Tags
DePuy, Erasmus MC, Health, Hip Replacement, Johnson, metal, Patient, Rotterdam, science, UNited States
FRIDAY, OCTOBER 19, 2012
The hard lesson of metal-on-metal hip implants.
Erasmus MC, afd. Orthopaedie, Rotterdam.
Abstract
Metal-on-metal hip implants with a large metal head (≥ 36 mm) have shown periprosthetic adverse soft tissue reactions and high blood concentrations of metal ionsin patients.
This has raised concern that exposure to metal ions may induce complications and could increase the risk of cancer.
In view of the present level of uncertainty and for reasons of patient safety, the Dutch Orthopaedic Association (NOV) has advised its members to suspend utilisation of all metal-on-metal hip implants with a large head (≥ 36 mm) until the safety and long-term effectiveness have been established.
All patients with these implants will be invited for an annual check-up according to a set protocol. This outpatient examination will also include assessment of cobalt ion levels and X-ray diagnostics. Based on the blood concentration of cobalt, the clinical status and the X-ray, the patient will be advised to undergo a revision procedure of the implant
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hbs924 said:
I am grateful tjat some one has shown common sense in addition to medical intelligence: My compilments to the Dutch Orthopaedic Association for taking this huge step forward to protect and ensure health, safety and well being of people
first before the medical deice world.
I hope other countries follow the Dutch Orthopaedic Association and soon. The more these devices are implanted in people the greater chance some will suffer unneccessary life altering events.
If there are enough Surgeons and affiliates that have the same opinion or similar n this metal on metal hip nightmare as do the Dutch perhaps they will stand up for
people’s safety and well being and stop using these devices and make demands
the FDA and other countries Governments will follow suit.
My sincere admiration to the Dutch Orthopaedic Association for having the BALLS
to take this measure.
Respectfully
Howard Sadwin
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Metal on Metal Hip Replacement said:
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