Bhr hip resurfacing surgical technique book

Apollo hospitals, india, is the pioneer of the birmingham hip replacement procedure in the asian region. Look up a bhr surgical technique and look at the pictures and you will see what i mean. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient. 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. The head wouldnt fit into the cup and your hip would be dislocated.

Hip resurfacing arthroplasty hra using metalonmetal bearings is an established but specialised technique in joint surgery. Mr mcminn has performed over 3000 bhrs since 1997 and nearly 100,000 bhrs have been performed worldwide. Advertising revenue from this site is derived from commercial advertising and individual donations. Birmingham hip resurfacing surgical technique orthoracle. The birmingham hip resurfacing was released in 1997. Unlike total hip replacement, birmingham hip resurfacing does not involve the removal of the femoral head and neck or removal of bone from the femur. 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. The more recent designs like the birmingham hip resurfacing bhr focused on metal to metal bearing surfaces. Dr derek mcminn birmingham hip resurfacing surface hippy. Contraindications patients with infection or sepsis patients who are skeletally immature.

Hip resurfacing is indicated in all the individuals with arthritis where conservative. The posterior approach is described in this technique. The bhr has over 22 years of clinical performance, and is the only hip resurfacing system with 18 years of published registry data. Hip resurfacing has been developed as a surgical alternative to total hip replacement thr. Provided the surgeon is trained to perform the procedure and the bone quality.

Mcminns series of nearly 2700 bhrs to date, the failure rate has been 1. Birmingham hip resurfacing bhr system and then damage the abductor muscles or their nerve supply in the surgical approach, use forcible retraction. Our elearning platform contains high resolution images and a certified cme of the birmingham hip resurfacing surgical procedure. 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. This book represents a comprehensive resource for all orthopedic surgeons wanting to incorporate hip. This preservation of bone allows for a much larger ball size, promoting greater stability of the hip.

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. Information, video, design, results, surgical technique. 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. The birmingham hip resurfacing device may be implanted through various hip surgical approaches. Orthopaedic hip and knee surgeon hip resurfacing surgeon. Bhr continues to be the most implanted resurfacing device worldwide and is the only hip resurfacing device with 14 years of registry data. The birmingham hip resurfacing is manufactured from ascast cobalt chrome, which has a proven clinical history of over 40 years. Birmingham hip resurfacing has been considered a breakthrough medical technique. Book chapter introduction the daa for tha has evolved into a safe and. 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. Birmingham hip resurfacing or surface replacement arthroplasty bhr with stem.

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. Bose has an experience of more than 2000 hip resurfacing surgeries. 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 influence of surgical approach on outcome in birmingham hip. The effect of patient selection and surgical technique on the results of conserve plus hip resurfacing3.

Hip resurfacing has been the poor relation of total hip replacement for the past 50 years. Great britains oswestry outcomes centres patient registry revealed bhr 10year survivorship of 95. 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. 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. It is designed to support, not to replace, the relationship between patient and clinician. The posterior approach, as described by derek mcminn. Complications of hip resurfacing surgery are similar to those detailed elsewhere relating to total hip replacement surgery. If a 50mm cup was implanted with a 54heads mm shell you wouldnt be walking. Hip resurfacing surgery india center asian regional. Birmingham hip resurfacing bhr, invented by derek mcminn, is a bone.

Hip resurfacing is a newer kind of hip replacement procedure which has advantages for younger patients. Rather than replacing the entire hip joint, as in a total hip replacement, hip resurfacing involves shaving and capping only a. Birmingham hip resurfacing system rediscover your go. We care india birmingham hip resurfacing or surface replacement arthroplasty is a boneconserving alternative to conventional total hip replacement thr. 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. By avoiding medullary canal intrusion, it preserves valuable femoral bone stock, making it a. Another benefit of the birmingham procedure is that the new joints last significantly longer than the typical 15. The birmingham hip resurfacing bhr is a metalonmetal prosthesis used in hip resurfacing procedure. The procedure is performed using a posterior approach with the patient in a lateral position. This is a great alternative for physically active patients. 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.

The use of these hip resurfacing implants has fallen from about 11% in 2006 to about 2. However technology, knowledge and surgical techniques have evolved over the past 45 years. The more recent designs like the birmingham hip resurfacing bhr focused on. Birmingham hip resurfacing bhr bone conserving alternative to. However technology, knowledge and surgical techniques have evolved over the. In the younger age group under 55 years with osteoarthritis, the failure rate of mr. 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. Hip orthopedic hip replacement surgery in india apollo. Hip resurfacing is a bone conserving procedure where the acetabulum hip socket is replaced and femoral head is resurfaced.

Part two discusses clinical followup of the hip resurfacing patient, including pre and postoperative examination, acoustic phenomena and. Hip resurfacing is a relatively new method in total hip replacement, treating. Recap magnum by biomet hip resurfacing at surface hippy. Instead of removing the head and neck of the femur, just the head is trimmed, and then a. I appreciate her enthusiasm, but the there is not a lot of good information in here. 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 best indication for hip resurfacing is a young active patient with severe hip. Asian regional center for hip resurfacing welcome to the website of the asian regional center for hip resurfacing arch. The bhr is also the worlds most successful mom hip resurfacing system with over 140,000 implantations globally. Hip resurfacing news presents information about hip resurfacing. 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. He lectured on the history, indications, surgical technique, and results of hip resurfacing over the 3 day meeting. Learn the birmingham hip resurfacing surgical technique with step by step instructions on orthoracle. Contact address the center for hip pain and preservation. Birmingham hip resurfacing system therapeutic goods. A bhr resurfacing head fitting into a bhr acetabular cup. The transmission will be available to view online as a live webcast, commencing at 15.

Hospital for special surgery 535 east 70th street new york, new york 10021. This chapter describes the history of this implant, the design rationale, a detailed surgical technique and clinical results. The bhr system is made up of multiple components and is used in hip resurfacing procedures. 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 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.

The bhrs unique design remains unchanged in its 14 years of clinical use. He is a tireless champion for safety, excellent surgical outcomes and high patient satisfaction. 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. 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. 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. This is a specialized surgical center in srm institutes for medical science sims. 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. 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.