Birmingham Hip Resurfacing

Birmingham Hip Resurfacing (BHR) is an orthopedic surgical procedure used to treat arthritis in the hip. It's often seen as an alternative to total hip replacement, particularly for younger and more active patients. Here's an overview of the method:

  1. Concept: Unlike a total hip replacement, which involves replacing the entire hip joint with artificial components, Birmingham Hip Resurfacing involves reshaping and capping the femoral head (the ball at the top of the thigh bone) with a smooth metal covering. A metal cup is also placed in the acetabulum (hip socket). This method preserves more of the patient's natural bone structure.

  2. Procedure:

    • The surgeon makes an incision to access the hip joint.

    • The femoral head is trimmed and resurfaced, removing any damaged bone and cartilage.

    • A metal cap is placed over the resurfaced femoral head.

    • The hip socket (acetabulum) is also prepared by removing damaged bone and cartilage.

    • A metal cup is then inserted into the hip socket.

    • The metal cap and cup create a new, smooth bearing surface for the joint.

  3. Materials: The components used in BHR are typically made of cobalt-chromium alloys, known for their strength and biocompatibility.

  4. Advantages:

    • Bone-preserving: It removes less bone than a total hip replacement.

    • Stability: Lower risk of dislocation due to the larger size of the femoral head component.

    • Activity: Suitable for younger patients who wish to maintain a higher level of physical activity.

  5. Recovery: Recovery from BHR can be quicker than from a total hip replacement, though it still involves several weeks of physical therapy and gradual return to activities.

  6. Considerations: Not everyone is a candidate for hip resurfacing. Patients with very poor bone quality, certain hip deformities, or those who are of a very advanced age may not be suitable candidates.

It's important for anyone considering this procedure to discuss it thoroughly with their orthopedic surgeon, considering factors such as their age, activity level, bone quality, and overall health.