At the end of last year we were celebrating 20 years BHR (Birmingham hip resurfacing). The talk of my colleague Dr Edwin Su shows the best conclusion of the history and the future.

https://www.youtube.com/watch?v=aFZYO4Jqv3c

 

The author Dr. Derek McMinn made an update one year before:

https://www.youtube.com/watch?v=q5_1s87VsBE

 

And two very interesting studies:

2015 Jul-Aug;25(4):330-8. doi: 10.5301/hipint.5000268. Epub 2015 Jun 12.

Hip resurfacing: history, current status, and future.

Abstract

Hip resurfacing arthroplasty (HRA) presents several advantages over conventional total hip arthroplasty (THA), including conservation and preservation of bone, reduced risk of dislocation, easy replication of hip biomechanics and easy revision if needed. It is a particularly appealing procedure for young patients. HRA has been performed for over 40 years following the same technological advances as THA. The bearing material used by most designs is metal-on-metal (MoM), which has the best compromise between strength and wear properties. However, MoM HRA has a specific set of possible complications. Aseptic femoral failures were initially the most prevalent cause for revision but progress in patient selection and surgical technique seem to have resolved this problem. Wear-related failures (high metal ion levels and adverse local tissue reactions) are now the main concern, and are essentially associated with poor acetabular component design and orientation, to which MoM is more sensitive than other bearing materials. The concept of functional coverage is key to understanding how MoM bearings are affected by edge wear. Only a 3-D assessment of cup position (e.g., the contact patch to rim distance) provides the necessary information to determine the role of cup positioning in relationship with abnormal bearing wear.The concept of hip resurfacing is more valid today than ever as the age of the patients in need of hip arthroplasty keeps getting lower. The recent publication of several excellent long-term survivorship results suggests that selection of a well-designed resurfacing system and accuracy in the placement of the cup can achieve long-term durability.

And another study from 2017:

Current_Insights_Regarding_Metal-on-Metal_Bearings

 

 

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