title: Birmingham Hip Resurfacing: A Single Surgeon Series Reported at a Minimum of 10 Years Follow-Up.
abstract: We report outcomes on 120 Birmingham Hip Resurfacings (BHRs) (mean age 50 years) at a minimum of ten-years follow-up. Cases were performed by one surgeon and included his learning curve. Six hips were revised, with no revisions for infection, dislocation, or adverse reaction to metal debris. Ten-year survival was 94.2% (95% confidence interval (CI) 88.8%-98.7%) for all revisions and 96.1% (95% CI 91.5%-99.8%) for revisions for aseptic loosening. Gender (P = 0.463) and head size (P = 0.114) did not affect revision risk. Mean post-operative Harris hip score was 84.0. Contrary to previous independent reports, good outcomes into the second decade were achieved with the BHR in both men and women. Longer term follow-up will confirm whether these promising outcomes in women continue.
authors.affiliation: Alexandra Hospital, Redditch, United Kingdom. Electronic address: amehra@hotmail.co.uk.
authors.forename: Akshay
authors.initials: A
authors.lastname: Mehra
authors.affiliation: The Royal Orthopaedic Hospital, Birmingham, United Kingdom.
authors.forename: Fiona
authors.initials: F
authors.lastname: Berryman
authors.affiliation: The Royal Orthopaedic Hospital, Birmingham, United Kingdom.
authors.forename: Gulraj S
authors.initials: GS
authors.lastname: Matharu
authors.affiliation: The Royal Orthopaedic Hospital, Birmingham, United Kingdom.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Pynsent
authors.affiliation: New Cross Hospital, Wolverhampton, United Kingdom.
authors.forename: Eric S
authors.initials: ES
authors.lastname: Isbister
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006615:Hip / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D053208:Kaplan-Meier Estimate; D059032:Learning Curve; D008297:Male; D008670:Metals; D008875:Middle Aged; D009985:Orthopedics / Q000193:education*; D015207:Osteoarthritis, Hip / Q000401:mortality / Q000601:surgery*; D011184:Postoperative Period; D011446:Prospective Studies; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D008670:Metals
keywords: hip resurfacing; metal-on-metal; outcomes; revision surgery; survival