The Birmingham mid head resection (BMHR) arthroplasty can be used as an alternative to conventional stemmed total hip arthroplasty in young patients unsuitable for hip resurfacing. This study investigated the effect of stem size on femoral neck fracture in the BMHR. Sawbones composite femurs were randomly allocated to one of the following groups: (1) unprepared femur with no prosthesis, (2) fem...

The outcomes of hip resurfacing arthroplasty are largely dependent on prosthesis positioning. The biomechanics of notching, accurate measurement of femoral implant version and the use of computer navigation of the Birmingham Hip Resurfacing procedure were studied in this work. First, biomechanical tests were conducted with varying notch sizes and femoral positions, and it was determined that an...

A cadaver study using six pairs of lower limbs was conducted to investigate the accuracy of computer navigation and standard instrumentation for the placement of the Birmingham Hip Resurfacing femoral component. The aim was to place all the femoral components with a stem-shaft angle of 135 degrees . The mean stem-shaft angle obtained in the standard instrumentation group was 127.7 degrees (120 ...

Few independent studies have reported the outcome of resurfacing arthroplasty of the hip. The aim of this study was to report the five-year clinical outcome and seven-year survival of an independent series. A total of 610 Birmingham Hip Resurfacing arthroplasties were performed in 532 patients with a mean age of 51.8 years (16.5 to 81.6). They were followed for between two and eight years; 107 ...

Early failure associated with adverse reactions to metal debris is an emerging problem after hip resurfacing but the exact mechanism is unclear. We analysed our entire series of 660 metal-on-metal resurfacings (Articular Surface Replacement (ASR) and Birmingham Hip Resurfacing (BHR)) and large-bearing ASR total hip replacements, to establish associations with metal debris-related failures. Clin...

The rate and mode of early failure in 463 Birmingham hip resurfacings in a two-centre, multisurgeon series were examined. Of the 463 patients two have died and three were lost to follow-up. The mean radiological and clinical follow-up was for 43 months (6 to 90). We have revised 13 resurfacings (2.8%) including seven for pain, three for fracture, two for dislocation and another for sepsis. Of t...

BACKGROUND Resurfacing is a popular alternative to a standard hip replacement in young arthritic patients. Despite bone preservation around the femoral component, there is little information regarding the bone quality. PATIENTS AND METHODS 32 patients underwent consecutive Birmingham hip resurfacing. The bone density of the femoral neck was measured preoperatively and then at 6 weeks, 3 month...