Birmingham Hip Resurfacing - Literature Review

Additional Data Sources

Additional Data Sources
The main data sources were presented above but additional, less complete data on 3,374 BHR cases performed by 140 surgeons worldwide (other than the single investigator) was summarized. This is called the Worldwide/Other Cohort.

Demographic information for the Worldwide/Other Cohort included gender, age, diagnosis, BMI, baseline OSHIP scores. The study cohort demography was similar in the Worldwide/Other Cohort and the X-Ray / Oswestry combined cohort, with the mean age of 53.0 years in the X-Ray/Oswestry combined cohort and 52.5 years in the Worldwide/Other Cohort. The diagnostic indications were somewhat different between cohorts: OA (78% X-Ray / Oswestry combined cohort vs. 90.8% Worldwide/Other Cohort).

A comparison of the revisions and survivorship estimates for the X-ray/Oswestry combined cohort versus the Worldwide/Other Cohort was provided. The primary reason for revision in the Worldwide/Other Cohort was a fracture in 34 cases (1.0%), loosening in 26 cases (0.8%), infection in 7 cases, AVN in 5 cases, dislocation in 5 cases, miscellaneous device failures in 5 cases, pain in 3 cases, and unknown in 3 cases (Table 23).

Table 23: Revisions
X-Ray / Oswestry Combined Cohort N = 1626
  Preop 1 Year 2 Years 3 Years 4 Years 5+ Years
Number of Procedures* 1626 1626 1553 1499 1238 916
Revisions - 10 5 5 1 3
Survivorship estimates - 99.4 99.0 98.7 98.6 98.4
Worldwide / Other Cohort N = 3374
Number of Procedures* 3374 3374 3051 2888 2493 1417
Revisions - 35 15 14 7 5
Survivorship estimates - 98.7 98.0 97.5 97.0 96.3

* The number of procedures is the number of hips that were surviving at the end of the previous year based on the survival analysis. Note that for the Survivorship data the “year 1” data is starting from day 1 and the “year 2” data is starting from day 366, etc.

The Worldwide/Other Cohort patients had slightly lower OSHIP scores at all time points (Table 24).

Table 24: OSHIP - Worldwide / Other Cohort

  Baseline 1 Year 2 Years 3 Years 4 Years 5 Years
Worldwide OSHIP
assessment
395 2356 2492 2364 1379 505
Worldwide Mean
OSHIP
56.95 91.67 92.47 92.45 91.86 89.77


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2/4/2007

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