Total Hip Replacement

The Early Years

In the 1930's Phillip Wiles from the Middlesex Hospital designed and inserted the first total hip replacements. Prior to this date prosthetic replacement surgery was of the hemi-arthroplasty type with only one arthritic surface being replaced and the results were unsatisfactory. The records of Wiles' cases were lost during the war but one patient is reported to still have their implant in situ 35 years later.


BHR w/stem THR

January 2009 Dr. Bose has started using a different sort of implant when a patient does not qulaify for a BHR or a BMHR.  Although it is a Total Hip Replacement, he calls it a BHR with a stem.  It is different than the standard MoM (Metal-metal) THR by Smith & Nephew.  Here's his explanation and a photo of it.  Please keep in mind when he is referring to the right hip, it would be on the left side when you are looking at the x-ray.


Total Hip Replacement By Dr. Thomas Gross

I. Introduction
If you are contemplating having a total hip replacement, you should learn the facts, as much as they are known about, the expected benefits as well as the risks and possible complications of the procedure. This information booklet is designed to review the facts of hip replacement surgery as well as the alternative treatments (operative and non-operative) so that you may make a more informed decision regarding surgery.


Metal-on-Metal Total Hip Replacement By Dr. John Rogerson

Big Femoral Head (BFH) Stemmed Prosthesis

There are a variety of conditions that can lead to hip joint deterioration resulting in pain, reduced range of motion and decreased quality of life. Those conditions include:

  • Osteoarthritis
  • Rheumatoid Arthritis
  • Osteonecrosis
  • Traumatic Arthritis
  • Non-Arthritic Trauma


Perspective on Metal-On-Metal By Dr. Thomas Gross

As a patient there are two reasons you should consider a metal-on-metal total hip replacement:

  1. Extremely durable surface that is unlikely to ever wear out.
  2. Stability of the joint. Using a metal-on-metal bearing surface allows the manufacture of a large bearing hip joint that will not dislocate.