Smith & Nephew BHR Brimingham Hip Resurfacing


Author Topic: Should I be asking for metal ion tests?  (Read 7880 times)

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Should I be asking for metal ion tests?
« on: April 12, 2013, 03:42:42 AM »
Reading some of the posts here, it seems a lot of folks who received either HR or THR are being tested regularly for metal ions.  I have a 1-year-old BHR implant, and I'm feeling great.  But it makes me wonder, is this something I need to request of my PCP as a standard part of checkups, or is regular ion monitoring only required for "problematic" implants ?  I'm not even sure how to go about requesting it, or if it has to be done by a THR/HR surgeon's office ?

Jake in MN
RBHR - Feb. 2012 - Dr. Rogerson - Madison, WI

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Re: Should I be asking for metal ion tests?
« Reply #1 on: April 12, 2013, 04:23:01 AM »
Dr. Pritchett says getting ion testing without symptoms, is like taking your car to a mechanic when there's nothing wrong.
LBHR Pritchett 01/23/12 - 52mm head, 58mm cup
RBHR Pritchett 12/10/12 - 52mm head, 58mm cup


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Re: Should I be asking for metal ion tests?
« Reply #2 on: April 12, 2013, 05:20:41 AM »
If your device is properly implanted its pointless!
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England


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Re: Should I be asking for metal ion tests?
« Reply #3 on: April 12, 2013, 02:36:18 PM »
Some docs are doing the tests @ 2- 3 years to get a baseline and for studies.

Remember guys, the MOMs are being attacked right now and metal ions are the big issue so what better way to disprove them by giving them hard stats.

« Last Edit: April 12, 2013, 02:40:55 PM by obxpelican »
RH/Biomet U/C Dr. Gross/Lee Webb


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Re: Should I be asking for metal ion tests?
« Reply #4 on: April 12, 2013, 05:39:33 PM »
I had mine at two years, more like Chuck said as a baseline. My doctor is doing them pretty regularly at two years.

« Last Edit: April 13, 2013, 08:13:44 PM by hernanu »
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder


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Re: Should I be asking for metal ion tests?
« Reply #5 on: April 12, 2013, 05:45:15 PM »
My Dr. also said that they are not needed unless there is a problem. 
L-BHR - Aug 2008 - Dr. Brooks  Cleveland Clinic Main Campus
R-BHR - Dec 2012 - Dr. Brooks  Cleveland Clinic Euclid Hospital
L-BHR Revision Nov 2017 - Dr. Brooks Euclid


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Re: Should I be asking for metal ion tests?
« Reply #6 on: April 12, 2013, 07:23:29 PM »
Dr. Su requires it every year.  I had my one year test two days ago.  And for the record, I also brought my old car in for a 120,000 mile check up two days ago even though everything seemed fine and my mechanic (who I have trusted for many years) said I needed new front brakes.
Dr. Su
RBHR 4/9/12

hippy hippy shake

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Re: Should I be asking for metal ion tests?
« Reply #7 on: April 13, 2013, 02:04:05 AM »
Getting my bilat BHRs real soon, but can add that  there are recent guidelines (1/17/2013) from the FDA on metal-on-metal hip devices.  That included the following:

Follow-up of asymptomatic patients with metal-on-metal hip implants, including physical examinations and routine radiographs, should occur periodically (typically every 1 to 2 years). 

If the hip is functioning properly, the FDA does not believe there is a clear need to routinely perform additional soft tissue imaging or assess metal ion levels in the blood.
Be aware that there are certain patients who are at risk for increased device wear and/or adverse local tissue reactions (ALTR) and should be followed more closely. They may include:

    -Patients with bilateral implants
    -Patients with resurfacing systems with small femoral heads (44mm or smaller)
    -Female patients
    -Patients receiving high doses of corticosteroids
    -Patients with evidence of renal insufficiency
     -Patients with suppressed immune systems
    -Patients with suboptimal alignment of device components
    -Patients with suspected metal sensitivity (e.g. cobalt, chromium, nickel)
    -Patients who are severely overweight
    -Patients with high levels of physical activity.

I think Dr. Su just has been doing it for years as standard practice anyhow.
Seems to make sense to me, but I'm not a doctor.

Bilateral BHR 4/18/2013
Dr. Su


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