What Is the Cost of Birmingham Mid-Head Resection (BMHR) in India?
The cost of Birmingham Mid-Head Resection (BMHR) in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.
Birmingham Mid-Head Resection (BMHR) is a bone-conserving hip implant. It is designed for patients who are not suitable for hip resurfacing because part of the ball of the hip is damaged. The cost usually depends on:
- Implant availability: BMHR is a specialised implant used in few centres.
- Pre-operative imaging: to assess bone quality and the shape of the hip.
- Hospital stay and rehabilitation: similar to a hip replacement.
- Long-term follow-up: regular monitoring of a metal-on-metal bearing.
BMHR is a specialised implant. Confirm availability and the full care plan before requesting a quote.
How BMHR Works
In a BMHR, the upper part of the femoral head is removed, and a short stem is placed through the femoral neck. A metal head is fitted onto it and moves in a metal cup in the socket.
It sits between hip resurfacing, which keeps the whole head, and a conventional total hip replacement, which removes the head and neck and uses a longer stem.
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Birmingham Mid-Head Resection (BMHR): Who May Be Considered
BMHR has been used in younger patients with poor bone in the upper femoral head, for example after avascular necrosis or bone cysts, where standard resurfacing is not suitable.
Because it uses a metal-on-metal bearing, the same safety considerations as other metal-on-metal hips apply. Many surgeons now use conventional hip replacements in most patients.
Monitoring Metal-on-Metal Hips
UK MHRA guidance on metal-on-metal hips recommends regular review, imaging and blood tests for metal ion levels. The 2015 alert (MDA/2015/024) specifically covers the Birmingham Hip Resurfacing system, but similar follow-up principles are generally applied to other metal-on-metal implants.
Pain or limping after surgery should be reported, as these may be signs of a tissue reaction to metal debris.
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Frequently Asked Questions Related to BMHR Cost in India
It is a bone-conserving hip implant in which part of the femoral head is removed and a short stem is placed through the femoral neck.
Hip resurfacing keeps the whole femoral head. BMHR removes the upper part of the head and uses a short stem through the neck.
It has been used in younger patients whose femoral head is too damaged for resurfacing, for example after avascular necrosis.
Yes. It uses a metal head moving in a metal cup, so long-term monitoring is needed.
No. It is a specialised implant used in a small number of centres.
Regular review, imaging and blood tests for metal ions are generally recommended for metal-on-metal hips.
The cost of Birmingham Mid-Head Resection (BMHR) in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.
Pain and limping should be reported, as these may be signs of a reaction to metal debris.
Alternatives include a conventional total hip replacement and, in some cases, hip resurfacing.
Recovery is similar to that after a hip replacement, with walking aids for several weeks and physiotherapy.





























