Metal on Metal Arthroplasty
description
Transcript of Metal on Metal Arthroplasty
![Page 1: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/1.jpg)
Metal on Metal Arthroplasty
Dr. R. CoupWhangarei Hospital
![Page 2: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/2.jpg)
![Page 3: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/3.jpg)
ObjectivesRecent Concerns
Prevention
Approach to Patient
![Page 4: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/4.jpg)
ASR Recall August 2010
“Voluntary”
![Page 5: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/5.jpg)
![Page 6: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/6.jpg)
British Journal
bad results ASR
![Page 7: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/7.jpg)
Already withdrawn in Australia and NZ
![Page 8: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/8.jpg)
![Page 9: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/9.jpg)
Every joint replacement entered in registry.
NZ since 1999
Australia 2001
![Page 10: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/10.jpg)
Australian registry
![Page 11: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/11.jpg)
![Page 12: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/12.jpg)
Failure
Reaction to metal debris
Effects local not systemic
![Page 13: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/13.jpg)
![Page 14: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/14.jpg)
Raised chromium and cobalt levels
Soft tissue mass
Bone destruction
![Page 15: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/15.jpg)
![Page 16: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/16.jpg)
Most important surgical factor
Choice of implant
Registry data
![Page 17: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/17.jpg)
General Practice
ASR Introduced 2003
Very few in Northland
Other designs MoM
![Page 18: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/18.jpg)
Pain continuing after hip replacement
Operation note
Contact Surgeon
Await Clinic Appointment
![Page 19: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/19.jpg)
Infection
Peri- prosthetic fracture
cRP, X-ray rather than ion levels
![Page 20: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/20.jpg)
Pain persisting
No plan
2nd opinion
![Page 21: Metal on Metal Arthroplasty](https://reader034.fdocuments.us/reader034/viewer/2022050805/56813dfc550346895da7d484/html5/thumbnails/21.jpg)
Thank you