Diagnosis: Degenerative arthritis, right hip

Operation: Birmingham Hip Resurfacing [BHR] - right

Patient: Russell YOUNG ID: XXXXXXXXX

Surgeon: Jason Brockwell Assistant: Raymond Chan GA: BA Tay

Position: Lateral

Approach: Young postero-inferior

Findings: Acetabulum shows OA changes with thickening of floor. Mild pistol grip deformity of proximal femur with Ganz lesion. Marked osteophytosis. Superior head cysts.

Procedure: Postero-lateral incision. Postero-inferior approach. Circumferential capsulotomy. Hip dislocated, measured, and hip replaced anterosuperioly.
Acetabulum reamed to medialise cup. Good stability achieved with standard cup, with acceptable bone coverage to produce normal cup alignment.
Head prepared by standard technique with removal of femoral neck osteophytes.
Head cemented with Tobramycin Simplex.
Good stability and range of movement with no impingement.
Pinformis, gluteus maximus tendon and gluteus maximus closed with nylon.
Vicryl to fat. Subcuticular Monocryl. Steristrips. Opsite.
Post-operative X-ray shows good position.

Implant size: Head: 58 Acetebulum: 64

Post-op as per standing instructions:
1. Stand up today with physiotherapist
2. Thigh length TED stockings both legs 3 weeks.
3. Full weightbearing as tolerated with crutches 3 weeks.
4. Free mobilisation - no restriction on range of motion
5. No need to remove stitches - they dissolve.

Discharge: Approximately 3 to 7 days post op.

Follow up: Approximately 3 to 6 weeks after discharge in Beijing