Hip Resurfacing Surgery

Hip Resurfacing surgery (HRS)

Unlike the western population hip arthritis occurs in young patient in India / Asia. Hence conserving bone becomes crucial. The BHR (Birmingham Hip Resurfacing) and BMHR (Birmingham Mid Head Resection) prosthesis is specifically developed for younger and more active patients.

This is a more bone conserving technique. This procedure involves removal of just the damaged bone surface and capping it with metal head. Hence, unlike in the standard hip replacements the head and neck of femur are not removed. Also since this procedure only caps the surface of the head, the effective size of the ball is nearly same as the normal head. The potential benefits with this design are:

  • Better range of movement.
  • Decreased incidence of dislocation.
  • If and when it fails, the revision would be easier since the bone of the upper femur is retained.

However, on the other side there is not enough long-term data as compared to the standard hip replacements. The longest follow-ups reported are just about a decade, unlike 20-25 years follow-up data available for the standard hip replacement. Also this procedure is not suitable for all cases, and proper case selection is mandatory.

BHR- Birmingham Hip Resurfacing

Birmingham Hip Resurfacing has been considered a breakthrough medical technique, especially for younger, active people with arthritis. As it results in very little bone loss, it allows your joints unrestricted movements so you can still pursue your highly active career with full vigour. The success rate of BHR is over 99%. Birmingham Hip Resurfacing was performed for the FIRST TIME in INDIA in the year 2000 by Dr. Vijay C. Bose in Chennai.

What is BHR?

BHR is primarily intended for people under the age of 55 who require a hip replacement. In Birmingham Hip Resurfacing a very small part of bone on the top of the thighbone is resurfaced. A metal head is fixed on the thighbone. It fits into a metal socket placed in the joint. People aged between 55 and 65 who are very active and otherwise fit may also be suitable anaesthetistsd this will be determined by their bone quality and activity level.

The BHR advantage

Traditional Total Hip Replacements (THR) invariably has a 'metal on plastic' bearing. These are reasonably successful in elderly people who are relatively inactive, but offer unacceptably poor long term outcomes for young, active patients often with unavoidable multiple revision surgeries and associated complications. It is to avoid this unfortunate sequence of events that Birmingham Hip Resurfacing (BHR) was developed. Taking into account the 35 year history of Birmingham metal on metal articulation, you can safely say it lasts forever.


AJRI has experience of over 2000 BHR/BMHR procedures which makes it the largest volume centre in Asia. In addition, the centre has the largest experience of this procedure for avascular necrosis of hip in the world.

Largest experience of bone conservation surgery in the hip in Asia (BHR) / (BMHR)