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Home > Orthopedic Surgery > Hip Resurfacing > BMHR

Overview


What is the BMHR and Why do we need it?

Birmingham Mid Head Resection prosthesis and its applied use in patients with Avascular Necrosis.

Birmingham Mid Head Resurfacing Surgery


Birmingham Mid Head Resection Prosthesis (BMHR) India,Hip For patients with osteonecrosis involving a larger volume of the femoral head, an uncemented short-stemmed prosthesis, the Birmingham Mid Head Resection, BMHR, (MMT Ltd, Birmingham, United Kingdom, now Smith and Nephew Orthopaedics Ltd, Bromsgrove, United Kingdom) was developed.

Illustration showing the three types of prostheses implanted in patients with femoral head avascular necrosis.

Birmingham Mid Head Resurfacing Surgery, Birmingham Mid Head Resection Prosthesis (BMHR) India


Birmingham Mid Head Resection Prosthesis (BMHR) India,Hip, BirminghamResurfacing, Surgery India, Birmingham
[ Birmingham Mid Head Resection Prosthesis (BMHR) X-rays ]

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Birmingham Mid Head Resection prosthesis is an advancement in the BHR and will expand the indications for hip resurfacing surgery. Birmingham Mid Head Resection prosthesis (BMHR) helps advanced aged patients to have Birmingham Hip Resurfacing.

The BMHR has specifically been designed for patients who have weaker bone in the head of the femur. In the BMHR more of the weak bone is resected and is replaced with metal. This will dramatically increase the range of patients who can have this surgery.X-ray wise it looks almost like the BHR but the amount of bone removed is more. Thus the risk of fracture in post-op is reduced or eliminated for borderline patients.

Indications for the Mid Head Resection Prosthesis : -


  • Developmental dysplasia with shortened femoral head-neck segment
  • Extensive avascular necrosis of the femoral head
  • Large cysts of the femoral head
  • Abnormalities through Epiphyseolyses and Morbus Perthes (femoral head necrosis of children)
  • Reduction of bone substance due to arthroses
  • Marked bone involution through inactivity but with regression potential


Birmingham Mid Head Resection Prosthesis (BMHR) India, Surgery India, Birmingham

In cases of advanced arthrosis, a defect of the femoral head occurs which prevents the reliable anchoring of the resurfacing component. The titanium stem grows into the healthy part of the femoral head and neck, and is a safe base for the head component.

Resurfacing is only advisable when the stability of the bone and the shape of the femoral head offer sufficient support for the prosthesis. With healthy and active patients who do not meet these requirements but who can benefit from a bone conserving process, the Mid Head Resection can be an alternative to a standard prosthesis.

With this prosthesis, the fixation of the femoral component depends less on the bone of the femoral head but more on the stability of a titanium stem with bone ingrowth in the femoral neck.

Those parts of the femoral head which have been destroyed by cysts, circulatory disorders, malformations or involution due to arthrosis are removed. A titanium stem adjusted to size is implanted into the healthy part of the femoral head and neck, which is fixed by bone ingrowth (combines with the bone) and strengthens the femoral neck. In this way the implant-bone compound can withstand bending and torque forces.

Through the use of this implant, an opening of the femoral medullary cavity can often be avoided by implanting a prosthesis stem. The advantage of resurfacing is retained


The list of of Hip Resurfacing Hospitals in India is as follows : -


Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Apollo Hospital, Goa, India Apollo Hospital, Goa, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital hyderabad, India Wockhardt Hospital, hyderabad, India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
MIOT Hospital, Chennai, India MIOT Hospital, Chennai, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India


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