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Revision hip surgery with high chromium and colbalt and seudotumor

Posted , 5 users are following.

mindy1954
mindy1954

I have a dupuy Johnson and Johnson mom hip that is 10 years old.....it started to squeak 1 year ago....had MRI Mars protocol and found seudo tumor.....also extremely high chromium  and colbalt blood count. Dr wants to do immediatel revision but I am unsure of what is the best hip to replace it with as I am an athelete female golfer,walker,hiker and biker......do not want to limp or  have any instability in my hip in revision....cannot find much info on the best revision dr.  in USA for atheletes and a assurance that this will work...any thoughts or ideas for kind of hip,dr that uses anterior approach instead of cutting muscle again.......what can you all suggest? 

Thanks for your help....

2 likes, 16 replies

16 Replies

  • carmen56984
    carmen56984 mindy1954

    Posted

    Hi mindy,

    you should discuss this with your surgeon they are the best one to give you more information regarding which is the best one.

    I  was told that i had Titanium, which was Cemented Femoral stem with metal head.

    Good Luck.

    Keep us posted.

  • kaleani75551
    kaleani75551 mindy1954

    Posted

    I have Depuy for my posterior right hip but not what you have, my procedure is not MOM, and the parts of the implant have not been recalled.  I have Zimmer for my anterior left hip.  No problem there either.   Good luck with your revision!
  • Sredni393
    Sredni393 mindy1954

    Posted

    I found a site which gives detailed diagrams of ALL the various procedures. They all entail cutting through layers of muscles. You can see the anatomy clearly. I should think your heavy metal levels are just as worrying and you should be ready pre and post op to rid them for your body. Does the pseudo tumour impinge on any major nerves?  I would inform yourself fully with research. It seems ceramic is the way to go for the ball as metal on metal is a disaster waiting to blow up (hopeforcure posts) and yr surgeon will never use that again. As you are athletic your body will recover quickly  unlike overweight, sedentary types. Think positive and let them know you are aware of all the class actions against USA surgeons who knowingly fitted metal on metal prostheses
  • hope4cure
    hope4cure mindy1954

    Posted

    THE server on this side is so slow it lock up.. Sorry that's the reason two replies r cut short.

    Please see my discussion titled ..."Recalled hip joint. Scary heavy metal poisoning & tumors".

    see recall on STRYKER ABG ll pressfit...recall on Dupuy & J & J they are all on line detailing the dangers of metal on metal rubbing causing serious side effects.

    revisions in these cases r necessary due to many serious health issues.

    talking to a lawyer to help u receive pain and suffering. I am on a class action law suit against STRYKER representing patients from several states in the US.

    SORRY about the two previous attemps to respond to UR discussion. The site server would lock up while typing....

    i am am scheduled for a revision in the fall .. The past year has been very difficult dealing with all the pain from the implant. 

    Peace..CHEERS

    HOPE

      

  • jeanp
    jeanp mindy1954

    Posted

    Hi Mindy,

    I have a similar problem, metal on metal with pseudotumours and high cobalt and chromium blood levels. I am due a revision in October, the surgeon will be putting in ceramic on ceramic. I don't know the make and in UK we don't differentiate between anterior or posterior approaches so can't help with that I'm afraid. And I am not an athlete, though I do hope to get back to leisure biking, swimming, walking.

    The consultant did say that some research had shown that the implants most likely to fail were when the cobalt levels were higher than the chromium (which is what I've got). Mine is a Corail Pinnacle.

    I agree with Carmen that your surgeon is the first person to talk to, he or she will have preferred options they are used to and expert with. Otherwise, maybe some athlete sites will be able to give more information about what worked for them.

    Good luck with the revision - you will be better off without the metal. I think you are right not to rush in but to think about your needs and the different options before getting it done.

    • hope4cure
      hope4cure jeanp

      Posted

      With the anterior approach, the hospital stay is two to four days, the surgical incision is along the front or slightly to the side of the hip and is four to five inches long. The muscles around the hip joint are not cut and the recovery time is two to eight weeks. There are no specific precautions  that need to be followed. In addition, patients have less pain, less risk of dislocation, less leg length discrepancy and more rapid return to normal activities.

      With the posterior approach the hospital stay is three to ten days, the surgical incision is along the outer buttock and can be ten to twelve inches long. Some of the muscles around the hip joint need to be cut and repaired and the recovery following the surgery is approximately two to four months. People who have this procedure usually have to follow very specific total hip precautions for six to twelve weeks, which include no bending past 90 degrees, no internal rotation or turning the leg inward and no crossing the leg.All surgical implants r made of titanium a blend of metals made into what is call surgical metal..

      The ceramic on ceramic u refer to r the lining in the ball joints that move therefore preventing MoM from rubbing from movement. There other manufactures make hip joints with the ball joint lined with polyurethane.

      this cushions the ball joint during movement not a MoM device nor is the ceramic lined ball joint.

      there r new hip joints that r specifically designed for those who r more active for wider range of movement. Bear in mind all THR need revision to replavpce the liner preventing MoM . In the two cases the ball joint ceramic and poly liners will need replacement in 15 or more years in every single implant . That the normal average wea and tear rate on the devices.

        

    • jeanp
      jeanp hope4cure

      Posted

      Thanks for that information, Hope, really useful. I would think in UK almost all NHS hip replacements will be posterior judging by the hip precautions and recovery time. Normal hospital stay is three days now, I was told at my pre-op assessment, revisions maybe a couple of days longer depending on recovery. My scar is only a few inches long, I was amazed when I saw it as was expecting it to be much longer; the surgeon used stitches that just melted, was so glad as have had bad experience of staples. I was between jobs when I had it done, it was about 12 weeks when I started a new job which was sedentary, but could probably have started it earlier.
  • cindy6649
    cindy6649 mindy1954

    Posted

    As far as a surgeon goes, definitely do your research and be prepared to travel for the surgery if necessary. There aren't many surgeons who do revisions here in the US and only a few of those do them very well. Revisions are notoriously harder to do and have lower success rates so do whatever you can to find a good surgeon who's comfortable with your situation. 

    Good luck!

  • maggiemac2362
    maggiemac2362 mindy1954

    Posted

    Hi Mindy, you do not say what age you are ? My surgeon seems th think that the new ceramic on ceramic is the way to go as they seem to have a very long life and are quite resistant to wesr and tear. Don't know if this would be suitable for you but there is no harm in inquiring. Hope this may be of some help. Good luck love Maggie xxxxx
    • hope4cure
      hope4cure maggiemac2362

      Posted

       OPPS that's 20 TIPS.

      sorry I am partially blind in one eye and see double with my good eye..

      not an excuse of course on some days even blowing up print on my screen is still a blurry blob..

  • cindy6649
    cindy6649 mindy1954

    Posted

    Maggie, I've heard people with ceramic on ceramic say that their joints make noise sometimes. That's why my doctor didn't recommend it. There are some threads here about it. Mine is a ceramic ball with cobalt chrome, titanium and a plastic liner. I'm 45. 
    • hope4cure
      hope4cure cindy6649

      Posted

      Exactly they are all metal with options for ball jointS to bRceramic lined or ceramic ball. OR POLY LINED with TITANIUM BALL. There's a new one out which I've seen on tv US it's designed for netter mobility. Ask a surgeon for further info. See online pics and descriptions of parts from manufacturers online.there r dozens to see and learn about all different. It's all in the design. Some say ceramic squeak because they r not lined uo correctly.. It's best to go to the source on line a see  exactly what the joints look like.

      CHEERS

      HOPE

       

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