title: Birmingham Mid-Head Resection hip arthroplasty in a young man with gigantism.
abstract: The Birmingham Mid-Head Resection (Smith & Nephew Ltd, Warwick, United Kingdom) arthroplasty is a new bone-conserving procedure that, like hip resurfacing, is used in younger, active patients. We present the case of a young man with Sotos syndrome (cerebral gigantism) with associated extraordinary stature (height, 2.16 m; weight, 157 kg) who underwent Birmingham Mid-Head Resection arthroplasty. The large stature of this patient required a custom manufactured prosthesis (a femoral head 68 mm in diameter with an acetabular cup 76 mm in diameter). We believe this to be the largest metal-on-metal resurfacing articulation and hip arthroplasty reported to date.
authors.affiliation: Mater Medical Research Institute, Mater Health Services, South Brisbane, Australia.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Murphy
authors.forename: Mark P
authors.initials: MP
authors.lastname: Shillington
authors.forename: Damon R
authors.initials: DR
authors.lastname: Mogridge
authors.forename: Simon F
authors.initials: SF
authors.lastname: Journeaux
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D005270:Femur Head / Q000601:surgery*; D006617:Hip Dislocation / Q000209:etiology* / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals; D017060:Patient Satisfaction; D011474:Prosthesis Design; D011859:Radiography; D058495:Sotos Syndrome / Q000150:complications*; D016896:Treatment Outcome
chemical_list: D008670:Metals