What is New in Hip Resurfacing?

http://www.hipresurfacingindia.com

Articular Surface Replacement of the hip joint is being performed for over
eight years now in India with very good results in young active patients requiring
bone conserving replacement of the hip joint.
Resurfacing of the hip joint is only advisable when the shape of femoral
head and strength of the bone can support the prosthesis. Healthy active patients in
their third or fourth decade who will benefit from a conservative arthroplasty but
have poor bone quality in the proximal half of the head of femur are ideally suited for
the new prosthesis called Birmingham Mid Head Resection prosthesis (BMHR). With
this prosthesis, the fixation of the femoral component depends less on the bone of
the femoral head but more on the stem in the healthy part of the head and neck. The
femoral medullary cavity is not opened as in the case of modular BHR with a long
stem.

Prosthesis: The BMHR uses the same socket (hydroxyapatite-coated metal

uncemented cup) and bearing(metal on metal) as the BHR. The modular head
component fits onto a hydroxyapatite proximal porous coated cobalt chrome stem. It
is an uncemented short stemmed prosthesis. It was invented by Prof. Dereck
Mc.Minn a year ago and is performed by very few surgeons the world over. In India it
is being done only at the Asian Regional Center for Hip Resurfacing in Chennai.

Dynamics: The head of femur is resected just above the head and neck junction.
The following dotted line C indicates the level of resection at the head for a
Birmingham Mid Head Modular Resection prosthesis. Lines A and B represent the
conventional hip resection levels for Total hip replacement and neck sparing total hip
replacement, respectively. The resection level for resurfacing is more proximal to line
C.
Indications: The specific type of arthroplasty for a given patient depends on the
volume of necrotic segment, patient demographics and activity demands.
1. Extensive avascular necrosis of the femoral head.
2. Developmental dysplasia with shortened head-neck segment.
3. Large cysts of the femoral head.
4. Involution of the head of femur due to severe arthritis.

Advantages: The BMHR prosthesis due to metal on metal bearing does not
wear easily. Patients who have poor residual viable bone can still have the
benefits of a near natural hip by using this prosthesis. The BMHR stem offers
the advantage of a more physiological proximal loading than the BHR.

References:
Avascular Necrosis in the young Patient: A Triology of Arthroplasty Options. By
Derek J.W. McMinn, FRCS; Joseph Daniel, FRCS: Chandra Pradhan 2005

For More Details about Hip Resurfacing Visit Us

http://www.hipresurfacingindia.com