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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.

Original publication

DOI

10.1016/j.arth.2015.01.042

Type

Journal article

Journal

J Arthroplasty

Publication Date

07/2015

Volume

30

Pages

1160 - 1166

Keywords

hip resurfacing, metal-on-metal, outcomes, revision surgery, survival, Adult, Arthroplasty, Replacement, Hip, Female, Follow-Up Studies, Hip, Hip Prosthesis, Humans, Kaplan-Meier Estimate, Learning Curve, Male, Metals, Middle Aged, Orthopedics, Osteoarthritis, Hip, Postoperative Period, Prospective Studies, Reoperation, Retrospective Studies, Treatment Outcome