{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:00:36Z","timestamp":1782205236300,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,3,14]],"date-time":"2019-03-14T00:00:00Z","timestamp":1552521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The Birmingham Hip Resurfacing (BHR) system (Smith and Nephew) was developed as an alternative to conventional total joint replacement for younger, more active patients. Among other complications exists the risk for femoral component failure. The only marketed revision option for such a complication involves exchange of all components for a total replacement arthroplasty. This presents as a considerable and potentially unnecessary operative burden where revision of only the femoral prosthesis would suffice. We have analysed revision options for BHR in the context of periprosthetic femoral fractures with a stable acetabular component.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Technical details of dual mobility hip systems available in Australia were collated and analysed to assess for potential \u2018off label\u2019 use with an existing BHR acetabular component. These data were then compared with the custom\u2010made Smith and Nephew dual mobility implant with respect to clearance and sizing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two dual mobility articulation modalities from two companies were identified as appropriate for potential usage with four products analysed in detail. These two demonstrated acceptable sizing and clearance measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Comparison between readily available dual mobility prostheses with custom\u2010made implants showed off label dual mobility prosthetic use to be a viable alternative for femoral\u2010only revisions with <jats:italic>in situ<\/jats:italic> BHR. Single component revision has several advantages which include: a less complex surgical procedure, shorter operative time, decreased blood loss and the expectation of resultant lower morbidity. Furthermore, this less complex revision surgery should give comparable results to that of primary total hip arthroplasty.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15036","type":"journal-article","created":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T01:10:46Z","timestamp":1552612246000},"page":"1016-1021","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Femoral side\u2010only revision options for the Birmingham resurfacing arthroplasty"],"prefix":"10.1111","volume":"89","author":[{"given":"Mun Khin","family":"Chan","sequence":"first","affiliation":[{"name":"Orthopaedic Unit Orange Health Services  Orange New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7710-9977","authenticated-orcid":false,"given":"Michelle","family":"Caudwell","sequence":"additional","affiliation":[{"name":"Orthopaedic Unit Orange Health Services  Orange New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5210-1802","authenticated-orcid":false,"given":"Andrew","family":"Suchowersky","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Auckland City Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Ashton","sequence":"additional","affiliation":[{"name":"Bathurst and Orange Orthopaedic Surgeons Association  Orange New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-5-88"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20150603-04"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-016-9324-0"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200608000-00003"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00750"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255842.2014.936856"},{"key":"e_1_2_8_8_1","unstructured":"Australian Orthopaedic Association. 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