Uncemented fixation appears to be superior. Using the Zimmer Biomet Recap magnum system, we compared  cement to bone ingrowth fixation of the femoral component. Late femoral loosening occurred in 0.9% of cemented components and in no uncemented components.
Young women who desire a more functional hip replacement were recently dealt a large blow when the smaller sizes of the Birmingham Hip Resurfacing (BHR) device were withdrawn from the market by Smith Nephew Richards because the 10-year revision rate for women was higher than for men in most large registry analyses.
Background: In the 1970s and 1980s, hip resurfacing was largely unsuccessful, due to impingement, wear, and component loosening. Today, the availability of better technique and highly cross-linked polyethylene avoids the early causes of failure and provides a successful solution to younger, active patients with advanced osteoarthritis.
Metal on metal (MoM) hip resurfacing arthroplasty (HRA) as conceived by Derek McMinn and the late Harlan Amstutz in the 1990’s is unquestionably the proven gold standard for hip reconstruction in 2021. HRA is too challenging an operation for most joint replacement surgeons.
James W Pritchett - Hip resurfacing with a highly cross-linked polyethylene acetabular liner and a titanium nitride-coated femoral component
Hip resurfacing preserves femoral bone but the procedure has been limited by technical difficulty, health of the preserved bone, and wear and fixation of the bearing surfaces.1–5 Resurfacing patients have a lower incidence of mortality at 10 years compared to patients undergoing total hip replacement (THR)
This was a gathering of experienced and enthusiastic hip resurfacing surgeons from mostly the US, but a couple of surgeons from Europe. It was nice to see that Smith and Nephew put forth the resources to get us together. Since it was a S&N meeting, the results and emphasis were on the Birmingham Hip Resurfacing, the first of which was performed in 1997!
This lecture titled "BHR and Other Options" has been released by Derek McMinn as a tribute to Vicky Marlow, owner and founder of this site who was a fantastic voice and advocate for hip resurfacing. Vicky worked tirelessly with hundreds of patients about the benefits of hip resurfacing.
We have received a number of inquiries in our office regarding the merits of cemented versus non-cemented femoral head components in hip resurfacing arthroplasty.
If an HRA has failed, I try to solve the problem by revising only the acetabular component whenever possible because HRA are functionally better than THR. If only the acetabular component is revised, the patient still has a HRA. If the femoral component is revised, the patient now has a THA.
Metal-on-metal (MoM), ceramic-on-ceramic (CoC), and ceramicized metal-on-polyethylene (CMoP) bearings all were developed as a reaction to the well recognized mediocre long-term results with metal-on-polyethylene hips in younger, more active patients.
A recent opinion posted on surface hippy correctly pointed out that women have a higher risk than men. However this is changing as we learn the nuances of hip resurfacing and improve our techniques. Some surgeons avoid women; in my practice odds of success are now virtually the same in women and men. When making a decision regarding hip resurfacing
A recent Article in the Lancet medical journal has criticized hip resurfacing arthroplasty (HRA) as less durable than cemented 28mm total hip replacement (THR). I take exception to the inappropriate conclusion that the authors drew from this highly flawed study.