Birmingham Mid-Head Resection hip arthroplasty in a young man with gigantism.

Murphy, Michael T; Shillington, Mark P; Mogridge, Damon R; Journeaux, Simon F · J Arthroplasty · 2012

case_report · Level V

Where this comes from

Abstract

The Birmingham Mid-Head Resection (Smith & Nephew Ltd, Warwick, United Kingdom) arthroplasty is a new bone-conserving procedure that, like hip resurfacing, is used in younger, active patients. We present the case of a young man with Sotos syndrome (cerebral gigantism) with associated extraordinary stature (height, 2.16 m; weight, 157 kg) who underwent Birmingham Mid-Head Resection arthroplasty. The large stature of this patient required a custom manufactured prosthesis (a femoral head 68 mm in diameter with an acetabular cup 76 mm in diameter). We believe this to be the largest metal-on-metal resurfacing articulation and hip arthroplasty reported to date.

Medical subject headings

Anatomy