Total Hip Replacement: Birmingham Hip resurfacing (Smith and Nephew)


Learn the Total Hip Replacement: Birmingham Hip resurfacing (Smith and Nephew) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Total Hip Replacement: Birmingham Hip resurfacing (Smith and Nephew) surgical procedure.

Hip Resurfacing had been the poor relation of Total Hip Replacement for the past 50 years. Theoretically resurfacing, that spares much of the normal bone stock and replaces worn-out anatomy “like for like” on a size basis, is an intuitive solution. As a design solution resurfacing was also widely accepted in replacement knee and shoulder arthroplasty.

Historically though the use of conventional materials for Hip resurfacing implants had failed to match expectations, even regarding the medium term outcomes. Historic metal/polyethylene bearings, such as the Wagner, Amstutz or Buechel-Pappas, had resulted in greater than 50% failure rates at 5 years.

Metal on metal resurfacing was revived by Derek McMinn in the early ’90’s, using the experience gained from the success and failures in early Hip resurfacing to focus on component size and appropriate alloys and joint manufacturing techniques, particularly in relation to the bearing surfaces. The resulting Birmingham Hip Resurfacing (Smith and Nephew) has shown outstanding longer term results.

What other similar but non-identical implants that have followed from other sources have helped demonstrate is that success with this type of implant is very much design, implant and orientation dependent. What has also become evident is that universally excellent results can be achieved in younger male patients, but there is generally less margin for error in component position in females and those with poor(weak) bone stock

This section is my perspective, as a Surgeon involved in the design, on the optimum operative technique for implantation of a Birmingham Hip resurfacing, and is as I use in my own practice.



Author:Mr Ronan Treacy FRCS(Tr & Orth)

Institution: The Royal Orthopaedic Hospital, Birmingham, UK.

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
  • On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
  • Your dashboard also will contain a record of the time you have spent logged onto and using the site.
  • The timer suspends after 5 minutes though if there is no activity.
  • When you restart you will resume at the same point in the module.
  • Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
  • Once you have passed the quiz you can return at a future stage & resit .

CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity


Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

Our content is designed for both Surgeons in independent practice and Surgeons in training.


  • Did you find this technique helpful?
  • YesNo

Lessons Status


Logo Logo Logo Logo Logo Logo Logo

Associates & Partners

Logo Logo Logo Logo Logo Logo