The BIRMINGHAM HIP isn't for everybody
First and foremost, a total hip replacement (THR) is an extremely successful procedure. It works well, especially in older and less active adults. Although device failure is rare, it becomes more common in younger and more active patients because they use it more. Over use can cause loosening or wear. It can also lead to thigh pain caused by the stem tip pushing on the bone.
However, the THR works exceptionally well in many instances. People who are at increased risk of hip fracture (femoral neck fracture), such as the elderly and the osteoporotic, are better served getting a hip replacement. This eliminates the risk of hip fracture as the femoral neck is removed. With a BIRMINGHAM HIP, these patients are still at risk of a hip fracture, and are thus at risk of having a second surgery for that reason.
Additionally, for some people, it is wise to avoid a metal-on-metal bearing. There isn't any evidence that metal ions have a negative effect on a normal patient, but there are some exclusions because of this. A BIRMINGHAM HIP, or any metal-on-metal hip, should be avoided by people who are metal sensitive. Also, women in their child-bearing years should avoid metal-on-metal hips.
As a patient, you may not know if these exclusions apply to you. The best way to find out is to ask a BIRMINGHAM HIP trained surgeon if it is right for you.
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