Genesys Masthead Ascension Health Portal | Genesys Email | eHealth


Cindy Ficorelli

Phone: (810) 606-6270
Fax: (810) 606-6279


Genesys introduces alternative to hip replacement surgery

(GENESEE COUNTY, MI) James Heming, DO, orthopedic surgeon on staff at Genesys, is the only physician in the area to conduct a new procedure - called Birmingham Hip Resurfacing (BHR) - a technique that can replace traditional hip replacement surgery.
The procedure is intended for younger, physically active people suffering from hip pain due to osteoarthritis, degenerative hip disease or other medical conditions, who may not be candidates for hip replacement surgery because of their physical activity level. Ideal patients are under the age of 55 who live a non-sedentary lifestyle.

To conduct the procedure, Dr. Heming shaves the rough, damaged surface of the hip joint bones and caps a few centimeters of bone within the joint rather than replacing the entire hip joint. Total hip replacement involves the removal of the entire femoral head and neck; BHR leaves the neck untouched. This bone-conserving approach preserves more of the patient's natural bone structures and stability; reduces post-operative risks of dislocation and inaccurate leg length; and has the potential to last longer than traditional hip implants. (The neck length and angle determines the natural length of the leg.) In addition, studies of the resurfacing system show it actually enhances bone strength around the hip.

The implant used for hip resurfacing closely matches the size of a natural femoral head, but is substantially larger than the femoral head of a traditional total hip replacement implant. This increased size translates to greater stability in the new joint.

In addition, the Birmingham hip implant consists of an all-metal ball that pivots inside a metal socket. Traditional hip replacements use a metal ball and a plastic socket. All-metal total hip replacements reduce wear by 97 percent, compared to total hip implants containing plastic sockets. This is especially important considering the hip joint surfaces move against each other at a rate of two million footsteps a year in physically active adults.

In the United States, about 400,000 total hip replacements are performed each year. Of these, about 60,000 could be candidates for hip resurfacing. Experts predict an 80 percent increase in hip replacement procedures by 2030. In 2001, 49 million adults reported a diagnosis of arthritis - nearly one in four adults - making it among the most prevalent health problems in America.

A recent study of male arthritis sufferers revealed that 88 percent of those with osteoarthritis under the age of 65 say the disease completely prevents them from participating in normal activities including driving and doing chores.

This new system is the first hip resurfacing technique and implant approved for use by the Food and Drug Administration.

BHR was developed by Birmingham, England-based orthopedic surgeons Derek McMinn and Ronan Treacy.

A few hip pain sufferers who have benefited from the new hip resurfacing technique are: Floyd Landis, winner of the 2006 Tour de France; Cory Foulk, endurance triathlete; and Peter Webb, a 2005 London marathon runner.

Dr. Heming obtained the FDA-required special training to conduct this procedure. Two other orthopedic surgeons at Genesys - Bruce Lawrence, DO; and Frederick Schreiber, DO; also obtained the required training.

For more information about this new hip resurfacing technique at Genesys, call 1-888-234-4710.


Need help?
(810) 606-5000
             Send a Patient Email

One Genesys Parkway • Grand Blanc, Michigan 48439 • 810-606-5000
Copyright 2013 • Genesys Regional Medical Center • All Rights Reserved

Genesys Home | Our Services | Find a physician | Careers | Education | Patient Information | Visitor Information
Health Foundation | Volunteering | Calendar | News | About Us | Contact Us
Privacy Policies | Genesys Employees | Genesys Physician | Ascension Michigan Clinical Integration Portal
CMU Med Partners | AHNI-CNO