacing has been developed as a surgical alternative to total hip replacement thr. By avoiding medullary canal intrusion, it preserves valuable femoral bone stock, making it a. Su was invited to present his hip resurfacing experience to over 15,000 chinese orthopaedic surgeons at the chinese orthopaedic association meeting in beijing, china. The bhr system is made up of multiple components and is used in hip resurfacing procedures.
Great britains oswestry outcomes centres patient registry revealed bhr 10year survivorship of 95. Birmingham hip resurfacing system therapeutic goods. The book attempts to be comprehensive, describing, for example, each in its own short chapter, fifteen modern some discontinued resurfacing designs, and covers indications, examination, surgical technique, nonstandard anatomy and extended indications, investigation and treatment of the painful or failing resurfacing, revision surgery. Birmingham hip resurfacing system nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. In this chapter the rationale for hip resurfacing arthroplasty as well as key aspects of patient selection, anatomical background, surgical technique, postoperative treatment, and complications. The more recent designs like the birmingham hip resurfacing bhr focused on. Advertising revenue from this site is derived from commercial advertising and individual donations.
Our elearning platform contains high resolution images and a certified cme of the birmingham hip resurfacing surgical procedure. Birmingham hip resurfacing system rediscover your go. This book represents a comprehensive resource for all orthopedic surgeons wanting to incorporate hip. The bhr is also the worlds most successful mom hip resurfacing system with over 140,000 implantations globally. Another benefit of the birmingham procedure is that the new joints last significantly longer than the typical 15.
Learn the birmingham hip resurfacing surgical technique with step by step instructions on orthoracle. In hip resurfacing, the size of the ball is larger than in a traditional hip replacement, and it is closer to the size of the natural ball of your hip. It is designed to support, not to replace, the relationship between patient and clinician. This is a specialized surgical center in srm institutes for medical science sims. Mr mcminn has performed over 3000 bhrs since 1997 and nearly 100,000 bhrs have been performed worldwide. The warnings have been updated in the instructions for use ifu and advise that the following groups of patients are at greater risk of requiring early revision surgery if implanted with a bhr. Anton is one of the most experienced hip resurfacing surgeons in the united states, with over 600 surgeries, and is the regions foremost expert in this surgery. Younger active male patients who suffer from hip pain due to noninflammatory arthritis degenerative joint disease such as osteoarthritis, traumatic arthritis, avascular necrosis, or dysplasiaddh, or inflammatory arthritis such as rheumatoid arthritis, may benefit from the boneconserving approach of the. The surgical approach used for hip resurfacing is typically a more extensive version of what is needed for a standard total hip arthroplasty tha, in that the femoral head is preserved and must be sufficiently displaced to allow visualization of the acetabulum.
Bose has an experience of more than 2000 hip resurfacing surgeries. However technology, knowledge and surgical techniques have evolved over the past 45 years. The birmingham hip resurfacing bhr system was approved by the fda in 2006, and has since been linked to a host of debilitating injuries in patients, including a buildup of toxic levels of cobalt and chromium in the hip joint and bloodstream, which many require painful and costly revision surgery. This chapter describes the history of this implant, the design rationale, a detailed surgical technique and clinical results. Thousands of medical tourists from across the globe come to apollo hospitals, to undergo bhr not just for the cost factor, but also for the expertise. Asian regional center for hip resurfacing welcome to the website of the asian regional center for hip resurfacing arch.
Birmingham hip resurfacing has been considered a breakthrough medical technique. The birmingham hip resurfacing bhr is a metalonmetal prosthesis used in hip resurfacing procedure. Book chapter introduction the daa for tha has evolved into a safe and. He is a tireless champion for safety, excellent surgical outcomes and high patient satisfaction. The procedure is performed using a posterior approach with the patient in a lateral position. Contact address the center for hip pain and preservation. Birmingham hip resurfacing bhr system and then damage the abductor muscles or their nerve supply in the surgical approach, use forcible retraction.
If a 50mm cup was implanted with a 54heads mm shell you wouldnt be walking. Hip resurfacing is a relatively new method in total hip replacement, treating. Apollo hospitals, india, is the pioneer of the birmingham hip replacement procedure in the asian region. Since the reemergence of hip resurfacing using metalonmetal bearings, the majority of surgeons have preferred the posterolateral approach. Bhr continues to be the most implanted resurfacing device worldwide and is the only hip resurfacing device with 14 years of registry data. The following are key considerations in planning and carrying out the surgical procedure. The posterior approach, as described by derek mcminn. This stance is controversial because several factors can affect the risk of dislocation, such as surgical approach, and the type and size of the.
The bhr has over 22 years of clinical performance, and is the only hip resurfacing system with 18 years of published registry data. Other surgical approaches to the hip may be used however, the posterior approach is favoured by the designer surgeon and his submitted clinical data is based on this approach. The birmingham hip resurfacing was released in 1997. In 1997, the fixation was made even more reliable using an advanced porous fixation surface and the birmingham hip resurfacing bhr was introduced. Hip resurfacing surgery india center asian regional. Birmingham hip resurfacing bhr bone conserving alternative to. Look up a bhr surgical technique and look at the pictures and you will see what i mean. The development of the birmingham hip resurfacing bhr prosthesis was inspired by the lack of osteolysis in longterm first generation metalonmetal total hip implants.
In addition to all those detailed, however, there has also been shown to be a slight increase in the early complication rate in hip resurfacing when compared to. The best indication for hip resurfacing is a young active patient with severe hip. Hip resurfacing arthroplasty hra using metalonmetal bearings is an established but specialised technique in joint surgery. Additional complications of hip resurfacing surgery. Complications of hip resurfacing surgery are similar to those detailed elsewhere relating to total hip replacement surgery. The birmingham hip dual mobility insert is intended for use in birmingham hip resurfacing bhr system revision surgeries in cases where an acetabular cup is retained and the femoral component revised. When implanted in an appropriate patient, and in accordance with the surgical technique, the bhr offers a boneconserving and clinically proven alternative to conventional total hip arthroplasty tha in male patients requiring a high level of postoperative. Based on the experience of leading experts in the field, the hip resurfacing handbook provides a comprehensive reference for all aspects of this important procedure. Because of their age, young patients may require more than one hip procedure in their lifetime. Contraindications patients with infection or sepsis patients who are skeletally immature. Hip resurfacing news presents information about hip resurfacing. The birmingham hip resurfacing is manufactured from ascast cobalt chrome, which has a proven clinical history of over 40 years.
Information, video, design, results, surgical technique. Modern hip resurfacing from derek mcminn attempts to explain the complex world of hip resurfacing arthroplasty from the history of the procedure to the development of the prosthesis, progressing through biomechanics and surgical technique, indications and complications with discussions on outcomes with personal recommendations. However technology, knowledge and surgical techniques have evolved over the. During a birmingham hip resurfacing procedure, the orthopedic surgeon will only replace the portion of the joint that is damaged, instead of replacing the entire hip joint. Arthritis of the hip, in most cases, is primarily a wearing away of the cartilage on the ball and socket of the hip joint, leading to painful rubbing of bone on bone. Birmingham hip resurfacing surgical technique orthoracle. This preservation of bone allows for a much larger ball size, promoting greater stability of the hip. Birmingham hip resurfacing bhr sacramento walnut creek, ca.
Rather than replacing the entire hip joint, as in a total hip replacement, hip resurfacing involves shaving and capping only a. Part two discusses clinical followup of the hip resurfacing patient, including pre and postoperative examination, acoustic phenomena and. Hip resurfacing is indicated in all the individuals with arthritis where conservative. Clinical and functional outcomes of the birmingham hip. I appreciate her enthusiasm, but the there is not a lot of good information in here. Live surgical webcast of birmingham hip resurfacing derek mcminn will demonstrate a birmingham hip resurfacing procedure from spire little aston hospital during a live satellite transmission to the usa on friday 12th june 2009.
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