The Journal of Arthroplasty
Volume 27, Issue 2 , Pages 324.e13-324.e16, February 2012

Birmingham Mid-Head Resection Hip Arthroplasty in a Young Man with Gigantism

  • Michael T. Murphy, BPHTY, BHMS

      Affiliations

    • Mater Medical Research Institute, Mater Health Services, South Brisbane, Australia
    • Corresponding Author InformationReprint requests: Michael Murphy, BPHTY, BHMS, Mater Medical Research Institute, Mater Health Services, South Brisbane, 4101, Australia.
    • ,
  • Mark P. Shillington, MBBS, BPHTY, MEng

      Affiliations

    • Mater Medical Research Institute, Mater Health Services, South Brisbane, Australia
    • ,
  • Damon R. Mogridge, BSc

      Affiliations

    • Advanced Bearing Systems Group Smith and Nephew Orthopaedics, Gallows Hill, Warwick, United Kingdom
    • ,
  • Simon F. Journeaux, BSc, MBBS, FRCS (Orth), FRACS

      Affiliations

    • Mater Medical Research Institute, Mater Health Services, South Brisbane, Australia

Received 17 December 2010; accepted 21 April 2011. published online 27 June 2011.

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.

Keywords: Sotos syndrome, mid-head resection arthroplasty, large custom implants

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 The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.04.034.

PII: S0883-5403(11)00218-X

doi:10.1016/j.arth.2011.04.034

The Journal of Arthroplasty
Volume 27, Issue 2 , Pages 324.e13-324.e16, February 2012

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