Resurfacing for hips: March 2012 report on HR in women advised against

Josephine

NURSE DIRECTOR EMERITUS
Nurse Director
Joined
Jun 8, 2007
Messages
84,850
Age
82
Location
The North
Country
United Kingdom United Kingdom
Gender
Female
March 2012 from the British Journal of Bone and Joint Surgery would appear to indicate caution when planning to carry out Birmingham Hip Resurfacing device in women:

Birmingham hip resurfacing at a mean of ten years
Results from an independent centre


Synopsis:
independent review of 230 consecutive Birmingham hip resurfacings (BHRs) in 213 patients (230 hips) at a mean follow-up of 10.4 years.

The (implant) survival rate for the whole cohort was 94.5%.
The (implant) survival rate in women was 89.1% and in men was 97.5%.
Women were 1.4 times more likely to suffer (implant) failure than men.

For each mm increase in component size there was a 19% lower chance of a failure.
- mean Oxford hip score was 45.0 (median 47.0, 28 to 48);
- mean UCLA activity score was 7.4 (median 8.0, 3 to 9);
- mean patient satisfaction score was 1.4 (median 1.0, 0 to 9).

- a total of 8 hips had lysis in the femoral neck and 2 hips had acetabular lysis.
- 1 hip had progressive radiological changes around the peg of the femoral component.
- there was no evidence of progressive neck narrowing between five and ten years.

Our results confirm that BHR provides good functional outcome and durability for men, at a mean follow-up of ten years.
We are now reluctant to undertake hip resurfacing in women with this implant.
 

BoneSmart #1 Best Blog

Staff online

  • Pumpkin
    Staff member since March 26, 2015

Forum statistics

Threads
65,408
Messages
1,600,223
BoneSmarties
39,484
Latest member
tibiaplateauaft
Recent bookmarks
0
Back
Top Bottom