Birmingham Hip Resurfacing (BHR)*, also known as the BHR procedure, is a surgical procedure designed to restore the shape and function of the hip joint in patients suffering from various forms of arthritis, particularly in younger patients who have non-inflammatory arthritis. The procedure involves resurfacing the femoral head (which is the ball part of the髋关节) and the acetabulum (socket) with metal components, conserving as much natural bone as possible. In this article, we will provide a detailed overview of the BHR procedure, including its indications, advantages, preoperative preparation, surgical procedure, postoperative care, and potential risks and complications.
Indications and Advantages
BHR is particularly suitable for young patients who are active and wish to maintain an active lifestyle. The procedure is a less invasive alternative to total hip replacement (THR), which involves removing the entire hip joint and replacing it with a metal prosthesis. By resurfacing the joint, BHR conserves more natural bone, reducing the risk of future problems such as osteolysis (bone wearing out) and leg length discrepancy.
Preoperative Preparation
Before undergoing BHR, patients will need to undergo a thorough preoperative evaluation, which may include blood tests, physical examination, and imaging studies such as X-rays or MRIs. Patients may also require additional imaging to assess the acetabular bone stock. Additionally, patients will be advised to cease certain medications, such as aspirin and anti-inflammatory drugs, 10 days before surgery, and to quit smoking as soon as possible.
Surgical Procedure
BHR is typically performed through a posterior approach, which involves a larger incision for direct access to the hip joint. The procedure involves removing the arthritic femoral head and preparing the acetabulum for the metal socket. The metal femoral head is then fitted with a low-wear metal component, and the acetabular component is secured within the acetabulum. Finally, the muscles and soft tissues surrounding the joint are closed to ensure proper healing.
Postoperative Care
After BHR, patients will be discharged home or to a rehabilitation facility, depending on their postoperative pain and ability to recover at home. Patients will typically be provided with crutches for two weeks following surgery, and a cane may be recommended until six weeks post-op. Pain is managed with a combination of oral medication and physical therapy. Patients are encouraged to start exercising as soon as possible to promote recovery and restore mobility.
Potential Risks and Complications
Despite the benefits of BHR, there are potential risks and complications associated with the procedure. These can include infection, dislocation, fractures, nerve damage, and metalosis (an allergic reaction to the metal components). While these complications are rare, it is important for patients to be aware of them and to discuss them with their surgeon before proceeding with the procedure.
##Birmingham Hip Resurfacing (BHR) is a powerful tool in the treatment arsenal for patients suffering from arthritis. By conservativeely resurfacings the affected joint, BHR preserves natural bone and soft tissue, potentially leading to superior long-term outcomes compared to traditional hip replacement. As with any surgical procedure, careful preoperative preparation, meticulous surgical technique, and robust postoperative care are paramount to achieving the best possible results.
To learn more about BHR or to schedule a consultation, patients should contact the practicing physician directly or visit the relevant healthcare facility. Understanding the risks and benefits of BHR, patients can make informed decisions about their treatment and achieve the best possible outcomes following this innovative surgical procedure.
This document provides a comprehensive overview of the Birmingham Hip Resurfacing (BHR) procedure, including its indications, advantages, preoperative preparation, surgical procedure, postoperative care, and potential risks and complications. The information is intended for educational purposes and is not a substitute for medical advice or treatment. Every patient's case is unique, and specific medical advice should be provided by a qualified healthcare professional.
