Note by Patricia Walter: This information is only for hip resurfacing in Australia. Many experienced hip resurfacing surgeons have personal series of HR which are more positive than the results below.
Summary of 2016 AOANJIRR Report by Patricia Walter
PRIMARY TOTAL RESURFACING HIP REPLACEMENT
The Registry has recorded 8,895 total resurfacing hip replacement procedures in patients less than 55 years of age. In this age group, the use of primary total hip resurfacing as a proportion of primary total hip procedures, has declined from a peak of 30.2% in 2004 to 4.3% in 2015. … Read the rest
Everyone has slightly different needs. There are some basic items almost everyone needs and then there are things that some people want and others just don’t need.
Crutches – Normally crutches are supplied by the hospital. I used elbow crutches and they are much easier to use than normal under the arm crutches. Overseas hospitals use elbow crutches while US hospital still normally use old fashioned under the arm crutches. If you have to be on crutches for a long time, I would suggest getting a pair of elbow … Read the rest
We recently (June 3, 2015) received notification from Smith & Nephew, Inc.,
the manufacturer and distributor of the Birmingham hip resurfacing prosthesis (BHR),
of a voluntary removal (NOT RECALL) from the market of a number
of the smaller prostheses sizes (see below Dr. letter about females). Please
note, no further action is needed if you are not having any symptoms of pain or
decreased function following BHR hip resurfacing. If you are symptomatic, please
contact us to set up a follow-up
I would like to comment on Smith&Nephew’s BHR decision to exclude
females and smaller sizes than 48 mm.
The decision has been based on the renewed NICE criteria. I wouldn’t
say that I don’t want best outcomes for all of my patients. But if
you compare those criteria to other surgical outcomes it looks
extremely strict. I think it would be just consequent if the
collected data would have been collected the same way. The data
results could never be lets call it clean like they have been
collected. They are naturally influenced by so many things. For
June 30, 2015 – From a very philosophical standpoint hip arthroplasty is very unfair towards women!!!
Most men will have a socket size of 52 or over and therefore a 36 mms head can be used in all types of hip replacements. The 36 mms head is technically a “large head” and is a good option having serious resistance against dislocation. In addition men in general or not as lax / flexible as women and the risk of dislocation is significantly smaller. However the typical acetabular size in most women is 46 to 50. The small acetabular size in most … Read the rest
Smith and Nephew was asked to respond to the long-known worse outcomes in females. This was precipitated by the UK’s National Institute of Clinical Excellence (NICE) raising their 10 year outcomes requirement from 90% where it been for years, to 95%.
Raising the bar left females and small sizes below the bar (along with a great many total hips as well, so expect more fall-out), and males well above the bar. If you remember, the UK registry, on which their regulators base decisions, had an average doctor’s resurfacing volume of just 4 per year, … Read the rest
http://surfacehippy.info/10-year-results-highly-cross-linked-polyethlene-pritchett-2015.php Pat: Thanks for asking. In my view Smith & Nephew has acted responsibly. I have not been offering metal on metal resurfacing in the withdrawn smaller sizes. We have been offering just polyethylene in these sizes. I am attaching my abstract for an upcoming meeting. Yes, we use the implants shown on the Synovo Preserve site. We offer this to both men and women. We always use a cementless acetabular component and usually a cementless femoral component as well. Let me know the best way to reach patients. We are happy to talk with patients. I am concerned that … Read the rest
The continuing controversy – Thomas P. Gross MD. 7/4/2015 Young women who desire a more functional hip replacement were recently dealt a large blow when the smaller sizes of the Birmingham Hip Resurfacing (BHR) device were withdrawn from the market by Smith Nephew Richards because the 10-year revision rate for women was higher than for men in most large registry analyses. (The major national registries are Australia, Combined Scandinavia, and Great Britain). Joint implant registries estimate an overall failure rate for different implants when used by the average surgeon in a country. Specialist surgeons can typically perform better than these … Read the rest