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Birmingham Hip Resurfacing Surgery - Dr Vijay C Bose - Results
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1200 Hip resurfacing Procedures
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| - 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 |
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Outcome in consecutive 1200 hips
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| - 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. |
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Lost to follow up- 2 patients
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| 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 |
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