The McMinn Centre - Excellence in Hips & Knees Hip Resurfacing
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Alternative to Hip Replacement
Welcome to The McMinn Centre, specialising in bone-conserving hip and knee procedures for young & active patients
Research Lectures History
New Materials for Hip Resurfacing
Northern Lights Debate ASR vs BHR
Metal ions and Wear Rates in the BHR
Mini Incision Surgery
Dislocation Rates
Systemic Metal Exposure
What is the BMHR?
Carbides - Myth or Fact
10-Year survival of Double Heat-treated Hip Resurfacings from 1996
Sir Robert Jones Lecture
BOA September 2010
BOA September 2010
The Birmingham Hip Resurfacing and Other Options – The 15 Year Results of the First 1000 BHRs
Design of knee replacement- Can we approach normal knee function? Derek McMinn 2014
 'Metal-on-Polyethyene in Hip Resurfacing' - Derek McMinn, Ghent, May 2014
‘Race for Non MoM Resurfacing - Can we avoid another ASR?’ - Derek McMinn, Ghent May 2014
'Can We Classify Implants By Risk? – Resurfacing' - Derek McMinn, London September 2014
'Movement Patterns of the Knee Relevant to TKR' - Derek McMinn, London Knee Meeting, October 2014
Compromises in Knee Replacement Design - Derek McMinn, London Knee Meeting. October 2014
Hip Resurfacing - Does It Have A Future?
Why are the Functional Results
 of TKR so Poor?
Northern Lights Debate ASR vs BHR
Northern Lights Debate ASR vs BHR
Update on Hip Resurfacing' - Derek McMinn, December 2016
Causes of Failure with Hip Resurfacing
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The Birmingham Knee Replacement (BKR) – What's it all about? Derek McMinn, 2014

In this lecture, Derek McMinn talks about the Birmingham Knee Replacement (BKR), addressing the need for another knee replacement option. Mr McMinn compares satisfaction results between BKR and Total Knee Replacement (TKR) patients and discusses patella tracking, the design of the BKR, post-operative knee function and knee scores.

Derek McMinn MD FRCS, the pioneering surgeon and inventor of the Birmingham Knee Replacement (BKR), explores the need for an alternative to Total Knee Replacement (TKR). The principles behind the BKR are detailed and explained, showing how the BKR is designed to closely mirror the natural kinematics of the knee.

Studies have shown that 20% of patients are dissatisfied with Total Knee Replacement (TKR). Patients with unicompartmental replacement are almost all delighted; however that particular arthroplasty is only applicable to a minority of patients. The BKR results show that some patients are delighted and most patients are satisfied with the outcome of their surgery.

Tracking of the patella is done using cadaveric legs in order to measure lateral movement. Mr McMinn poses the question, "Can a spiral condyle knee design mimic the function of the natural spiral condyles?" and explains the dynamic and static effect this has on the knee. The Birmingham Knee design is a rotating platform knee – the conforming femoral meniscal design does not allow abnormal front to back sliding of the knee during flexion.

Functional stability and Knee society function scores are examined, with comparisons made to the Oxford Unicondylar Knee Replacement (OUKR) both pre-op and follow up. Patients' range of movement is looked at, again with knee flexion results shown from the pre-operative stage and following surgery.

Watch our Birmingham Knee Replacement patient video testimonials here.

© The McMinn Centre - Professor Derek McMinn MD FRCS Hip Resurfacing Birmingham UK