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 “...

Metal-on-metal hip resurfacing is undertaken worldwide. This procedure helps preserve femoral bone stock and allows patients to return to high activity sports. Most outcome studies are individual surgeon case series from single centers where the results and outcomes are evaluated by the same surgeon. One method of increasing the external validity of a follow-up study is to have a multi-centre s...

Objectives To compare the clinical and cost effectiveness of total hip arthroplasty with resurfacing arthroplasty in patients with severe arthritis of the hip. Design Single centre, two arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation. Setting One large teaching hospital in the United Kingdom. Participants 126 patients older than 18 years with sev...

A comparison of pertinent preoperative and postoperative data relative to total hip resurfacing versus total hip arthroplasty (THA) would assist in evaluating current perceptions in outcome. We compared 50 consecutive metal-metal resurfacing replacements in 50 patients with 44 consecutive conventional total hip arthroplasties in 35 patients, who were implanted during the same time period, by th...

INTRODUCTION Metal-on-metal hip resurfacing has provided an alternative to standard total hip arthroplasty in younger, more active patients. However, detractors argue that many of the benefits of resurfacing can be obtained with the use of larger femoral heads. The purported advantages of the resurfacing procedure include preservation of femoral bone stock, increased range of motion, decreased ...

In 1938 Marion Smith-Peterson placed a cobalt chromium cup on a reshaped femoral head to perform the first hip resurfacing.15 Also, in 1938, Philip Wiles performed the first total hip replacement.17 Both procedures revolutionized the treatment of hip arthritis. Most surgeons are opposed to hip resurfacing because it is difficult to perform and there is a high rate of success with total hip repl...

BACKGROUND AND PURPOSE Hip prostheses that use a metal-on-metal articulation expose the brain to elevated metal concentrations that, in acute excess due to prosthesis malfunction, is associated with neurologic damage, including visual and hearing loss and motor deficits. Here, we examined whether chronic exposure to lower elevated metal levels, typical of well-functioning prostheses, also affec...

OBJECTIVE To compare the medium-term clinical effectiveness of total hip arthroplasty and resurfacing arthroplasty. DESIGN Single centre, two-arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation. SETTING A large teaching hospital in England. PARTICIPANTS 122 patients older than 18 years with severe arthritis of the hip joint, suitable for resurf...

We review the history and literature of hip resurfacing arthroplasty. Resurfacing and the science behind it continues to evolve. Recent results, particularly from the national arthroplasty registers, have spread disquiet among both surgeons and patients. A hip resurfacing arthroplasty is not a total hip replacement, but should perhaps be seen as a means of delaying it. The time when hip resurfa...

BACKGROUND Hip replacement (arthroplasty) surgery is a highly successful treatment for patients with severe symptomatic arthritis of the hip joint. For older patients, several designs of Total Hip Arthroplasty have shown excellent results in terms of both function and value for money. However, in younger more active patients, there is approximately a 50% failure rate at 25 years for traditional...