{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:41:29Z","timestamp":1790862089343,"version":"4.1.0"},"reference-count":37,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2012,4,1]],"date-time":"2012-04-01T00:00:00Z","timestamp":1333238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p> We present the clinical results and survivorship of consecutive 100 Birmingham Hip Resurfacings in 90 patients at a minimum follow-up of ten years. All procedures were carried out by an independent surgeon who commenced a prospective study in 1998. Patients were assessed clinically using the Western Ontario and McMaster Universities osteoarthritis index, Short-Form 36, Harris hip score and University of California, Los Angeles activity score. Radiological analysis was performed by an independent observer and blood metal ion levels concentrations were measured at ten years post-operatively in 62 patients. The median acetabular component inclination was 46.2\u00b0 (34\u00b0 to 59\u00b0) and anteversion 11.0\u00b0 (0\u00b0 to 30\u00b0). The median chromium concentration in the unilateral group was 1.74 (0.41 to 15.23) and for the bilateral group was 2.98 (1.57 to 18.01). The equivalent values for cobalt were 1.67 (0.54 to 20.4) and 1.88 (1.38 to 19.32). <\/jats:p><jats:p> In total there were eight failures giving an overall survival at ten years of 92% (95% confidence interval (CI) 86.7 to 97.3). BHR in male patients had an improved survivorship of 94.6% (95% CI 89.4 to 100) compared with females at 84.6% (95% CI 70.7 to 98.5), but this did not reach statistical significance (p = 0.119). Four of the nine BHRs with a bearing diameter of 42 mm failed. <\/jats:p><jats:p> The overall results were consistent with data produced from other centres in that the clinical outcome of large male patients was extremely encouraging, whereas the survival of the smaller joints was less satisfactory. <\/jats:p>","DOI":"10.1302\/0301-620x.94b4.27895","type":"journal-article","created":{"date-parts":[[2012,3,20]],"date-time":"2012-03-20T11:48:31Z","timestamp":1332244111000},"page":"471-476","source":"Crossref","is-referenced-by-count":74,"title":["Ten-year clinical, radiological and metal ion analysis of the Birmingham Hip Resurfacing"],"prefix":"10.1302","volume":"94-B","author":[{"given":"J. P.","family":"Holland","sequence":"first","affiliation":[{"name":"Freeman Hospital, Freeman\rRoad, High Heaton, Newcastle\rUpon Tyne, Tyne and Wear NE7 7DN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. J.","family":"Langton","sequence":"additional","affiliation":[{"name":"University Hospital of North Tees, Hardwick\rRoad, Stockton-on-Tees, Cleveland\rTS19 8PE, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Hashmi","sequence":"additional","affiliation":[{"name":"Freeman Hospital, Freeman\rRoad, High Heaton, Newcastle\rUpon Tyne, Tyne and Wear NE7 7DN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B2.15030"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1243\/0954411011533724"},{"key":"r3","unstructured":"Drury P, Morrison J, Newell C, et al. National Joint Registry for England and Wales: 4th annual report, 2007. http:\/\/www.njrcentre.org.uk\/NjrCentre\/Portals\/0\/Documents\/England\/Reports\/NJR_AR_4.pdf (date last accessed 8 December 2011)."},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0607-y"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01012"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B7.20213"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.A.02039pp"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1309\/AJCPLTNEUAH8XI4W"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B1.22770"},{"key":"r10","unstructured":"Ellams D, Forsyth O, Mistry A, et al. National Joint Registry for England and Wales: 7th annual report, 2010. http:\/\/www.njrcentre.org.uk\/NjrCentre\/Portals\/0\/NJR%207th%20Annual%20Report%202010.pdf (date last accessed 8 December 2011)."},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B2.25099"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B1.24134"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"r14","first-page":"95","volume":"1","author":"Bellamy N","year":"1988","journal-title":"J Rheumatol"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199303000-00006"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466020-00010"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.08.020"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2011.01.002"},{"key":"r19","first-page":"477","volume":"75","author":"Malviya A","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B12.22326"},{"key":"r21","unstructured":"No authors listed. Medicines and Heathcare products Regulatory Agency (MHRA). Medical device alert: all metal-on-metal (MoM) hip replacements, 2010 (MDA\/2010\/033). http:\/\/www.mhra.gov.uk\/Publications\/Safetywarnings\/MedicalDeviceAlerts\/CON079157 (date last accessed 8 December 2011)."},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B9.19891"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00672"},{"key":"r24","first-page":"872","volume":"33","author":"Zhang X","year":"2010","journal-title":"Orthopedics"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B4.22967"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00197"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01715"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2010.12.002"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B8.22562"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B5.26309"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B8.26040"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01885"},{"key":"r33","unstructured":"Hodgkinson J, Skinner J, Kay P. British orthopaedic Association: large diameter metal on metal bearing total hip replacements, 2011. http:\/\/www.britishhipsociety.com\/pdfs\/BHS_MOM_THR.pdf (date last accessed 8 December 2011)."},{"key":"r34","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.05.017"},{"key":"r35","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.03.037"},{"key":"r36","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2011.01.006"},{"key":"r37","unstructured":"Langton DJ, Gandhi JN, Sidaginamale RP, Takamura KM, Nargol AVF. The clinical implications of an elevated blood metal ion result post MoM hip resurfacing. Procs American Academy of Orthopaedic Surgeons Annual Meeting, 2012."}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.94B4.27895","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.94B4.27895","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.94B4.27895","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:46:39Z","timestamp":1629139599000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.94B4.27895"}},"subtitle":["From a single, non-designer surgeon"],"short-title":[],"issued":{"date-parts":[[2012,4]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["10.1302\/0301-620X.94B4.27895"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.94b4.27895","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4]]}}}