Hip Resurfacing

Hip resurfacing or 'The Birmingham Hip' is a technique designed to reline rather than replace the worn hip joint.


A total hip replacement is the standard operation for an osteoarthritic hip. During a hip replacement the head and neck of the femur are removed. A cavity of approximately 15-20 cm long is then made in the shaft of the femur and a metal stem inserted. A cup is then placed into the socket which has been reamed to shape.

BHRX-ray BHRX-ray

In hip resurfacing, the hip joint is relined rather than replaced. The head and neck of the femur are preserved. The worn surfaces of the head and socket are carefully machined away with precision instruments. The joint is then lined with a metal covering for the head and socket.

The hip resurfacing implant has three key potential advantages:


The newest development in The Birmingham Hip Resurfacing is the Birmingham Midhead Resection (BMHR). This was developed to widen the amount of people who can be offered a hip resurfacing.


In particular, it is aimed at patients who may have a deformed femoral head, collapse of the femoral head or patients who have poorer bone quality (for example women who are near the menopause). It comprises the well tested Birmingham Hip articulation, but has a short stem that passes down the femoral neck, but does not pass into the shaft and as such retains the bone conserving advantages of traditional resurfacings.

Mr Malik is part of the initial group of surgeons asked to perform clinical evaluation of this hip resufacing and would be happy to discuss its appropriateness for each individual at time of surgery.

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