The metal-on-metal total hip resurfacing arthroplasty is a good solution for the younger patient with osteoarthritis of the hip. It is effective in pain resolution and provides a good function.

Our study of 300 BHR arthroplasties with a follow-up of 2 to 7 year shows good results in a young and active population.

With an overall survival of 96.7% we obtained similar results to those of the design centre. The overall postoperative HHS score of 95.78 +/− 12.63 is in line with other studies. We noticed a similar increase in HHS in female patients and male patients.

Even in the HOOS scores there was no significant difference between both groups. This is an important finding for the surgeon as well as the patients.

Looking at the VAS scores for satisfaction or reoperation we could state that the high expectations of this population have been fulfilled.

With have an acceptable revision rate of 2.42% the patients undergoing a revision were of a simular mean age than those in the overall group. Five of them are female, two are male. Since there were twice as many female as male patients there is little difference in revision percentage between both groups.

There was 1 patient with a bilateral revision because of ALVAL (aseptic lymphocytic vasculitis associated lesion).

Although femoral neck fractures are a known complication, there where none in our series.

Patients are able to lead an active life and perform sports. The postoperative benefits are equal in men and women. The satisfaction rate confirms that we are able to meet the expectations in this high demand group.