Birmingham Hip Resurfacing: A Single Surgeon Series Reported at a Minimum of 10 Years Follow-Up

J Arthroplasty. 2015 Jul;30(7):1160-6. doi: 10.1016/j.arth.2015.01.042. Epub 2015 Feb 2.


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.

Keywords: hip resurfacing; metal-on-metal; outcomes; revision surgery; survival.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Arthroplasty, Replacement, Hip / adverse effects
  • Arthroplasty, Replacement, Hip / methods*
  • Female
  • Follow-Up Studies
  • Hip / surgery
  • Hip Prosthesis*
  • Humans
  • Kaplan-Meier Estimate
  • Learning Curve
  • Male
  • Metals
  • Middle Aged
  • Orthopedics / education*
  • Osteoarthritis, Hip / mortality
  • Osteoarthritis, Hip / surgery*
  • Postoperative Period
  • Prospective Studies
  • Reoperation
  • Retrospective Studies
  • Treatment Outcome


  • Metals