PURPOSE We performed a systematic review to assess the functional outcomes of Birmingham Hip Resurfacing as reported in peer-reviewed literature. METHODS We performed a computerized search on the data sources up to February 2011. The following text and key words were searched: "Birmingham hip", "Birmingham hip resurfacing" and "Hip resurfacing". Each of these key words was again searched with...

Hip resurfacing is gaining popularity as an acceptable treatment option for young active patients with hip osteoarthritis. The Buechel-Pappas hip resurfacing system has a titanium alloy femoral and acetabular component with a polyethylene liner. The titanium nitride coating of the femoral component has been shown to have a very low wear rate during in vivo laboratory studies. Although it has be...

Major advances in total hip replacement have occurred since the prosthesis was first developed by Charnley in the 1960s. Yet substantial concerns currently exist over newer hip implants as a result of rising revision rates and increased risk of cancer. By the 1980s revision rates of total hip replacements were as low as 20% after 15 years of follow-up. Throughout this era, the main focus was re...

Metal-on-metal hip resurfacing has gained popularity as a feasible treatment option for young and active patients with hip osteoarthritis and high functional expectations. This procedure should only be performed by surgeons who have trained specifically in this technique. Preoperative planning is essential for hip resurfacing in order to execute a successful operation and preview any technical ...

UNLABELLED The optimal implant option for hip arthroplasty in the young, active patient remains controversial. There has been renewed interest for metal-on-metal hip resurfacing due to improved design and manufacturing of implants, better materials, enhanced implant fixation, theoretical advantages over conventional total hip arthroplasty, and recent Food and Drug Administration approval of two...

We have updated our previous randomised controlled trial comparing release of chromium (Cr) and cobalt (Co) ions and included levels of titanium (Ti) ions. We have compared the findings from 28 mm metal-on-metal total hip replacement, performed using titanium CLS/Spotorno femoral components and titanium AlloFit acetabular components with Metasul bearings, with Durom hip resurfacing using a Meta...

We report the outcome of total hip replacement in 29 failed metal-on-metal resurfacing hip replacements in which the primary surgery was performed between August 1995 and February 2005. The mean length of follow-up was five years (1.7 to 11.7). Of the 29 hip resurfacings, 19 acetabular components and all the femoral components were revised (28 uncemented stems and one cemented stem). There were...

BACKGROUND Metal-on-metal hip resurfacing with hybrid fixation has been introduced as an alternative to standard total hip arthroplasty, especially for young and active patients. There are few studies in the literature on the midterm results of cementless femoral side resurfacing. The purpose of this study was to present our seven-year clinical results of a series of twenty cementless metal-on-...

Total hip replacement arthroplasty and hip resurfacing are two of the most successful orthopaedic operations performed worldwide. Critical to the success of these operations is the accurate placement of the components. Correct component alignment reduces mechanical wear and the risk of dislocation. Traditionally, correct component alignment relies on the surgeon referencing from the position of...

There has been an increasing demand for hip resurfacing as an alternative to total hip arthroplasty. A number of reports have been published recently detailing the technique and role of resurfacing in a variety of extra-articular deformities, dysplastic conditions, and settings of retained intramedullary hardware and other impediments. The following report proposes a classification system that ...