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Metal on Metal Arthroplasty

Metal on Metal Arthroplasty. Dr. R. Coup Whangarei Hospital. Objectives. Recent Concerns Prevention Approach to Patient. ASR Recall August 2010 “Voluntary”. British Journal bad results ASR. Already withdrawn in Australia and NZ.

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Metal on Metal Arthroplasty

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  1. Metal on Metal Arthroplasty Dr. R. Coup Whangarei Hospital

  2. Objectives Recent Concerns Prevention Approach to Patient

  3. ASR Recall August 2010 “Voluntary”

  4. British Journal bad results ASR

  5. Already withdrawn in Australia and NZ

  6. Every joint replacement entered in registry. NZ since 1999 Australia 2001

  7. Australian registry

  8. Failure Reaction to metal debris Effects local not systemic

  9. Raised chromium and cobalt levels Soft tissue mass Bone destruction

  10. Most important surgical factor Choice of implant Registry data

  11. General Practice ASR Introduced 2003 Very few in Northland Other designs MoM

  12. Pain continuing after hip replacement Operation note Contact Surgeon Await Clinic Appointment

  13. Infection Peri- prosthetic fracture cRP, X-ray rather than ion levels

  14. Pain persisting No plan 2nd opinion

  15. Thank you

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