BMHR - Birmingham Mid Head Resurfacing In India At Affordable Low Cost
BMHR
What is the BMHR and Why do we need it?
Birmingham Mid Head Resection prosthesis and its applied use in patients with Avascular Necrosis.
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....
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
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.....
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