Birmingham Hip Resurfacing: A Single Surgeon Series Reported at a Minimum of 10 Years Follow-Up

被引:23
作者
Mehra, Akshay [1 ]
Berryman, Fiona [2 ]
Matharu, Gulraj S. [2 ]
Pynsent, Paul B. [2 ]
Isbister, Eric S. [3 ]
机构
[1] Alexandra Hosp, Redditch, Worcs, England
[2] Royal Orthopaed Hosp, Birmingham B31 2AP, W Midlands, England
[3] New Cross Hosp, Wolverhampton, W Midlands, England
关键词
hip resurfacing; metal-on-metal; outcomes; revision surgery; survival; SURFACE REPLACEMENT ARTHROPLASTY; ON-METAL BEARINGS; THAN; 50; YEARS; ACETABULAR COMPONENT; FEMORAL COMPONENT; ION LEVELS; PSEUDOTUMORS; ORIENTATION; WEAR; NECK;
D O I
10.1016/j.arth.2015.01.042
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We report outcomes on 120 Birmingham Hip Resurfacings (BHRs) (mean age 50 years) at a minimum of ten-years follow-up. Cases were performed by one surgeon and included his learning curve. Six hips were revised, with no revisions for infection, dislocation, or adverse reaction to metal debris. Ten-year survival was 94.2% (95% confidence interval (CI) 88.8%-98.7%) for all revisions and 96.1% (95% CI 91.5%-99.8%) for revisions for aseptic loosening. Gender (P = 0.463) and head size (P = 0.114) did not affect revision risk. Mean post-operative Harris hip score was 84.0. Contrary to previous independent reports, good outcomes into the second decade were achieved with the BHR in both men and women. Longer term follow-up will confirm whether these promising outcomes in women continue. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:1160 / 1166
页数:7
相关论文
共 47 条
[1]  
AMSTUTZ HC, 1977, CLIN ORTHOP RELAT R, P261
[2]   Metal-on-metal hybrid surface arthroplasty:: Two to six-year follow-up study [J].
Amstutz, HC ;
Beaulé, PE ;
Dorey, FJ ;
Le Duff, MJ ;
Campbell, PA ;
Gruen, TA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (01) :28-39
[3]  
[Anonymous], 2013, AUSTR NATL JOINT REG
[4]  
[Anonymous], 2012, MDA2012036 MHRA
[5]  
[Anonymous], 2013, 10 NAT JOINT REG ENG
[6]   Early results of conversion of a failed femoral component in hip resurfacing arthroplasty [J].
Ball, Scott T. ;
Le Duff, Michel J. ;
Amstutz, Harlan C. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (04) :735-741
[7]   2008 Otto Aufranc Award: Component Design and Technique Affect Cement Penetration in Hip Resurfacing [J].
Beaule, Paul E. ;
Matar, Wadih Y. ;
Poitras, Philippe ;
Smit, Kevin ;
May, Olivier .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2009, 467 (01) :84-93
[8]   Charnley total hip arthroplasty in patients less than fifty years old - A twenty to twenty-five-year follow-up note [J].
Callaghan, JJ ;
Forest, EE ;
Olejniczak, JP ;
Goetz, DD ;
Johnston, RC .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1998, 80A (05) :704-714
[9]  
CHARNLEY J, 1961, LANCET, V1, P1129
[10]   Birmingham hip resurfacing at a mean of ten years RESULTS FROM AN INDEPENDENT CENTRE [J].
Coulter, G. ;
Young, D. A. ;
Dalziel, R. E. ;
Shimmin, A. J. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (03) :315-321