scholarly journals Survival and functional outcome of the Birmingham Hip Resurfacing system in patients aged 65 and older at up to ten years of follow-up

2013 ◽  
Vol 38 (6) ◽  
pp. 1139-1145 ◽  
Author(s):  
Regis Pailhe ◽  
Gulraj S. Matharu ◽  
Akash Sharma ◽  
Paul B. Pynsent ◽  
Ronan B. Treacy
Keyword(s):  
Functional Outcome ◽  
Hip Resurfacing ◽  
Birmingham Hip Resurfacing

10-year results of the Birmingham Hip Resurfacing: a non-designer case series

2017 ◽  
Vol 28 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Thomas J.A. Hunter ◽  
Thomas S. Moores ◽  
David Morley ◽  
Gopikanthan Manoharan ◽  
Simon G. Collier ◽  
...  
Keyword(s):  
Case Series ◽  
Hip Resurfacing ◽  
Good Evidence ◽  
Birmingham Hip Resurfacing ◽  
Select Group ◽  
Age At Surgery ◽  
Significant Difference ◽  
Oxford Hip Score ◽  
Substantial Decline

Introduction: Recent controversies surrounding metal-on-metal (MoM) hip resurfacing has led to a substantial decline in its use. Despite this, there is good evidence to support the use of specific implants in select patients. Patients and methods: A retrospective analysis of Birmingham Hip Resurfacing (BHR) patients with a minimum of 10 years follow-up was performed. Functional scoring was performed with the Oxford Hip Score (OHS) and failure was defined as revision for any cause. 111 patients underwent 121 BHR procedures. All patients had a minimum follow-up of 10 years. 70 patients (63%) were male. Mean patient age at surgery was 52.5 years (male 53.9 years, female 48.8 years). Results: Overall survival at 10 years was 91% (97% male, 80% female). There was a statistically significant improvement in OHS postoperatively which remains at 10-year follow-up (p = <0.05). There was no significant difference in scores between the male and female groups. Revisions were most often in patients with smaller component sizes but this was not found to be statistically significant. Conclusions: Our results reflect that of the wider literature in that good outcomes can be obtained with this implant in a select group of patients and results are comparable to that of conventional hip arthroplasty in patients of a similar age.

Predicting changes in the status of patient-reported outcome measures after Birmingham Hip Resurfacing

2019 ◽  
Vol 101-B (11) ◽  
pp. 1431-1437
Author(s):  
M. Harrison-Brown ◽  
C. Scholes ◽  
M. Ebrahimi ◽  
C. Field ◽  
R. Cordingley ◽  
...  
Keyword(s):  
Bone Graft ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Hip Resurfacing ◽  
Patient Reported Outcome ◽  
Component Score ◽  
Womac Function ◽  
Birmingham Hip Resurfacing ◽  
Patient Reported

Aims It is not known whether change in patient-reported outcome measures (PROMs) over time can be predicted by factors present at surgery, or early follow-up. The aim of this study was to identify factors associated with changes in PROM status between two-year evaluation and medium-term follow-up. Patients and Methods Patients undergoing Birmingham Hip Resurfacing completed the Veteran’s Rand 36 (VR-36), modified Harris Hip Score (mHHS), Tegner Activity Score, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at two years and a minimum of three years. A change in score was assessed against minimal clinically important difference (MCID) and patient-acceptable symptom state (PASS) thresholds. Binary logistic regression was used to assess the relationship between patient factors and deterioration in PASS status between follow-ups. Results Overall, 18% of patients reported reductions in mHHS total score exceeding MCID, and 21% reported similar reductions for WOMAC function scores. Nonetheless, almost all patients remained above PASS thresholds for WOMAC function (98%) and mHHS (93%). Overall, 66% of patients with mHHS scores < PASS at two years reported scores > PASS at latest follow-up. Conversely, 6% of patients deteriorated from > PASS to < PASS between follow-ups. Multivariable modelling indicated body mass index (BMI) > 27 kg/m2, VR-36 Physical Component Score (PCS) < 51, VR-36 Mental Component Score (MCS) > 55, mHHS < 84 at two years, female sex, and bone graft use predicted these deteriorating patients with 79% accuracy and an area under the curve (AUC) of 0.84. Conclusion Due to largely acceptable results at a later follow-up, extensive monitoring of multiple PROMs is not recommended for Birmingham Hip Resurfacing patients unless they report borderline or unacceptable hip function at two years, are female, are overweight, or received a bone graft during surgery. Cite this article: Bone Joint J 2019;101-B:1431–1437.

Survivorship and clinical outcome of Birmingham hip resurfacing: a minimum ten years’ follow-up

2015 ◽  
Vol 40 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Md Quamar Azam ◽  
Stephen McMahon ◽  
Gabrielle Hawdon ◽  
Sukesh Rao Sankineani
Keyword(s):  
Clinical Outcome ◽  
Hip Resurfacing ◽  
Birmingham Hip Resurfacing

scholarly journals An 18-year comparison of hybrid total hip replacement and Birmingham hip resurfacing in active young patients

2019 ◽  
Vol 29 (6) ◽  
pp. 630-637 ◽  
Author(s):  
Sam C Jonas ◽  
Michael R Whitehouse ◽  
Simon Bick ◽  
Gordon C Bannister ◽  
Richard P Baker
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Resurfacing ◽  
Lower Mortality ◽  
Total Hip ◽  
Birmingham Hip Resurfacing ◽  
Significant Difference ◽  
Active Patients

Aim: To compare the long-term clinical and radiological results of metal-on-polyethylene hybrid total hip replacement (THA) with metal-on-metal Birmingham hip resurfacing (BHR) in young, active patients. Patients and methods: From the 1st consecutive 63 hips in young, active patients who underwent BHR by the senior author, 54 (51 patients) were matched to patients who had undergone THA with regard to age, gender, body mass index and preoperative levels of activity. Radiologically, all hips were assessed for migration and osteolysis, THAs for polyethylene wear and BHRs for a pedestal sign. Patient-reported outcomes, mortality and revision rates were compared. Results: The mean follow-up of the patients with a hybrid THR was 19.9 years and for those with a BHR, 17.6 years. 13 patients with a hybrid THR and 5 with a BHR had died. 1 hybrid THR and 3 BHRs were lost to follow-up. The revision rate of the hybrid THRs was 14/54 and of the BHRs 6/54. Log rank comparison of Kaplan-Meier survival estimates demonstrated a significantly lower mortality in the BHR group ( p = 0.039; hazard ratio [HR] = 0.37 [95% CI, 0.15–0.95]) but a non-significant difference in revision rates ( p = 0.067; HR = 0.43 [95% CI, 0.18–1.06]). The BHRs recorded superior OHS ( p = 0.03), UCLA ( p = 0.0096), and EuroQol visual analogue scores ( p = 0.03). Significantly more BHRs had run, played sport and undertaken heavy manual labour in the month preceding follow-up. Conclusion: After 18 years, patients with BHRs remained more active with a lower mortality rate but demonstrated no significant difference in revision rates. Both groups demonstrated progressive radiological changes at long-term follow-up.

Birmingham Hip Resurfacing: A Single Surgeon Series Reported at a Minimum of 10 Years Follow-Up

2015 ◽  
Vol 30 (7) ◽  
pp. 1160-1166 ◽  
Author(s):  
Akshay Mehra ◽  
Fiona Berryman ◽  
Gulraj S. Matharu ◽  
Paul B. Pynsent ◽  
Eric S. Isbister
Keyword(s):  
Hip Resurfacing ◽  
Birmingham Hip Resurfacing
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