Birmingham Hip Resurfacing Surgery - Dr Vijay C Bose - Results
1200 Hip resurfacing Procedures
- 373 AVN (Largest series in the world)
- 237 Ank.Spondylitis, ( 22 fused hips)
- 37 Post- perthes/SUFE
- 48 inflammatory arthropathy
- 25 hip dysplasia
- 6 idiopathic chonodrolysis
- 3 post – TB
- 448 primary OA
- 23 post acetabular fracture
- Longest followup was 85 months post op
Outcome in consecutive 1200 hips
- Fracture of the femoral neck -1 .Acetabular side was intact. Femoral side was revised to anatomical head metal on metal hip resurfacing.
- Varus collapse (delayed primary failure) – 4 (inflammatory arthropathy) Acetabular side was intact. Femoral side was revised to anatomical head metal on metal hip resurfacing.
- Dislocations - 1 (recovery room) Open reduction was done in the immediate post operative day.
- Acetabular cup loosening – 2 (Acetabular side was revised at 6 weeks and 4 years respectively) – AVN Of these one had to be revised on the femoral side as well due to the size requirement.
Lost to follow up – 2 patients
| AVN Group | Non AVN Group |
| Intra op fracture of the acetabulum - nil | Intra op fracture of the acetabulum1(minor) |
| Violation of femoral neck by stem - nil | Violation of femoral neck by stem - 1 |
| Notching of neck - 1 | Notching of neck - nil |
| Femoral nerve palsy (transient) - 2 | Femoral nerve palsy (transient) - 2 |
| Infections | Infections |
| Superficial - 1 Deep -0 | Superficial - 0 Deep - 1 |
| Heterotrphic ossification - 1 | Heterotrphic ossification - nil |
| Shortening - 1 | Lengthening - 2 |






I continue to be excited and thankful about my progress. At the end of week 4, I was hiking at the edge of the wilderness again and doing stream crossings in the crystal clean mountain water. (photo attached) During the 6th week, my hiking time was up to 8 hours on relatively easy terrain along the headwaters of the Dearborn river. My quads and hamstrings are building strength daily and the ROM is almost back to normal. I still am challenged by a full squat but I keep working on it each day using props for support.