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Birmingham Hip Resurfacing







The Birmingham Hip Resurfacing arthroplasty (BHR) is a new development in hip replacement surgery developed by Derek McMinn and Ronan Treacy in Birmingham, England. They started experimenting and developing this technique in 1991. Early efforts were focused on the best design and fixation techniques. They have been using the Birmingham Hip Resurfacing arthroplasty in its current form since 1997. This procedure has been widely used in England, Belgium and other parts of Europe since 1997. It was introduced into Canada in 2003. It was only approved by the FDA for use in the United States in May of 2006.

Procedure for Birmingham Hip Resurfacing

The major difference between the Birmingham Hip Resurfacing arthroplasty and a conventional hip replacement is the Birmingham procedure preserved most of the bone of the femoral head. In conventional hip replacement surgery the femoral head and a portion of the femoral neck are completely removed and replaced with a stemmed prosthesis which is inserted into the medullary canal of the upper femur. The Birmingham procedure shapes the femoral head and recaps it with a metal surface replacement.

This preserved the normal bone of the upper femur and allows normal mechanics and weight bearing loads across this area. Normal load forces through the bone of the upper femur keep the bone healthy and strong.

The Aging Process

As a person ages, the skin loses some of its natural elasticity and the muscles gradually weaken. The aging process often has a pronounced impact on the abdominal region, resulting in a flabby, sagging midsection. For some, the loss of definition in the stomach area is a source of self-consciousness, as they begin to appear older and less fit than they feel. In such cases, a tummy tuck can have a rejuvenating effect on the entire body.

Genetics

The overall shape of one's body and the areas where pockets of fat tend to accumulate are largely determined by genetics. For some people, the bothersome flab that gathers in the abdominal region may not be reflective of their true level of activity and fitness. Even a person in his or her 20s, 30s, or 40s may be genetically predisposed to stubborn abdominal roundness; fortunately, plastic surgery can address this.

Traditional Tummy Tucks

Traditional tummy tucks are the most commonly performed type of tummy tuck surgery. They involve the creation of a hip-to-hip incision, as well as incisions around the belly button. Because they address the patient's entire abdominal area, they often involve moving the belly button to ensure natural looking results. Traditional tummy tucks are commonly combined with abdominal liposuction.

Mini Tummy Tucks

Mini tummy tucks (also called partial abdominoplasties) are intended for patients who are within 10 percent of their ideal body weight and are content with making alterations only to the part of the abdomen that is below the navel. Mini tummy tucks require only a single small incision. They usually do not involve repositioning the navel. Partial abdominoplasties result in less dramatic changes to the appearance of the abdomen.

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