Original Article here

http://www.mcminncentre.co.uk/pdf/winter-2013.pdf

Earlier this year, Mr McMinn presented these results in a web lecture
entitled ‘BHR
and Other Options’…

…Mr McMinn makes three key statements during the lecture:

• hip resurfacing has better function compared to Total Hip Replacement (
  THR)
• BHR in young people has lower revision rate than THR
• BHR in men has a lower death rate compared to THR

The first 1000 Birmingham Hip Resurfacing patients underwent surgery between
July 1997 and August 2000 and outcomes are extremely positive. Looking at the
implant survivorship by gender, we see 98% in men and 91.5% in women at fifteen
years. Again, this is above the threshold set by the NICE guidelines. Breaking
it down even further and looking at both gender and age, there is a survivorship
rate of 99% in men over 60, 98% in men below 60, 96% in women over 60 and 91% in
women below 60, with these results all marked at the fifteen-year stage.

Results from the Oswestry Outcome Centre, consisting of a total of 3,762 BHRs
performed by 141 surgeons in 44 different countries, are impressive at the
ten year stage. A 95.16% survivorship rate indicates that not only is the
BHR successful all around the world, but, given the correct training, the
technique can be taught to other surgeons who  can maintain its high
standards.

The Australian Register producing an outcome of 93.7% at ten years
confirms this, with all of the outcomes sitting comfortably above the NICE
recommended guideline at ten years…

…Looking towards the future, Derek McMinn reveals he has been working on
the next generation of advanced hybrid cross-linked polyethylene to be used in
joint replacement called Polymix. The material is strong enough that it can be used
in thin layers with a wear-zone only section of cross-linked polyethylene, which
provides fantastic wear-resistance in the right places. It looks as though it could be an ideal
bearing choice for those patients who aren’t suitable for metal-on-metal
bearings.

You can view the lecture on the McMinn website at the following link:

http://www.mcminncentre.co.uk/research-lectures-15-year-results.html