Hip Resurfacing was RIGHT for us!

Hip Resurfacing Has a New Life — What This Means for You

3/23/2026  By Thomas P. Gross, MD –  Hip Resurfacing Surgeon

Hip resurfacing in the United States is entering an exciting new chapter. Beginning in June 2026, the Recap/Magnum resurfacing implant—made to the same specifications previously used by Zimmer Biomet—will once again be available. It took more than a year and a half to purchase the design rights, but manufacturing has now restarted, and implants should arrive in Columbia, SC early this summer.

This comes at the perfect time, as the Birmingham Hip Resurfacing (BHR) implant made by Smith & Nephew is being phased out. Once our center, Midlands Orthopaedics, has several months of supply, these new Recap/Magnum implants and updated instruments will become available to other surgeons across the U.S. Our goal is simple:

We want to keep hip resurfacing available to patients everywhere—not just at our center.

I do not receive royalties for this implant.

Dr. Gross Hip Resurfacing Surgeon Columbia SC
Dr. Thromas Gross

Why This Matters

The BHR has been the most widely used resurfacing implant worldwide and the only  implant  with an FDA‑approved indication for hip resurfacing in the U.S. in 2025. It has an excellent long‑term record when used by experienced surgeons. However:

  • Smith & Nephew stopped producing the implant because sales dropped from $100 million per year to $9 million.
  • The company has not produced smaller sizes (<48 mm) for years, making it impossible to use in women and smaller men.
  • It uses cement on the femoral side, which increases failure risk in patients with weaker bone or osteonecrosis or other large bone defects.

While I’ve used the BHR successfully for men over 5’9″ with strong bone, it is not ideal for all patient types.

Information for Patients

If you are interested in hip resurfacing with:

  • The BHR while supplies last
  • The Polymotion resurfacing implant (limited availability through our FDA study)
  • The uncemented Recap/Magnum starting June 2026

Please visit grossortho.com and submit a consultation request.

Why the Recap/Magnum is Important

With the Recap/Magnum system, I have performed over 6,000 surgeries and published the best long‑term hip resurfacing outcomes in the world, with:

  • 98% implant survival at 18 years
  • Excellent results in men and women
  • Successful outcomes for all sizesall diagnoses, and all bone qualities, including osteonecrosis
  • Success even when up to half of the femoral head was damaged

These results consistently outperform long‑term total hip replacement outcomes reported by major academic centers. These implants are also FDA approved but not for the indication of total hip resurfacing. This is an off label use which is legal. FDA regulates how manufacturers market devices, but not how surgeons use them. It is part of every single doctors practice in the USA to use FDA approved drugs and implants in the best interest of their patients, even if they are not approved for marketing for a certain “indication”.  For example all uncemented total hip and total knee devices implanted before the mid 80s were used off label. Tranexamic acid is used to prevent blood loss in surgery in joint replacement. Not using it off label in this fashion would almost be a breach in the standard of care.

Recap/Magnum Hip Resurfacing Device
Recap/Magnum

What Surgeons Need to Know

We plan to make the Recap/Magnum available to many U.S. surgeons over the next year, beginning with high‑volume resurfacing specialists.
Surgeons who have performed fewer than 500 resurfacing cases will need to spend a day observing surgery in Columbia, SC before receiving implants. Even high volume surgeons who are not familiar with the nuances of doing resurfacing in women and smaller framed men are encouraged to visit.

Why? Because hip resurfacing—especially in women and smaller men—requires very precise technique:

  • Smaller sizes have a smaller “safe zone” and can be easily positioned incorrectly.
  • Incorrect positioning can cause edge‑loading and excessive wear.
  • Dysplastic hips may require specialized components, such as a Trispike cup.
  • I developed the RAIL Safe Zone, which reliably prevents adverse wear.
    In nearly 8,000 cases, when the cup was placed in this zone, there has never been an adverse wear failure.

 

We want this implant widely used—but used well, so its excellent track record continues.

If you are a surgeon and would like access to the Recap/Magnum implant once it becomes available, please contact my secretary Evelyn Washington through my website grossortho.com. We are building a list so we can keep you updated.

Learn About Hip Resurfacing

Hip Resurfacing – A Patient’s Perspective on Long-Term Success

 

Dive into the world of Hip Resurfacing through the lens of a 19-year veteran of the surgery. From first-hand experience to a studied analysis of patient outcomes, this in-depth exploration unveils the real benefits of this transformative procedure. Learn how over 90,000 people worldwide have reclaimed their mobility, with impressive results of active and unrestricted lifestyles. Discover the remarkable long-term success rates and the significant impact on patients’ quality of life. Join us in sharing this enlightening journey into the world of hip resurfacing – a beacon of hope for those in need of a hip replacement alternative.

Read More

Hip Resurfacing – A Patient’s Perspective on Long-Term Success

 

Join us as we delve into the world of hip surgery with an insider’s view on Hip Resurfacing and Total Hip Replacement (THR). Our comprehensive guide, enriched with decades of research, personal experiences, and expert opinions, aims to clarify the differences between these two procedures, their long-term impacts, and how to make the right choice for your health. From understanding the intricacies of your natural bone to the technology that’s revolutionizing these surgical procedures, we promise to shed light on every aspect. Connect with us as we reveal the secrets to successful hip resurfacing surgery and help you navigate this significant health decision.

Read More

Hip Resurfacing – A Patient’s Perspective on Long-Term Success

 

“Experience, Experience, Experience” – that’s the mantra when it comes to choosing the right surgeon for hip resurfacing surgery. With 18 years of personal experience and insights from thousands of patients, we’ve developed an all-inclusive Patient’s Guide to help you navigate this crucial decision. Our guide will equip you with key questions to ask potential surgeons, tips to evaluate their expertise, and insights into insurance and cost considerations. Moreover, it highlights the significance of personal instincts and confidence in your chosen surgeon. With our guide, you’ll have the clarity to make an informed decision that aligns with your specific needs and comfort. Embark on this life-changing journey with confidence and knowledge.

Read More

Hip Resurfacing was RIGHT for us!

Navigating the landscape of hip resurfacing devices can feel a bit overwhelming. Different types of hip resurfacing devices, such as the Birmingham Hip Resurfacing system, the ReCerf Ceramic on Ceramic system or the Polymotion cobalt chrome head/Vitamin E crosslinked system  offer tailored solutions for distinct needs. Each comes with its own set of benefits, adeptly catering to varying medical profiles and activity levels. This article will walk you through the primary types and features of these devices, ensuring you’re equipped with the knowledge you need to make informed decisions about your health and mobility.

Click to Read More

Polymotion Information

Polymotion Trial Doctors

1 – Florida Locations
Tampa, Florida, United States, 33613
Florida Medical Clinic Orlando Health
Contact: Eric Border
813-979-0440  eric.border@orlandohealth.com
Principal Investigator: Stephen Raterman, MD

2 – Illinois Locations
Chicago, Illinois, United States, 60612
Rush University Medical Center
Contact: Anne DeBenedetti
312-432-2468  Anne.DeBenedetti@rushortho.com
Principal Investigator: Craig Della Valle, MD

3 –  Maryland Locations
Baltimore, Maryland, United States, 21215
Sinai Hospital / LifeBridge Health
Contact: Taj-Jamal Andrews
443-506-3022  tandrews@lifebridgehealth.org
Principal Investigator: Michael Mont, MD
Sub-Investigator: Ronald Ronald, MD

4 – New York Locations
NYU Longone
Contact: Daniel Waren
954-559-2251  Daniel.Waren@nyulangone.org
Principal Investigator: Ajit Deshmukh, MD
Sub-Investigator: William Macaulay, MD
Sub-Investigator: Scott Marwin, MD
Sub-Investigator: Matthew Hepinstall, MD

5 – Ohio Locations
New Albany, Ohio, United States, 43054
Joint Implant Surgeons
Contact: Michael Sneller
614-964-0348
snellerma@jisortho.com
Principal Investigator: David Crawford, MD

6 – Oregon
Portland, Oregon, United States, 97239
Oregon Health & Science University
Contact : Hannah Hoffman
503-494-8262
behrensh@ohsu.edu
Principal Investigator: Thomas Huff, MD

7- South Carolina Locations
Midlands Orthopaedics & Neurosurgery
Contact: Dani Gailard Campbell
864-561-5142   dani.gaillard@midorthoneuro.com
Principal Investigator: Thomas Gross, MD
Sub-Investigator: Coleman Fowble, MD

8 –  Virginia Locations
Newport News, Virginia, United States, 23606
Hampton Road Orthopaedics
Contact: Anthony Carter, MD
757-871-8132  orthoace34@gmail.com
Principal Investigator: Anthony Carter, MD

9 – Bermuda
Paget, Trevelyan, Bermuda, DV04
Orthopaedic and Physiotherapy Associates
Contact: William Peckett, MBBS, FRCS
+1-441-333-5123  WillPeckett@opa.bm
Principal Investigator: William Peckett, MBBS, FRCS
Sub-Investigator: Ronan Treacy, FRCS

ReCerf Receives its CE Mark, Advancing Access to Ceramic Hip Resurfacing Across Europe

MatOrtho® is proud to announce that the ReCerf® Hip Resurfacing Arthroplasty (HRA) has received its CE mark, confirming compliance with European safety and performance standards. This important milestone expands access to hip resurfacing, enabling wider availability across the UK, Europe and internationally where CE marking supports market access.

ReCerf is the world’s first commercially available ceramic HRA, first approved by Australia’s Therapeutic Goods Administration in November 2024. Since its initial use in 2018, over 1,600 patients have received the device. Patient-reported outcomes are highly positive, and the revision rate remains very low up to six years.

ReCerf Receives its CE Mark, Advancing Access to Ceramic Hip Resurfacing Across Europe

ReCerf Surgeons

Learn more about the ReCerf Ceramic on Ceramic Device here:  https://surfacehippy.info/recerf-info/RECERF2025.pdf

Australia

Prof. William (Bill) L. Walter

MBBS (Syd), FRACS (Orth), FAOrthA, PhD (surgery)
***1200 Hip Resurfacings to date***
300 ReCerf to date***
Kolling Building
10 Westbourne Street
Royal North Shore Hospital
St Leonards NSW 2065
Phone: +61 0(2) 9160 6662 (Aust)
Email: lmcdonald@billwalter.com.au
Website: http://billwalter.com.au

Prof Patrick Weinrauch

***1000+ Hip Resurfacings to date
MBBS (Qld) MEng PhD DiMM FRACS FAOrthA
Brisbane Hip Clinic
141 Warry Street
Fortitude Valley Q 4006 Australia
Tel: (07) 3831 9777
Fax: (07) 3831 9771
Website: www.brisbanehipclinic.com.au

Professor Piers Yates

MBBS(Hons) BSc(Hons) MRCS FRCS(Tr & Orth) FRACS(Ortho)
1000+ hip resurfacings since 2001, trained by Jeremy Latham, Gordon Bannister, Treacy***
Orthopaedics WA
Suite 15, Wexford Medical Centre
3 Barry Marshall Parade, Murdoch, WA 6150
Western Australia
Tel: 08 9312 1135
Fax: 08 93321187
email: Email: piersyates@orthopaedicswa.com.au
www.orthopaedicswa.com.au

Mr.  David Young MBBS, FRACS (ORTH)

Melbourne Orthopaedic Group
33 The Avenue
Windsor 3181 Victoria
Phone: 03 9510 6828
Email: mailto:davidyoungadmin@mog.com.au
Website: www.davidyoung.net.au

Belgium

Free Email Consultation
Dr. Koen De Smet

6500 Hip Resurfacings to date ***
320 ReCerf COC Hip Resurfacings to date***
14,000 Hip Replacements to date***

AMC
Anca Medical Centre
Xavier De Cocklaan 68.1
9831 St.Martens Latem (Deurle)
Belgium
+32 9 2525903
http://www.hip-clinic.com/

Valle Giulia Roma Italy
www.ancaclinic.it
E-mail: info@heup.be

Canada

John Antoniou MD, PhD, FRCSC

1500 Hip Resurfacings to date***

Jewish General Hospital
Orthopaedic Department, E-003
3755 Cote Sainte Catherine West
Montreal, QC H3T 1E2
Canada
(514) 340-8222  ext.4615
fax: (514) 340-7595
www.shoulderhipknee.com
e-mail: malevisatos@jgh.mcgill.ca

Paul E. Beaulé MD FRCSC

ReCerf Surgeon
The Ottawa Hospital – General Campus
501 Smyth Road, CCW 1640
Ottawa, ON K1H 8L6
613-737-8899 ext. 73265

Italy

Paul E. Beaulé MD FRCSC

ReCerf Surgeon
The Ottawa Hospital – General Campus
501 Smyth Road, CCW 1640
Ottawa, ON K1H 8L6
613-737-8899 ext. 73265

UK

Mr. Jim Holland

 BHR Trained McMinn & Treacy 1998
1000 Hip Resurfacings to Date***
Newcastle Nuffield Hospital
Nuffield health,
Clayton Road
Jesmond,
Newcastle-upon-Tyne
NE2 1JP
email: jim.holland@nuth.nhs.uk
phone (+44) 0191 256 3039

Mr. Shakir Hussain MBBS, MRCS, FRCS (Tr & Orth)

BHR trained by Ronan Treacy 2020
300+ BHR to date

Using the ReCerf (MatOrtho) Ceramic on Ceramic implant and the Zimmer H1 Ceramic on Ceramic implant
The Royal Orthopaedic Hospital Birmingham UK
Bristol Road South Northfield Birmingham
B31 2AP
Phone 0121 685 4000 ext 55339
Website: https://roh.nhs.uk/our-team/hip/shakir-hussain

Mr. Jeremy Latham MA MCh FRCS(Orth)

600 Hip Resurfacings to date***
Spire Southampton Hospital
Chalybeate Close
Southampton
SO16 6UY
Tel: +44 2380 914483
PA: Anne Harding
Email
Anne.Harding@spirehealthcare.com
Latham Consultancy Website

South Africa

Dr. Leith Stewart

300 Hip Resurfacings to date***
Room 806
Claremont Medical Centre
Main Road
Claremont
7708 C.P.
South Africa
Te: l +(0)21 683 6037
Fax: +(0)21 683 6633
E-mail: leithstewart@kingsley.co.za

Professor Cobb inventor H1 Ceramic on Ceramic Hip Resurfacing Device
daurka Surface Hippy - All About Hip Resurfacing
Mr. Gikas Hip Resurfacing Surgeon Cleveland Clinic London using H1 COC
Mr Logishetty Hip Resurfacing Surgeon Cleveland Clinic London using H1 Ceramic on Ceramic hip resurfacing device

Professor Justin Cobb

BM BCh (Oxon)   Consultant Orthopaedic Surgeon  +44 80 8134 0987

Sees patients at: Cleveland Clinic London Hospital Primary clinical interests are: Hip Injuries, Knee Injuries, Arthritis of the Hip, Arthritis of the Knee, Knee Pain Speaks: English

Mr Jasvinder Daurka

MBChB MSc FRCS(Tr & Orth)   Consultant Orthopaedic Surgeon    +44 80 8303 2488

Sees patients at: Cleveland Clinic London Hospital, Primary clinical interests are: Arthritis of the Hip, Hip Impingement, Hip Labral Tears, Hip Fractures, Pelvic Fracture Speaks: English

Mr Panagiotis Gikas

BSc (Hons), MBBS (Hons), MD (Res), PhD FRCS   Consultant Trauma and Orthopaedic Surgeon    +44 80 8303 2488

Sees patients at: Cleveland Clinic London Hospital, Primary clinical interests are: Arthritis of the Knee, Arthritis of the Hip, Knee Cartilage Injury, Hip Cartilage Injuries Speaks: English, French, Greek

Mr Kartik Logishetty

MBBS BSc (Hons) MSc PhD FRCS (Tr & Ortho)   Consultant Orthopaedic Surgeon   +020 3423 7500

Sees patients at: Cleveland Clinic London Hospital, Primary clinical interests are: Osteoarthritis of the Hip, Hip Impingement, Hip Dysplasia, Hip Labral Tears, Hip Fractures Speaks: English

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Learn More About Hip Resurfacing

About the Surfacehippy Website and Patricia Walter

March 15, 2026 is the 20 year anniversary of receiving my BHR Birmingham Hip Resurfacing from Dr. De Smet in Belgium in 2006

My hip resurfacing is still great and I never had problems with it. I still believe hip resurfacing is a great alternative to a total hip replacement for the right candidate – normally younger people that are very active and want no restrictions.

I started my website https://surfacehippy.info in 2005 to provide people with information about hip resurfacing. There are over 2300 articles, 1700 personal stories and 7000+ members in the Hip Talk Discussion Forum.

I work on the website as a full-time job to keep it up to date with new information and stories. I never regretted having a hip resurfacing or starting my website to help people learn about hip resurfacing.

I will continue to share new device information and person stories. There are many new and interesting devices being developed and active trials for hip resurfacing.

Patricia’s 15 Year Anniversary Video from 2021

Patricia Walter's Hip Resurfacing Story - Belgium and My BHR
Free Downloadable PDF

How to Donate To Surfacehippy.info

People ask how to make donations to the Surfacehippy.info website. This is the PayPal link. Donations are always appreciated.

Mission Statement

Surface Hippy® presents information about hip resurfacing. It does not provide medical advice. 

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All information posted here is public and available for all visitors to read.

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All content is controlled and owned by Patricia Walter at Joint Health Sites.
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