dislocation

Resurfacing

ConceptBirmingham Hip Resurfacing

 

Femur

- removal of femoral head cartilage

- resurfacing with metal

- cemented / uncemented

 

Acetabulum

- standard technique

 

Bearing surface

- metal on metal

 

Indications

 

Relatively young man (40 - 50)

OA

Dislocation

IncidenceTHR Dislocation

 

2-3% of cases 

- doubles with infrequent operator

- second most common reason for revision after loosening

 

Australian Joint Registry

- dislocation accounts for 14.8% of revisions

 

Positions

 

Posterior dislocation

- hip flexed, adducted, IR