Conventional Hip Replacement
Birmingham Hip Resurfacing
|Suitable for Elderly Patients||Suitable for Younger Patients|
|Head of femur (thigh bone) removed||Bone not removed|
|Articulation is metal with plastic||Articulation is metal with metal|
|Wears out rapidly in young and active patients||Everlasting' - based on 35 year history in Birmingham of Metal on Metal Articulation|
|Activity restriction required after surgery for fear of dislocation||Activity restriction not required after surgery as there is hardly any risk of dislocation (can sit on floor ,squat, use Indian toilet ,etc)|
|Sport not advised as the usage is inversly proportional the life of the hip replacement||Sport and High demand activities encouraged as usage is not related to life of resurfacing implant|
|Revision surgery invariably necessary in younger patients||Revision surgery not Required for younger patients|
The most extreme and well known example of this is the American footballer & baseball star Bo Jackson, who had a total hip replacement and returned to sport only for his hip to fail in under one year.
The best results of Hip Replacement in young patients are published from Wrightington in the north of England. This is the centre in which the conventional hip replacement was developed by Sir John Charnley in the early 60's. To this day this centre functions as a centre of excellence in Hip surgery and the institute is named after its founder Sir John.
This graph clearly shows that even in the best of centres Conventional Hip Replacement is not an attractive option in young patients.