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Comment received on Earlsview Blog this morning

I’m not sure if i am posting this in the right place but here goes.

I have a Biomet metal on metal LHR, I got this done in march, 2009 and have been having lots of problems like grinding feeling when I try to bend my leg a tiny bit, and my cobalt level is 6.4 and chromium is 3.6 which is elevated.

About 2 weeks ago I started feeling a dull ache in my hip that is very bothersome and then over the holiday while at home, the ache got worse, and I starting having a stabbing pain in my hip socket area, it hurt so bad and i was so scared that I could not breath.

I stood by my bed and changed into my PJ’s and laid down, on my good side and cried myself to sleep. I really thought I  would end up in the ER, but the next morning I  felt better as far as the stabbing pain, its still light and the ache is still there but i have been staying off of it.

What is going on?? Has anyone had this problem?

My new ortho specialist is aware of all but what happen with the dull ache and stabbing pain.

I was better before my surgery…..I’m only 46, 44 when I had the surgery and I am lost.

If you have any knowledge or thoughts to share please do………..maybe it will help me not be so stressed and scared

My View:

your story is very like mine except I had a Smith and Nephew RHR (THR) metal on metal. I was 50 and 53 years old when I had my hip done and then revised.

Your body is telling you that it is being damaged – the elevated chromium and cobalt is evidence for a blind man that suggests that your hip prosthesis has been out of alignment and wearing and producing metal wear particles – which will be destroying your bone and surrounding tissue – hence the pain. Possibly one part of it is loose if you have the grinding?

These sort of problems occur with all types of metal on metal when they don’t fit properly. In my case, my hips are slightly displaysic and so the surgeon did not compensate when he fitted the hip, I suspect.

You are right – it feels worse than the arthritis before you had the hip replaced. Exactly what I though.

The only way to fix this is to get a hip revision – I can happily testify to the effectiveness of a Zimmer revision system – ceramic on ceramic – my bone grafts have taken well and I have lots of new bone growth – instead of the bone and tissue death I was getting with the S&N Birmingham Spectron MoM THR.

If your current surgeon won’t do anything, ditch him and find an honest one who will admit to the problems everyone is having – and get it replaced.

For some reason, many surgeons seem to think “holding rank” and not criticizing their colleagues is more important than patient health. Check whether he is receiving payments from the orthopaedic device companies and is morally compromised.

Whatever you do – don’t worry, there is a very simple solution and the relief you will feel when you get it out is fantastic! I know!

Earl

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