Published: 04 November 2013
Last Updated: 04 November 2013
Created: 04 November 2013
Juliet's Revision of BHR 2002
April 26, 2011
I had a hip resurfacing (Birmingham Hip) on 5/10/02 (left hip). I was 50
years old. Very fit, a keen skier, tall and slim. I had done my research and
decided that resurfacing was definitely for me, but the first consultant I went
to wouldn't/couldn't do a resurfacing but put me on to Mr. Kalesh Desai at
Charing X hospital in London. I checked with the hospital in Birmingham where
the BHR had been developed and they confirmed to me that Mr. Desai had trained
The operation was deemed a success. I had an epidural. The op lasted about 4 1/2
hours. I was out of hospital within 5 days, and never again used crutches. I
managed with a stick and made a rapid recovery. By February 2003 I was skiing
black runs in the Alps. I was thrilled with my hip and continued to lead a very
full physical life.
In June 2008, while living in France, I noticed that I had large lump in my left
groin. It was not painful, but I decided to go to the local doctor. He
immediately sent me to hospital fearing that it might be a hernia or worse,
cancer. I was x-rayed, cat scanned and had an ultra sound. I was told that my
lump was a hard mass which contained blood and tissue. It was drained for 3 days
while I was hospitalized and then I was discharged. Within a week the lump had
come back, and I was readmitted to hospital. This time a drain was put in under
local anesthetic in a scanner. I was there for 7 days while they continued to
drain it. The doctor wanted to operate and remove the hard shell that constantly
filled, but I decided to return to London and ask Mr. Desai's opinion.
Mr. Desai sent me for an MRI in September 2008. He reassured me that my hip was
fine and that the lump had nothing to do with it. He advised that I should do
nothing and see if it went of its own accord.
On 28 Feb this year I went to see Mr. Desai as my right hip has been giving me
pain for sometime now and I was aware from all my previous x-rays and scans that
there was very little cartilage left and so it was time to start thinking of
another resurfacing, this time on the right. However, I pointed out to Mr. Desai
that I still had my strange lump. He immediately sent me for an x-ray, cat scan,
and this time a blood test to check my metal levels. He informed me that since
my visit in 2008 further research had been done and patients had presented with
'pseudo tumors' as a result of excessive metal levels. He said that if this was
the case I would have to think about replacing my left hip as well as the right.
I was very distraught at this information.
I received the results of my blood test which were chromium levels 25.3 (norm is
3) and cobalt level 15.8 (norm is 2). So the advice is to replace the
resurfacing with a large ceramic head, THR and do the same on the right.
I have done much research and discovered that the metal levels would appear to
be due to the fact that the hip was not correctly placed at an angle of 40o
causing it to rub.
This has occurred mostly in women under the age of 60, and according to some
surgeons, especially in tall, slim, small boned women.