Birmingham Hip Resurfacing vs Total Hip Arthroplasty: A Matched-Pair Comparison of Clinical Outcomes
Authors: Ortiz-Declet VR, Iacobelli DA, Yuen LC, Perets I, Chen AW, Domb BG
Journal: J Arthroplasty. 2017 Dec;32(12):3647–3651
DOI: 10.1016/j.arth.2017.06.030
Background:
Birmingham Hip Resurfacing (BHR) is favored for younger, active patients, though its clinical superiority over Total Hip Arthroplasty (THA) remains uncertain.
Methods:
A propensity score-matched cohort compared BHR and THA outcomes using Forgotten Joint Score-12 (FJS), VAS pain, satisfaction, and other PROs.
Key Findings:
- No significant differences in FJS (BHR 78.0 vs THA 76.0).
- Slightly higher mental health scores in BHR group (VR-12, SF-12 MCS).
- Other clinical outcomes and satisfaction were comparable.
What Does This Mean for Providers?
- Both BHR and THA provide comparable short-term functional outcomes.
- BHR may offer modest mental health benefits in younger, active patients.
- Choice between BHR and THA should be individualized, considering patient anatomy, activity level, and surgeon expertise.