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BHR in USA

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I asked the same question of McMinn during my surgeries in July.

According to McMinn there have not been any Birmingham Hip

Resurfacings, as we know them today, done in the USA.

Amstutz implanted 50 or so " McMinn " hips (according to JRI outcome

data) early on, but abandoned them for many of the same reasons McMinn

eventually did.

The geographically closest location for a BHR may be Canada. Midland

Medical has been making in-roads there and I believe Canadian doctors

have been training in the UK for some time.

As for the USA, I had 4 surgeons from New York watch my first BHR in

July. Unfortunatly, I don't know their practice or names.

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There have been 5 distinct " generations " of English resurfacing

devices.

The McMinn device was one of the early iterations (gen 1 or 2). It

was prone to acetabular loosening and was abandoned. The primary

differences between the current BHR (gen 5) and McMinn device is the

presence/type of bone in-growth backing used and the metallurgy.

The Conserve Plus is most similar in construction to the 3rd

generation of the BHR. Again, the primary differences are acetabular

backing and metallurgy.

Either Walter or Swains could provide better technical comments on

this than I can.

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