Surface Hippy - Guide To Hip Resurfacing

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BHR (Birmingham Hip Resurfacing) Information and History

*Gathered by Vicky Marlow Freelance Patient Advocate Volunteer Miami Orthopedic Conference 10/2007
 

BHR 10 years of Data

The first BHR was implanted in July 1997 and it is unchanged until present day.  

96.1% survivorship overall 

McMinn 99.8% at 8 years

Treacy 99% at minimum 5 years
Shimmin et al 99.14% at 3 years

Oswestry Cohort, FDA approval Data 2006 98.7% at 4 years

 

U.S. Statistics as of 10/2007

There have been 1000 surgeons trained to date
 Only about 50% of those surgeons actually do the procedure (they are all however listed on the Smith &Nephew website
There have been 7000 BHR's installed in the U.S. to date
 

 

Oswestry Registry 5000 BHR's to date 2007

99.8% survivorship at 3.3 years

95.7 % at 8 years
99.5% of these patients were happy at 5 years. 
3227 were male, 1602 female, there were 50 revisions, 14 were fractures, 14 collapsed neck

 95.7% satisfied at 8 years

The 1.5% neck fracture - due to learning curve.

 

Australian National Joint Registry

 

Resurfacing hip systems requiring revisions 1999 - 2007

BHR device implantation in Australia started in 1999

Competitors devices started in 2000/2001

Resurfacing Product

Number revised

Total Number

% Revised

Observed Component years

Revisions per 100 observed component years

ASR

31

753

4.1

1042

3

BHR

166

6773

2.5

19585

0.8

Conserve Plus

4

59

6.8

134

3

Cormet 2000

8

95

8.4

288

2.8

Durom

25

564

4.4

927

2.7

Recap

2

50

4

81

2.5

These numbers were all from the Australian Hip Registry which was established in 1999. A total of 140,018 patients registered with 160349 procedures out of which 8361 were resurfacings.

The BHR was started in 1999 and the competitors started in 2000 and 2001. This is the latest data published in that registry. I am sure there are more details in the registry itself, but this is all the data, well minus 1% of resurfacing done in Australia. I think it is somewhat a good overall feel for the results considering it is gathered over almost the same amount of time, from all of Australia in all patients given the procedure which would cover all doctors, etc.
 

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