The Birmingham Mid-Head Resection Arthroplasty - Minimum Two Year Clinical and Radiological Follow-Up: An Independent Single Surgeon Series

Abstract

We report the results of the Birmingham Mid-Head Resection Arthroplasty (BMHR) for patients with poor femoral head bone quality where standard hip resurfacing is contraindicated. This is a clinical and radiological follow-up of the first 35 consecutive procedures (34 patients, 16 male, 18 female) performed by an independent surgeon. The mean follow-up was 2.8 years (2.1 to 4.1) and no patients were lost to follow-up. The mean age at the time of surgery was 50.4 years (23.8 to 69.4). There were no failures. The mean HHS improved from 46.6 (25 to 70) pre-operatively to 96.1 (72 to 100) post-operatively. The mean OHS was 36.4 (19 to 53) pre-operatively and 14.2 (12 to 34) post-operatively. The mean WOMAC score was 45.6 (7 to 92) pre-operatively and 4.3 (0 to 28) post-operatively. The mean UCLA activity score was 4.5 (1 to 9) pre-operatively and 7.6 (5 to 10) post-operatively. Radiographic analysis did not show any adverse features such as stress shielding, loosening or femoral neck narrowing. The BMHR provides an excellent alternative to conventional total hip arthroplasty in patients with poor femoral head bone quality who are not suitable for standard resurfacing.