my name is tony,ive had a birmingham joint replacement in march 2009,totally stoked with the BHR.iam 46 and have known that ive needed hip surgey 4 20 years,but i lasted as long as i could,before getting my first bhr this year,i need both done because of a child problem when i was 7 years old.anyway i live in australia and my surgen has let me know that he will not perform the next birmingham joint because of MAYBE the joint is and it is a MAYBE only,that metal my be giving 2 high a content in the blood....Ive just got my blood test back and of coarse there r metals showing in the blood,but we here in Australia have no SCALE of what is 2 high,,,any one in the same boat,,,merry xmas