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Conventional total hip
replacement has failed the young active adult. The Birmingham Hip
Resurfacing addresses this difficult patient group.
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We have shown that the
femoral head remains viable after hip resurfacing.
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Femoral neck fracture is
a rare occurrence and in our experience has only occurred
in the presence of poor bone quality.
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Femoral head fixation
with cement has been shown by us and others to be extremely durable.
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We have seen early and
extensive ingrowth into the hydroxyapatite coated ForocastTm socket.
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It has been shown that
thick film lubrication is possible in these large headed metal on
metal hip resurfacing arthroplasty bearings.
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We have observed no wear
on retrieved Birmingham Hip Resurfacing bearings.
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We have measured low
blood metal ion levels in a highly active group of patients fitted
with the Birmingham Hip Resurfacing.
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We have measured low
frictional torque in these Birmingham Hip Resurfacing bearings
on a realistic loading pendulum apparatus.
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The dislocation rate is
very low and in 1,839 metal metal hip resurfacings performed between
February 1991 and December 1999 we have seen one dislocation.
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We have treated a young,
active patient group with arthritic hips when they needed
their treatment most, allowing them to return to work.
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Patients have achieved
excellent functional results after this procedure with many
participating in recreational sport allowing the health gain
associated with activity.
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In this young and active
population we have seen in our 1,720 hybrid hip resurfacings in the
Birmingham series between March 1994 to December 1999 an overall
99% success rate
and in our longest follow-ups we have a 98% survivorship at 6 - 7
years.