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The BHR, Birmingham Hip Resurfacing, offers younger,
active patients more ROM, no restrictions of activities and almost
no possiblity of dislocations as many of the older THR hip devices.
Derek McMinn and Ronan Treacy at the Royal
Orthopaedic & Nuffield Hospitals, Birmingham, UK, have more than 9
years experience with metal on metal hip resurfacing devices. Hip
Resurfacing offers a patient a bone conserving operation since the
femur head does not have to be removed, just reshaped to accept the
cap of the BHR. Should a revision
be required at some time in the future, there is still an intact
healthy femur allowing for a 'primary' hip without the normal
complications associated with revision.
Hip resurfacing has been shown to eliminate the
problems of proximal femoral stress shielding and osteolysis caused
by plastic wear debris associated with traditional plastic/metal THR
hips. Hip resurfacing eliminates the problems of hip dislocation and
significantly reduces the problem of leg lengthening.
For patients with defects of the acetabulum,
the BHR offers the
Dysplasia Cup. These
are available in 6 sizes from 46mm to 66mm in 4mm
increments. The Dysplasia Cups are available in 6 sizes from 46mm to 66mm in 4mm
increments. The cup has 2 superolateral threaded lugs which allow
for a unique screw fixation to ensure solid cup fixation
in the deficient acetabulum. Structural bone grafting is
not required.
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