Birmingham hip resurfacing: a minimum follow-up of ten years

J Bone Joint Surg Br. 2011 Jan;93(1):27-33. doi: 10.1302/0301-620X.93B1.24134.


We report the survival, radiological and functional outcomes of a single surgeon series of his first 144 consecutive Birmingham hip resurfacing procedures (130 patients) at a minimum of ten years. There were ten revisions during this time. Although no patients were lost to follow-up some did not complete the scoring assessment or undergo radiological assessment at ten years. The ten-year survival for male patients was 98.0% (95% confidence interval 95.2 to 100). The ten-year survival for the total cohort with aseptic revision as the endpoint was 95.5% (95% confidence interval 91.8 to 99.0) and including revisions for sepsis was 93.5% (95% confidence interval 89.2 to 97.6). The median modified Oxford hip score at ten years was 4.2% (interquartile range 0 to 19) and the median University of California, Los Angeles score was 7.0 (interquartile range 5.0 to 8.0). This study confirms the midterm reports that metal-on-metal hip resurfacing using the Birmingham Hip provides a durable alternative to total hip replacement, particularly in younger male patients wishing to maintain a high level of function, with low risk of revision for at least ten years.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arthroplasty, Replacement, Hip / methods*
  • Epidemiologic Methods
  • Female
  • Hip Joint / diagnostic imaging
  • Hip Prosthesis
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / surgery*
  • Prosthesis Failure
  • Radiography
  • Reoperation
  • Treatment Outcome
  • Young Adult