Birmingham Hip Resurfacing - Literature Review

• Patients with infection or sepsis. • Patients who are skeletally immature. • Patients with any vascular insufficiency, muscular atrophy, or neuromuscular disease severe enough to compromise implant stability or postoperative recovery. • Females of child-bearing age due to unknown effect on the fetus of metal ion release.

•  Patients with bone stock inadequate to support the device including:
   - Patients with severe osteopenia should not receive a BHR procedure.
   - Patients with a family history of severe osteoporosis or severe osteopenia.
   - Patients with osteonecrosis or avascular necrosis (AVN) with >50% involvement of the
      femoral head (regardless of FICAT Grade) should not receive a BHR.
   - Patients with multiple cysts of the femoral head (>1cm) should not receive a BHR.
   - Note: In cases of questionable bone stock, a DEXA scan may be necessary to assess
               inadequate bone stock.

• Patients with known moderate to severe renal insufficiency.

• Patients who are immunosuppressed with diseases such as AIDS or persons receiving high doses of corticosteroids.

• Patients who are severely overweight.

• Patients with known or suspected metal sensitivity (e.g., jewelry).
 

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2/4/2007

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