RANDALL SCHULTZ MD
EXCELLENCE IN ORTHOPAEDICS

BIRMINGHAM HIP* Resurfacing System

An exciting new alternative to total hip replacement is now available in the United States. Used successfully for years around the globe, the BIRMINGHAM HIP Resurfacing System has recently been approved by the Food and Drug Administration for use in the United States. Now, patients suffering from hip pain due to arthritis, dysplasia or avascular necrosis can benefit from its conservative approach to treatment.

Because this technologically advanced surgical procedure resurfaces rather than replaces the end of your femur (thighbone), you may participate in more strenuous physical activity with an implant that is potentially more stable and longer-lasting than traditional total hip replacements. And if future revision surgery is required, it may be a less complex and less traumatic procedure.

In fact, a 1,626-hip study of the effectiveness of the technique found that 99.5-percent of patients responded they were “Pleased” or “Extremely pleased” with the results of their BIRMINGHAM HIP Resurfacing surgery.

The BIRMINGHAM HIP Resurfacing implant is not brand new. It has been in use around the world since 1997 and has since been implanted more than 60,000 times. It is new to the United States, however, where it was approved for use by the Food and Drug Administration in May 2006.

Although hip resurfacing is not a new concept, the technology behind the ground-breaking BIRMINGHAM HIP was developed by British orthopedic surgeons Mr. Derek McMinn and Mr. Ronan Treacy. The two surgeons now train orthopedists from around the globe on behalf of London-based medical device manufacturer Smith & Nephew. US surgeons given access to this implant may travel to England for specialized training or may train at one of the few US centers capable of hosting these focused sessions.

The benefits to patients of the BIRMINGHAM HIP Resurfacing technique and implant are clear. The implant’s head size, its bearing surfaces, and its bone-sparing technique make it a preferred choice for young, active patients. While the implant’s rate of survivorship is comparable to standard total hip replacements after five years, these three key advantages set the resurfacing technique and implant apart from its total hip replacement counterparts.

Who is a Candidate?

Hip resurfacing is intended for young, active adults who are under 60 years of age and in need of a hip replacement. Adults over 60 who are living non-sedentary lifestyles may also be considered for this procedure. However, this can only be further determined by a review of your bone quality.

There are certain causes of hip arthritis that result in extreme deformity of either the head of the femur or the acetabulum (hip socket). These cases are usually not candidates for hip resurfacing.

Talk with your orthopaedic surgeon to determine if hip resurfacing is the right option for you.

For more information about the BHR System, visit: www.BirminghamHipResurfacing.com. *Trademark of Smith & Nephew

The Procedure

Until just recently, your orthopedist would likely be recommending total hip replacement surgery at this point of your disease state. While it is clearly a more bone-sacrificing procedure than hip resurfacing, total hip replacement is a safe and effective surgery, and is performed more than 300,000 times per year in the United States.

As you may know, total hip replacement requires the removal of the femoral head and the insertion of a hip stem down the shaft of the femur. Hip resurfacing, on the other hand, preserves the femoral head and the femoral neck. During the procedure, your surgeon will only remove a few centimeters of bone around the femoral head, shaping it to fit tightly inside the BIRMINGHAM HIP Resurfacing implant.
Your surgeon will also prepare the acetabulum for the metal cup that will form the socket portion of the ball-and-socket joint. While the resurfacing component slides over the top of the femoral head like a tooth cap, the acetabular component is pressed into place much like a total hip replacement component would be.