DePuy Hip Replacement Recalled – ASR Artificial Hip Systems

DePuy Johnson & Johnson ASR Hip RecallThe DePuy Orthopaedics unit of Johnson & Johnson is recalling the ASR™ Hip System used as a hip implant in hip replacement surgeries after “more people than expected” had to have additional surgery due to pain and other complications with their ASR™ Hip System.

This hip replacement recall affects the following products:
– ASR™ XL Acetabular System
– DePuy ASR™ Hip Resurfacing System

Patients who have had a hip replacement using either of those two products may have to undergo additional testing and treatment to ensure the hip is functioning properly. In some cases, the patient may even have to undergo an additional artificial hip replacement surgery.

How to find out if you have a recalled ASR hip implant:
Contact your orthopedic surgeon to find out if you received an ASR hip implant. Patients who do not know which surgeon performed their hip replacement surgery can ask their primary care physician or the hospital at which they underwent surgery to review their medical records for this information.

Patients in the United States who are still unable to determine the type of hip implant they received can fill out this release form and mail it to the address on the form. This will allow DePuy to contact your surgeon or hospital on your behalf.

How to contact the DePuy Orthopaedics unit of Johnson & Johnson:
Call the toll-free DePuy ASR Help Line at 888-627-2677 from United States and Canada from 8 am to 9 pm EST, Monday through Saturday.

Why is the hip implant being recalled?
Five years after implantation, approximately 1 out of every 8 patients (12%-13%) who had received the ASR resurfacing device or the ASR total hip replacement needed to have a revision surgery, according to new data gathered by DePuy. Some of these revision surgeries were due to metal particles wearing off of the ball and socket components as they rub against each other over time. While these microscopic particles do not cause problems for most patients, some may react in a way that causes fluid to collect in the joint and the muscles around the joint. Over time, this could cause damage to the muscles, bones and nerves around the hip. Specialists in orthopedics should be able to run tests to determine if this is the cause of your discomfort.

What are the symptoms of a defective hip implant?
Some of the symptoms reported by patients who had to have revision surgery include normal hip replacement surgery discomforts like swelling and problems walking. However, if these symptoms return after the usual healing period, or do not go away at all, this may be a sign of a problem such as:
– Loosening, when the implant does not stay attached to the bone in the right position
– Fracture, where the bone around the implant may have broken; and
– Dislocation where the two parts of the implant that move against each other are no longer aligned.

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About 

Everett Sizemore is the owner and Editor of US Recall News: http://www.usrecallnews.com. He is dedicated to educating people about consumer safety, social activism and corporate responsibility by bringing information to Americans about the products they use every day.

564 thoughts on “DePuy Hip Replacement Recalled – ASR Artificial Hip Systems

  1. 2011 I had depuy pinnacle hip replacement with marathon liner. Have problems as if metal on metal. Sometimes I dont want to get up because of all the problems I am having. But sleeping, and comfortablity, can not be achieved. I want help I want this thing out if me, an attorney understanding. Not pity but action

  2. Hi – I have a 2005 Depuy XR ceramic on plastic friction area and have experienced many problems, now all the way to lupus, hearing loss, inflammations. there is a chance i have a reaction to the device as all my problems began the year following the implant. Physically the device is functioning, the rest of me is going to pieces. Thanks Heinz

  3. Hi All,
    I developed Avascular Necrosis from a Knucklehead docin AR because I had sever back problems so instead of giving me anoth breakthrough pain med he gave me 20mg prednisone 100 a month for 4 years. You can get off narcotics easy with suboxone but totally collapsed and caved in femoral heads are a different story. I was 45 when I had L side done on 2/18/2009 then 41 days later the R side which failed immediately. I thought i was on the walker forever. I have 60x hexavalent chromium levels, eyesight gone to hell, tinnitus, severe groin pain, bursitis sac fullafter rev on R. 8 pseudotumors underneath. I am having the L side revision end Aug which will make me a bilateral arthroplasty and revision both at 45 after they knewthe product was bad. Here in TX they have the DTPA deceptive trade practices act which states that in this case,my compensatory (pain suffering) is tripled. TX has cap of $250,000 per cause of action and I have 25 causes. and 750,000 bills. Terminal guy in CA got 8.3m with $300,000 in bills which is 24x the bills. This equates to about 18m in pain suffering, the jury also tried to award CA guy with the cancer 124m in punitive but he didn’t have any negligent causes. i do so, I could possibly get 372m in punitive as one of the youngest with both sides and both sides revised they better give me a significant offer before the end of October or I’m getting a court date in TX Fed court and let my Hispanic friends who are so kind hearted make up about 75% of my jury.. I think there may be one or two plaintiffs that are younger than me and messed up on both sides.. Medical Research states that bilateral hip replacement before 50 yields a 32-36 %reduction in morbidity and mortality. That is comforting. Can anybody tell me why anybody with this bs would settle for $200,000. WHAT ARE ALL OF YA’LLS LEGS AND LIVES WORTH. MY QUALITY OF LIFE SUCKS. 25 surgeries, severe pain for over 20 years and in TX where it is hopeless. to expect any narcotic pain relief. Stand tall to these corporate aholes and make them pay that whole 50 billion they earned the last year back. medicare is subrogating all their bills and there goes some more of that money. At least I am still an extremely dashing and handsoome man………rotflmao

  4. To All, FYI, If you are having symptoms of peripheral neuropathy, tinnitus, hearing loss and vision diturbances, please see a Dr. who specializes in the immune system. I have an autoimmune disease, CIDP, which was caused by high cobalt and chromium levels. I started IVIg treatment 6 weeks ago and I am seeing improvement. I will have a revision when my immune system is stronger. My Best To All. Jim B.

    • Had my left hip replaced in 2008, only to have it fail in 2012 – infection, pseudotumor, corrosion, etc. after revision surgery I began having tingling, pain, numbness in legs that was ultimately diagnosed as CIDP. The hip was Zimmer Trilogy (not metal on metal)

  5. I had both my hips replaced in 2010 with the DePuy devices. I had the surgeries performed in order to improve my pain and mobility as I am a terminal cancer survivor and as a result of treatment have multiple diagnosed conditions including degenerative bone disease. I am virtually been bedridden even after the “healing” periods from the hip replacements (which was absolutely no fun). My pain has increased, my mobility has decreased, there is constant swelling and I pop, crack and “lock-up” with every step I attempt to make. A couple of months ago, I read about the recalls and I am waiting on test results from my urine and blood for the metals. I have been through quite a journey with my health during the past 17 years and have fought each and every battle looking into the eyes of my three daughters. I would appreciate any advice or words of wisdom….I am really afraid. Marla Bolin

  6. my girlfriend was a recipient of two Dupuy ASR hip replacements in 2008, has metallosis from the Chromium and Cobalt in the bloodstream and tissues. She had one of them replaced but the damage is done. Daily pain, tissue swollen up, etc. A myriad of side effects too long to go into but bottom line, she is dying and only 49 years old. Once they get into the liver and kidneys and other places in quantity, it is only a matter of time. My brother in law had same hip replacement in 2007 and died in 2010 but he was older. Lot of chatter about other things on here but I cannot tell you how bad this is, unless you had them removed almost immediately. It can be and is eventually fatal. A lot of older people died and had no clue what caused their organs to fail. Do not take this lightly. My girlfriend will get a pile of money, but she won’t be around to enjoy it, her kids will. Appreciate your comments.

  7. Jim, You have been through many wars and you continue to fight for yourself and others. My wife has also fought many wars/diseases. She started getting hip pain a few months ago and went to my hip doc he said arthritus does not look bad so it might be the Synovial Chondromatosis is in the hip. The doctor had never seen this disease and didn’t know what to do and a few months ago we went to the Cleveland Clinic for her wrist and they said they had to look it up on the internet because they had never heard of it. If anyone out there knows of a doctor with expertise in Synovial Chondromatosis, please pass there name to me at bob@hanleyp-p.com.

  8. Hi Jim,
    I assume you must be doing a bit better since you have spent less time on this blog. I am doing pretty well, a bit worried about the left eye, I’ve had 4 retinal tears (so far) in it and my doc says the right will likely be doing the same. Going to a specialist in MA this Fall, will see what she says.
    My news is that my doc at MGH has left his surgical practice to do research on this M-o-M issue. He is going back to Sweden, or Denmark for a year, I believe. What other issues have you had that you believe may be cobalt related? I will report them to my doc doing the research.
    I hope you are up and about, feeling better, and finally over surgery these days!
    Kathy H-P

  9. Linda,

    Please send me all the information you have and I will give you my prsonal number and we can talk I am sure that you will have a lot to say as a lot has happened.

    Bob H. You have a good medical mind in your advice about running the impact points are the and socket and just to add, you sheer to distal femoral prosthesis which cause loosening which ic tough to replace in surgery. How is the wife doing, by the way? Take care brother

    In case I haven’t told all of you I was a Navy Corpsmen with the Marines at Camp Lejeune. Camp Lejeune is the site of the worst water contamination in this country’s history. It has affected over one million vets from cancers of all types to disabling diseases like autoimmunity which I have 5 of them and now all of nerves are degenerating from unkown reasons and I will soon be in a wheelchair if the process doesn’t slow down. So if anyone reads this say a pray for our heroes who gave their life in the defense of their country without knowing what battle they were actually fighting. Love to all of you on here…Jim.

  10. Jim Moreland, praise be to the Lord that I decied to try to find you.one more time . U M and Clevland will not help help me.My primary physican, is the only way. They said full of infection and have and metolosis. I now feel like I am loosing my marbles I really need to talk to someone in this feild so I can Understand what to do. I am in wheelchair now. Can anyone help
    Linda Mattison, Michigan I am sending you a copy that my surgeon’s partner sent to all my Dr. after they split sur hope to hear from you.

  11. Jim B

    There are scattered studies but nothing really new in the lines of toxicology. But other heavy metals have been studied and all the symptoms and diagnisis you have now are consistent with metal toxicity. They still can’t decide on a toxic level of Cobalt. As far as other metal on metal research they are some new studies out that really portray them as failures with revision rates as high as 49% is osme research papers. I wish I could help furhter, but you will find that most medical professional are not up on toxicology. I would recommend that if youare near a University you see a toxicologist as they would have the latest on research as they would have access before the public would. I will pray for you as I have suffered from significant side effects from the cobalt. If I cando anything else let me know…Take care and blessings my brother….Jim.

  12. Linda

    I have been battling lupus flared and spine surgery. My email address is jmmrlnd@aol.com. Send me an email and then I will send you other information. I hope things are improving for you, look forward in hearing from you….Love ya Jim

  13. Jim I am still here w/o any answers I really miss hearing from you. UM and Clevland clinic refused to look at my revision but will do other hip and both knees. I feel like all these DR. are in cohoots And I have never talked to attorney, because I thought that would make them feel I was interested in malpractice. H ave you moved yet? If you have nt you at least look at The Villages it is near Leesburg 30 pools lots of security
    Moffit has merged with the Villages very reasonable we got in for 200.00 of course you can spend a million if you want to.
    I pray to hear from you Linda

  14. Hello Linda Mattison,

    If you are commenting on my posting on May 31st, please give me your contact info and I will happy to contact you.

    Thanks,

    Jim B

  15. JIM O my gosh I finally found you. I am desperate!!!! Clevland has agreed to operate on me IF I get my lupus under control. the pain is now so terrible I can’t sit stand or lay. I did try some predsone had a few days relief. the only joint that isn’t torn up is my left shoulder, I just can’t go on with this. AND none of thesee REPUTIL Dr. will address my left hip replacement. I so wish that my husband and I could talk to you on the phone I will wait until I hear from you, because I have tryed FB and Google and I had know response, so I don’t know if you are on this site still, I found you in back in Feb or March I pray that I hear from you Linda

  16. Hi Carol,
    I would definitely talk to your doctor about running. I hope to be skiing again next winter after having 2 metal-on-metal replacements, followed by 2 revisions which are now plastic. My last one is now 6 months out and is just starting to feel pretty good. My doc said I’d need to take it easy and stay on intermediate ski runs. I’ll see how it goes this coming winter, it will have been 3 years since I’ve been able to ski. Getting up in the morning I must look about 70, I’m so stiff and I just turned 56.
    I hope you will be able to run again, good luck!
    Kathy

  17. Carol,
    I have the ceramic ball with a metal and poly liner cup done 2-1/2 yrs ago. I still get stiff and sore after sitting. I’m active and play golf, yard work etc but it is reccomended that you not run or do any activities with high impact like running. If I ran it would hurt like hell when I was done. Good luck with your recovery and do not over do it or push it too hard. You do not want that ceramic to crack or dislocate then you would be in trouble.
    Bob H

  18. Hi to all. I haven’t been on the site for a number of months, but I do read your comments and my thought and players are with you all. I guess I am lucky not to have any pain, but I do have issues with the the cobalt and chromium levels in both blood and urine. I have been to many specialists in the Denver area and may have found a doctor who understands what toxicity can do to our bodies. After many blood tests my doctor’s diagnoses was CIDP for the peripheral neuropathy in feet and lower legs. Dr. would like to start IVIg treatment, but don’t as of now if insurance will cover. I also have tinnitus and vision issues- trying find an ophthalmogist to check optic nerve. Have an appointment next week with ortho Dr. to discuss a revision to get the metal out. I had the Depuy S-Rom, Pinnacle II Sector cup with the Ultamet insert 6 years ago. Does anyone know of current studies on metal toxicity and confirmed symtoms? Dr Steven Tower, orhto Dr. of Anchorage, AK has an older one. Also there was an article on him recently in Consumer Reports. He had problems with his Depuy ASR a couple of years ago. Jim, hope you are doing better. With gratitude for your sharing. Jim B

  19. I have not received any post lately from this site. But I have been having severe flare of my lupus and now because I limp I now am dealing with severe spinal stenosis purely aggravated by my hips. I will read all the notes and try to catch up. I see there are a lot good questions on this site. Look forward to catching up with you all…Blessings to all….Jim Moreland

  20. HI ITS BEEN 5 MONTHS NOW SINCE HAVING SECOND HIP REPLACEMENT DONE ON THE SAME LEG BEEN DOING ALL THE STRENTHING EXERCISES ON IT I STILL GET SOME PAIN AND WHEN I GET OUT OF A CHAIR IT GOES REALLY STIFF AND NEED A BIT OF HEL P ON MY LAST VISTE TO THE HOSPITAL THEY SAYS IT WAS OK IT WILL DO FOR A WHILE BUT OTHER THEN THAT IT FEELS FINE. DOES ANY BODY KNOW IF YOU CAN GO BACK TO RUNNING WITH IT BEEN CERAMIC
    HOPE TO HERE FROM ANY ONE WHO READS THIS

  21. I now understand why Sherilyn McCoy has left Johnson and Johnson team. Zimmer is going to destroy J&J’s great name and the design leader at Zimmer Brian Rogers is part of the problem. My story is as follows.I am a 48 year old man that has had left hip in 2008 and right hip 2009 replaced with the Zimmer Trilogy. These have totally destroyed my mobility leaving me in constant pain. Prior to these replacements I was working in my own front yard, cleaning my own house and maintaing a very good job in realestate. Now I can’t even take out my own trash. These replacements should be taken off the market before there are any other victims of the trilogy. NO ONE SHOULD LIVE IN THIS KIND OF PAIN. I have had MRI’s, x-rays and they can’t find anything wrong. Now after studing all of these issues with this replacement it would make since that you can’t see inside the metal on MRI’s and x-rays leaving the faulty leading us to belive that everything is O_K. and not a problem. Well they are a problem and it has caused me to give up 80% of my daily activities and now my career. Prior to these replacements I had very little pain on my left hip and no pain on my right hip. After being diagnosed with AVN in 2008 the doctor told me the Zimmer Trilogy were a great option for hip replacments in a younger active person and that they would give me about 80% of my normal activities for the next 25 years. They sounded like a great option being a 44 year old man at that time. I did all the P.T. exersise recomended and yet they never healed and after a few months the pain seemed to get more frequent. If I only had one side done then we may be able to blame it on nerve damage etc.. However having both left and right done it is obvious these are bad designs and should be taken off the market. I hope that no one else ever has to be another victim of the Zimmer Trilogy as it will destroy your life as it has mine. Have the trilogy acetabular systm shell with cluster hole porous 58 mm o.d. longevity crosslinked polyethlene liner m/l taper hip prosthesis femoral stem wcalcicoat ceramic coating and siclox cela ceramic femoral head taper 12/14
    all being Zimmer parts. Do you know if anything is being done on these as this pain can’t be normal and my knee is now in jepordy.

    Thanks for any input I can get.

  22. Jim
    I have been in hospital and nursing home. still has proved nothing.Universary of Michigan won’t operate on me for either hip they say I am to weak, who in the hell would’nt be after 10 yrs of this crap. open to suggestions. Linda M.M.

  23. Hey Jim,
    You may remember me telling you about my wife who had a alnur wrist jt. replacement done in 2007 due to Synovial Chondramotosis. It went well for a few years but started acting up around Sept 2010. Dr cleaned out inflamation and bad tissue April of 2011, he said no Synovial Condramotosis found. A couple months later more pain and swelling and he removed another jt at the base of here thumb and the pain and swelling continued and now says the jt next to it needs to be removed. I wonder if this is being caused by metalosis or metal poisoning? My ceramic/poly THR is doing OK as long as I take my anti-inflamatory meds.
    Bob H.

  24. Hi fellow unfortunates,

    Fran, have you been getting your blood tested for cobalt and chromium levels? Have you had a good MRI on the hip? Do you have any history of leukemia in your family? Check these things, if you have not already done so.

    As Jim knows, and I am finding out, the hip bone’s connected to the leg bone and every other nerve in our body. As these metals travel throughout our bodies via the blood, I suppose it stands to reason that leukemia, being a blood disease, may possibly have been triggered by metal poisoning.

    I recently went to an eye specialist for a partially torn retina and mentioned my high metal levels to my doctor, as I thought there could be a correlation. He thought I was nuts at first, but upon further reviewing of pictures of my eyes, he now says there are some strange neurological damage showing up that could be explained by metal poisoning.

    I am finding that all of the doctors we see relating to our hip problems, orthopedic surgeons, retinal specialists, kidney guys, hearing, and all of the others, need to be brought together. The way this will happen is through us. We need to connect the dots between seemingly unrelated health problems. The more of us that do so, the more we will know what the future will hold for us.

    As soon as my eye specialist said that I might be right, I sent a letter to my orthopedic surgeon in Boston. Much to my surprise, so did my eye specialist. The orthopedic surgeons are going to have to be the point guys on this and we need to keep them on task. My orthopedic surgeon is going to a hip conference in London this coming April, it is my goal that he get an eye specialist at that conference.

    I am urging all of us to write letters to our orthopedic surgeons detailing any medical condition that we feel could be related to having a metal-on-metal hip prosthesis, or 2. If your doctor feels it could be related to metal-on-metal, ask that them to write a letter to your surgeon as well, this correlation will be much more credible if it is backed up by another medical professional. Keep copies for yourself.

    Do this smartly—no cut fingers or trivial aches and pains—we all get those! This needs to be something that you truly feel could be related to having high levels of metals in your blood. You should have good documentation of this to back it up. No “thinking” you might have high metals, if you are wondering, GET TESTED! These tests should be done thorough the Mayo Clinic, if possible. There are only one or two other locations that test for cobalt & chromium, these are highly specialized tests that can not be done at most hospitals.

    I know this has all been said before, but we need to be our own best advocates, so let’s do it well, it will be for all of our benefit. Over an out for now.

    Jim, I think of you often and hope you are recovering well. My hips feel good, I picked up a used semi-recumbent bike which is good for my PT. Right revision feels great (it’s almost been a year!), my left needs work still. Amazing, through 4 surgeries in 2 years, I got no infections, or hip-specific related problems. One leg is slightly longer, but that’s an easy Dr. Scholls fix!

    My very best wishes to you all,
    Kathy H-P

  25. I had a total hip Depuy Pinnancle replacement in December 2007 at the age of 56. I Began to feel ill and tired in May 2009 and by October was diagnosed with CLL. Has anyone else been diagnosed with leukemia after hip replacement. I am wondering if it could have been caused by metal toxicity.

  26. Like most of you, I am experiencing problems with my hip prosthetic. I had my surgery at the end of August 2011, followed all precautions, did physical therapy, etc., and was as cautious and careful as I could be since the total hip replacement was the second surgery in less than a year for the same problem.

    I had the THR after surgery for a femoral neck fracture (hip pinning with cannulated screws) failed, in part due to the surgeon’s neglect to write the word “Precautions” or put a checkmark in the “Yes” box for precautions on the hospital discharge papers.

    Because of that, the physical therapist with the home health care company said the following: “He didn’t give you any precautions, so you can bend, squat, twist, and do whatever you want to do.” He also insisted that I keep doing exercises while I had excruciating pain.

    When I went to outpatient physical therapy, the “therapist” assigned to me was so busy socializing that he often failed to spend any one-on-one time with me and even insisted I do exercises and make movements that I know tore or broke something inside my hip/thigh.

    Because my mother was helping me by driving me to and from PT and the surgeon had failed to inform me until afterward that the seats in the car would make driving very difficult if not impossible for me, I needed to complete the exercises in a certain amount of time.

    Because initially I was waiting for “my therapist” before proceeding with exercises (and at that time had no idea the list of exercises was easy to find), the time I took to complete the therapy took longer than I was informed it would take. So on my second or third appointment, and I know this might be hard to believe, the therapist’s supervisor bitched me out for not doing the exercises more quickly. I explained to him that I thought I should be waiting for the therapist, but he wasn’t swayed. I really thought of changing therapists, but that location was closer to my home and had longer hours to accomodate my mother’s schedule.

    At about the third or fourth appointment, I realized that since he was a “social butterfly”, I would just have to yell out to the therapist from across the room. He would say he’d be right over, but it took him as long as 20 minutes to appear.

    Finally, near the end of therapy, I would just limp over to the table where everyone’s paperwork listing the exercises to be done was kept and review the exercises I needed to do so I could do them myself.

    At one of my appointments with the surgeon, he said that I’d better be careful or he “might have to do a total hip replacement surgery on you”. Then he chuckled. That scared me because I know that it’s all about money and not the patient.

    Sure enough, when the first surgery failed and I was in agonizing pain, I was told by different orthopedic surgeons that I needed a total hip replacement. I asked about hemiarthroplasty because at 49, I didn’t want my life to change as radically as it has. But all the surgeons said that wouldn’t be a viable procedure. As my left leg kept getting shorter, my balance was worse and I would fall everywhere. I fell on asphalt head first, sustaining cuts and bruises, breaking my eyeglasses, and injuring my knee.

    I didn’t want to have another surgery, but with the non-union (what a surprise, I’m saying sarcastically) and bone collapse/crushing, along with the excruciating pain that brought my life to a halt, I felt I had no choice.

    No matter how many orthopedic surgeons I saw, each insisted I had to go back to the original surgeon rather than have one of them do the procedure. So apparently there is a “good ‘ole boys club” among orthopedic surgeons here in the “Valley of the Sun” (Phoenix, Arizona).

    I had the THR, and I told my surgeon I didn’t want him to use DePuy, but he ignored me and did so (I think DePuy must give surgeons a bonus for doing so).

    The pain seemed to lessen within a few months after the surgery, but then I began experiencing a sharp, burning sensation in my leg, which the surgeon said was “end-of-stem” pain, for which there is no medical or surgical cure (except, I presume, to get more money from me — which I can ill afford — and from the insurance companies, doing a revision surgery).

    I asked him about recalls on DePuy hips and he told me that people are only having problems with metal on metal.

    I supposedly don’t have metal on metal, but metal on ceramic with a plastic liner, and again I’m in excruciating pain, although now my legs are about the same length. If I’m on my feet for more than a minute or two before walking even just across a room in my small house, I wind up limping. The “end-of-stem” pain, which seems to come with no rhyme or reason, feels like a burning sharp rod (titanium, I presume) stabbing me internally, in my thigh. Thank God my dog keeps me balanced and helps me when she sees me in trouble.

    If I’m kneeling on the floor and I move my legs just a bit, I can feel the prosthetic move inside my leg, which I don’t think is normal. Sporadically and without reason, I now have cracking, crackling, and grinding sounds from the hip, left thigh and just above the knee. I don’t have an ice pack long or wide enough to cover the entire area, and I’d need at least three to rotate them.

    Intermittently, I also get a light red rash around the perimeter of the scar where the implant was placed. Sometimes, though, the rash is on one side only and at the bottom or the top of the scar.

    I am allergic to almost everything on this planet, so I asked the surgeon to do a metal allergy test, but he said he didn’t think it was necessary. I found out after the surgery when I called DePuy to get a hip ID card (because the surgeon wouldn’t get me one) that my surgeon “hates to do paperwork”.

    Of course, that’s why he didn’t write the word “Precautions” on my paperwork after the first surgery.

    Anyway, in addition to the pain, etc., after I bend or squat or lift anything, including very lightweight things, the pain in my hip and thigh is brutal and nothing helps it, nothing. The surgeon promised me that I would be “up and dancing” and out of pain after the surgery, just to get money, like everybody else.

    I wish I had never had this surgery and I certainly don’t plan to have another. Hell, I read on one orthopedic surgeon’s site that he has performed 19 revisions on one patient. All I can think of is that the patient is insane.

    All more surgeries seem to do is change the type of pain and suffering you’ve been having. No more.

    I have a DePuy Pinnacle ALTRX, a Biolox Delta Articul/eze Ceramic Femoral Head, a Summit Femoral Stem, Tapered with Duofix, and a Pinnacle Duofix Acetabular Shell. I am going to report my problems to the FDA, but I don’t know what good it will do. I feel like I’m being tortured or punished with surgeries that wind up causing me more pain (and doctors not wanting to prescribe pain medication) just because I broke my femoral neck bone falling from a ladder. And of course I didn’t intentionally fall or plan to break my femur.

    Maybe some of you have this “end-of-stem” or “end-stem” pain and your doctors aren’t doing as many X-rays as necessary, or the proper X-ray needed, to diagnose it. At least you’ll know what is wrong. My surgeon had taken the usual two X-rays and told me everything looked fine; when I told him about this burning sharp stabbing pain, he ordered another X-ray and told me that I had end-stem pain.

    Just a thought.

  27. Hi Brigitte;

    Small world…I too had a hip replacement in Stockton. I’m assuming your surgery was done at Dameron hospital? Mine was done in August of 2004 and RE-done 3 months later when the polyethelene liner slipped from between the ball and socket. (Come to find out the liner they used had been recalled a couple of years before.) Bottom line is, I haven’t had any trouble since the revision and I guess that is what counts.

    You can get a copy of your records from Dameron hospital. Tell them you want the records from your surgery or they will give you your medical records without the ones you want. I had no trouble getting mine at the time. Hopefully you can too. (Then compare your “parts” to the parts being recalled.) I’m curious as to who did your surgery. My Dr. had the same last name as yours and I REALLY liked him. Good luck Brigitte

    PS I haven’t heard of the relationship (if any) between bladder infections and artificial hips, but if someone else has I’m sure they’ll let you know.

  28. Kathy H-P

    How is my favorite girl doing??? I a so sorry about the new of a detached retina. Your are abosolutely right in saying that we really will never know what these metal levels have done to our bodies. the recent studies about bladder cancer I find very alarming. We do know that cobalt toxicity has a pathologic effect to the optic nerve. In my professional opinion is that these high levels are wreaking all kinds of damage to our bodies and for sure the whole body of Medicine is behind the curve when trying to finnd out how mtallosis effects the whole body. I trust your instincts Kathy and medical reasoning is right on, everything is on the table, these doctors can’t say no or yes to any of this. That is why we need to continue to read and keep ourselves up to date as no one else is going to inform us. More research will reveal how destructive and dangerous these nano particles of cobalt or chromium truly are. I will be praying for you me dear friend..Blessings Jim

  29. Steve

    I am so sorry that your family and father has had to suffer so much due to these hip pproblems.

    You need to get the operative report so that we may be able to see just exactly what kind of hip we are talking about here, The pinnacle hips can use different stems and Summit stems are ised frequently as the femur prosthesis, so we have to know exactly what the acetabular components are made of. If the the Ortho told you he got metal in his hip I think you are looking at a metal on metal hip, but let;s find out for sure and we will fo from there.

    My hip got infected also and I was on IV’s for 6 months, so I am praying for your father that they kill all the bacteria, Things worked out well for me and pray they do the same for your father.

    You need to find out for me what kind of prosthesis was used and then I will have more to say. If it is a metal on metal prosthesis I will encourage you to get an attorney.

    Blessings
    Jim

  30. Jim D,

    You get yourself an attorney and join the rest of us in suing these people for putting these faulty porsthesis on the market. The only thing these companies understand is buy taking away there bottom line….Do yourself a favor and lawyer up. No one knows what effect these metal on metal hips will have in the long run. So get you an attorney.

    Jim

  31. Brigette

    First of all, find out what type of hips you do have. It is so important, A study just recetly released shows that metal on meatl hip patients run a higher rrisk bladder cancers and have found inflammatory process unexplained. If you were catherterized while in the hospital sometimes the catheter can give you an infection or cause other damage that give you the feeling you have to urinate all the time. If you wre my patient I would find out the origin of your bladder symprtoms by doing a few studies and then definitely get you Urology appointment,. If ou do have metal on metal hips it is important to get your cobalt/chromium levels taken as there are a host of illmessed casused by metal toxicity. I hope this helps you, so find out what prosthesis you do have your Ortho has to give you a copy of your OR report,

    Good Luck and if you need anything we are here for you.
    Jim

  32. It just amazes me when a manufacturer is named a culprit for something, people come out of the wood work with every ache and pain imaginable. I had an ASR installed two and a half years ago, had it revised a year ago, had the other hip replaced two months ago and both give me fits every day but life has to go on, I got over it. A couple of pain pills a day and life ain’t that bad. We only go around once and we can either join the pitty party or take life for what it has given you as the alternative don’t look all that attractive. It’s all attitude, change yours and lots of things will change.

  33. I had both hips replaced (June/Aug 2006) at Kaiser Permanente (Stockton, CA). I have asked Kaiser several times if my hips were on the J&J-DePuy “re-call list” and have not received a straight answer. I am now on Medicare and no longer a Kaiser Member so they totally ignore me.
    After the operation the Doctor mentioned to look out for” bladder infections” since the bladder is so close to the new hips. Are frequent bladder infections symptoms of bad hips?
    How can I find out if I have the re-called hips? Help Please

  34. hello to all and im happy i found this site that can maybe get my father in the right direction. he has had a depuy hip installed 6/10 and thought he would be off to a good recovery. everything was fine first couple months and then he started to have severe pain and got to the point he couldnt walk again..18 months later after the 6/10 surgery he was still taking pain meds just to have the energy to walk to the bathroom and do minor tasks including bathing himself. this past winter, he got some test results back and found out he had 3 positive cultures in the hip area. he went for a 2nd hip replacement and was told the cup from the 1st hip bushing had slid and possibly got metal into the bloodstream from a metal to metal grind.. this 2nd hip seems to work for him,but now here at home,i had to give up alot of time,work,lost several jobs and had to become a 1/2way home nurse so i can assist and make sure that his IV is always hooked up and working properly and help with personal activities. my familys life had changed.. the hip that got contaminated was a depuy summitt.. all i read about are ASR hip recalls.. does anyone out there have a depuy summitt hip that may have had problems or contamination? this 2nd operation had a new cup installed and upper head with (set-in-beads) antibiotic capsules around the cup. i hope this 2nd operation works. i dont know what to do with all the incoming bills and time lost and the pain and agony we went thru. doctor says he may be on a antibiotic the rest of his life.. we were tod to keep the drip line hooked 2x day for 6 weeks. my Q as of now is really, has anyone had the depuy summitt hip and are having any problems? thank you for any input.. all my neighbors and amily members keep telling us to see an attorney. well, i never spoke to an attorney in my life as we always lived a peaceful quiet countryside lifestyle…any input would be appriciated. thank you for your time reading this,god bless all who have went thru this with any hip surgery or other surgery.

  35. Hi JIm and all,
    I am wondering if any of you have heard of any others that have had developed partially detached retinas after having high metal counts? I just found out that my left eye now has developed a partially detached retina. Apparently they won’t do anything about it unless it fully detaches. The retina doc says he does not think it has anything to do with my cobalt / chromium levels, but I am certain he has not seen another patient with the hip issues I’ve had, or that came remotely close to the levels I had for a year and a half.
    The thing I find so frustrating in all of this is that we will probably never know what the high metal counts may have caused to other systems in our bodies…
    Jim, I hope you are recovering and doing better every day. I wish that as well for the rest of you too.
    Kathy H-P

  36. I hope some of you realize this DuPuy ASR hip implant system is a killer. My girlfriend (now ex because she is in such bad shape not comfortable being with a man and no longer physically functional in any meaningful way) had two of these implants in 2008, had one replaced in 2010, has metallosis from the cobalt and chromium in her bloodstream, muscles, bones, brain and many other locations, has to have the other one replaced this year and try to hang on to the removed device for evidence, has already been told she has not much time to live. Supposedly taking the other one out will give her maybe a few more weeks or so of life. She is only 49 years old. I can’t even estimate how many older people who have already died from kidney, liver, heart malfunctions related to those organs trying to filer out the metal, had no idea that these things were related to their hip implants. They just assumed they were old and their organs, etc wore out, etc. Little did they know. Their loved ones had no idea either.

    All this is being downplayed by the company and the surgeons. Yes the FDA let this fly through without any pretesting. Pay attention! This is way more serious than the pain most of you are describing. It can finish you off in 3 to 5 years depending on your age. My sister’s husband also had this procedure and equipment in 2007 and died in 2010. Since he was in his 70’s, no one even suspected his hip implant. Oh he was old, then he died. This is much worse than you think it is.

  37. In Nov. 2000 I had a total hip replacement (j&j device). From the outset I have had nothing but problems; mid-thigh pain; popping noises; and a feeling of looseness. Had two scans and many xrays, all inconclusive as to causes of these symptoms. One doctor recommend a “bone wrap” to the femur (a cadaverous bone secured w/cables) another, “resurgery” — w/ “no guaranties”.

    I’ve lived with the pain (on the average of 2-3 600mg doses of Ibuprofin a day), clunks and near-miss dislocations for the past 11 years. Finally, it happened —
    dislocation Jan. 2012. Diagnosis: acetabular component “loose” and/or mis-aligned. Prognosis: revision surgery. My questions are: (1) Was the prosthesis defective? (2) Was the surgery not done correctly? I can find no recall info (no data-base info) on the J&J devices going back to 2000. My unsuccessful researches lead me to believe that statute-of-limitations on earlier recalls have run out, and I’m just out of luck. Any suggestions, please.

  38. I’D LIKE TO TELL J+J WHY DID YOU DO THIS TO ME AND TONS OF OTHERS?
    I HAD MY HIP DONE WHEN I WAS 31. I HAVE SO MANY PROBLEMS WITH MY HIP REPLACEMENTS! I’M SICK AND TIRED OF IT.I LOST SO MUCH OF MY LIFE DUE TO THIS.IS LIFE WORTH ALL THIS PAIN EVERYDAY?

  39. thanks jim for replying back six week has gone and on the 3 2 2012 i go back to the hospital and should be having the brace of. but really im not sure if i want the brace of because it gives me peace of mind knowing it want pop out whiles i am wearing it,

  40. Hi All,

    OK, since hip 4 has come out and the cobalt chromium numbers have come way down, I am no longer loosing my hair (it was coming out in big clumps in the shower). My hearing has definitely been effected by the Co/Chr, it does not seemed to be getting better, still bad ringing. Eyes are OK, but holding a focus is tough, I have to move the page slightly to keep refocusing.
    Good thing is. for the numbers to be coming down so quickly, it appears my kidneys are functioning pretty well.
    What other signs should I be looking for (or tested for) JIm, and others? I’m afraid to go on the law suit sites, they’re way too scary!
    My fear is that my left knee is in serious trouble, I go to the Dr. here on thurs, he’ll x-ray it. Hoping it is OK, don’t know what I could have done, but I WILL NOT get surgery on it!
    Best wishes to you all.
    Kathy

  41. Hi Kathy, \Just wanted to let you know that I think that you are one hell of a trooper. I’m on my 3rd and every day I thank G-d that it holds up so I know how you feel.
    I pray this does the trick for you.
    Stay well and stay safe,
    Marcia

  42. Kathy H-P,

    I am so happy your num bers are coming down, are you suffering any signs or symptoms of cobaltism???? or are you feeling better and stronger daily????

    Keep in touch.

    Take care Jim

  43. Hey Linda

    I will do some research on the Shands University for you. The biggest difference in arthritis and lupus arthritis is that lupus arthritis is usually not erosive meaning no joint replacement usually, and usually it is monoarthritis meaning that if the Right knee is symptomatic the left usually isn’t. But not always. The pain can be the same but over time Rheumatoid and osteo arthritis are usually constant and interrupts sleep which leads a person to a replacement. My knees get hot and swell as does my ankles and shoulders. Lupus usually affects coneective tissue more than arthitis also, Keep me posted on what the blood work and evaluations turn up. We are looking In the Sarosota area, but I am looking forward to living in more friendlier weather. The best of luck to you Linda and if you need anything just write, I will get back to you as soon as I can.

    Blessings and take care
    Jim

  44. Hi all,

    I am going to have to do some serious PT, since hip #4’s revision. But, I’ll be OK. My very high metal numbers (Co: 512 and Chro: 126) have come down to 16 and 20 and I’m sure have fallen furthers as that test was done in late Dec.

    Hi Jim, I hope you and the others here are doing OK.
    Kathy H-P

  45. Jim is the difference between arthitis and lupus is that with lupus the pain never stops day and night neever any kind of relief no pain pills help

  46. Thank you Jim, we also are selling our house in Mi. we have one in florida which we are going to make permanent. my pain never stops now my good hip went out and both knees. went to UM and don’t recommend, have you ever heard of Shands university in Gainsville Fl.

  47. Kathy H P,

    Love ya lady, glad your back in MA and I hope things are progressing well. My best always to you; Love ya Jim

  48. Linda

    I am glad you are taking an active approach to your lupus. I also have Sjogren’s, Scleroderma and Fibromyalgia. I don’t have a day without pain since the the hips were put in. Now through the 5 revisions it is worse than I could have imagined, I am so sorry I ever had my hips replaced. The cold weather has me selling my new home in KY and moving to Florida so that I can get a pool and stay warm year round. The health changes have been so dramtic for me and I must admit I am depressed.
    Linda, just make sure you get with a good Rheumatologist for proper e valuation and treatment. There are many treatments availale today and just understanding what autoimmune diseases can do to the body especially when we have to deal with chronic inflammations from defective hips. It is so good to here from you Linda and I am here for you and keep me in the loop. The best always for you
    Jim Moreland

  49. Jim
    I do not know what all of us on this page could do for you. I just went to this partner Dr. for my own opinion, talk about surprise. Also told me I have Lupus, however Drs. have been telling me that for years, I chose to ignore it because the only treatment was styroids. I guess I am doing my own work up with Drs. I have appt at UM Ann Arbor this week. tHANK you so much for all of the information and understanding, finally found out why so much pain BOTH HIPs, BOTH KNEES, BOTH ANKLES, ONE SHOULDER If you think I need to go to a specfic Dr. please let me know. I am seeing cardio Dr infectious de. Dr. and changed primary Linda

  50. HI fellow unfortunates,

    I am finally back home after spending 5 months back and forth from MT to MA for my 2 m-o-m hip revisions. The final, (I hope) I refer to as hip #4, it was done about 2 months ago. It was a tougher recovery than hip #3. My surgeon had to reposition the acetabular cup and I now have two big screws on that side. I guess these are helping hold the thing in as there was likely some gap from the original hip replacement position, that, or there was metal damage, as there was black tissue, etc. in there.

    There was no presence of a pseudo tumor, as with hip #3, so even if an MRI does not show the presence of liquid, if your metal numbers are really high, I would still discuss the possibility of revision surgery with your orthopedic surgeon. Also, I had ZERO symptoms on either hip. I am proof that this metal damage can be progressing without your knowledge.

    This is the part that has me most worried. I am afraid some doctors may be avoiding contacting their patients to get them in for a metal test. Some doctors have received “incentives” from dePuys over the years and may not want to open that can of worms. Please spread the word to get a blood test, or at least the operative report to anyone you know that has had a hip replacement. At least they will know what they have had put in their bodies and if there is a possibility of metallosis, I am surprised by the amount of people that are clueless about this. Had I not had my brother-in-law bugging me to get a metal test, I am convinced that there is a very good chance I would have had severe, and possibly irreversible damage.

    I hope the new year finds all of us in a better ‘place’. Good luck everyone for a happier and HEALTHIER New Year.

    Thank you Jim for all of your help, advice and efforts here! I hope all of you are progressing well with your recovery, or getting the answers you seek.

    Kathy H-P

  51. Linda

    The good thing is that you have an OS calling a spade a spade. You just want to make sure that we does all the appropiate wrok up and identify the issues properly so that when operates, he will know what he needs to know. I have had two exstensive debriedment and synovectomey . if you have wide spread muscle or bone damage, he will need to extend the incisions so that he can clearly see what is going on. Keep me posted and if you need anything let me know.

    Take care
    Jim

  52. Danny,

    I had to two revisions done, and I wondered if that was a bad year for the manufacturing of these prosthesis, Find out what exactly you do have. This type of hip pain a year out could be a sign of loosening due to metallosis, or infection or inflammation. Make sure you have cobalt and chromium and in your case titanium. Let me know how it went with your OS…Jim

    Carol

    Man you are having some bad times, a dislocated hip and now with a cast….Once a dislocation has happened you are prone to re-dislocations. Just keep strengthening the hip and avoid movements that cause dislocation. Keep me posted, so rest and let this thing scar in good. I hope things will continue to improve for you. Overall, I am not happy with all of my revisions due to pain. stiffness and inability to get out of my chair without assistance. and pain that does not allow me to sleep very little, but I still remain somewhat optimistic.

    Best of Luck
    Jim

    Donna

    I would love to know what the exact words are on the xray reports and any other studies you have had like a bone scan? Identifying the the “particles” is what we need to do, but I am concerned for you husband as he is having temendous hip pain and all the OS is offering pain pills. We need to find out the specifics and order the blood work and aspiration that needs to be done. He should have had a Indium Scan and MARS MRI scan. The OS’s are basically behind the eight ball here and most don’t know what the next step is done. But what we know is that your husbands hip pain may be signs of loosening and that should evaluated, PAIN and what is causing the pain must be indentified. What Particles????? The best of luck Donna…Jim

  53. My husband had a full hip replacement with J&J Depuy Implants (not metal on metal) in Nov. of 2007. He started having severe pain in the hip that was replaced two months ago. He called his surgeon back East and also saw an OS doctor twice where we live now. The conclusion is that it is some kind of deposit surrounding the new hip and that nothing can be done…just pain medicine. What? I have read a lot of about these hip products and found that most surgeons who use a specific manufacturers products are getting commissions for using their products. Would this be why the surgeons are not willing to look more into why the pain is there? What else can be done? Why does my husband have to wait until he is dead to find out if the product is defective? We just want the pain gone…it is NOT NORMAL! Any advice? He has implanted the DePuy Pinnacle Acetabular Cup Lot # Z3XDM1000, Model 62MM; Large Stature High Offset, Lot # ZN6G61000, Femoral Head, Lot # 2236798, Model #+9; and Acetabular Liner, Lot #YY2E81000, Model 62 MM OD/32 MM ID. Please help.

  54. I have had hip replacement 1 year ago tomorrow . For the last 2 to 3 months I have developed the worst pain in the side of my affected leg, and can hardly bear any weight on it. Before I had to have hip surgery I had quite a bit of pain but now I think it is worse and more persistent. I was floored when I found out about the recall on the deput asr. I know I have a deput implant but not sure of which one. I am going to doctor this week because I have had enough. Can I have possible received a bad implant on jan. 29 2011? Can anyone respond with having hip surgery around that time.
    Thanks Dan

  55. HI TO EVERY ONE WHO BEEN READING ON THE 8 OF DECEMBER HAD THE SECOND HIP REPLACEMENT ON THE SAME HIP THEY SAID IT WAS REALLY DIFFICUIT BECAUSE OF THE METAL ONE WHAT WAS IN WAS IN A BAD WAY AND THE METAL HAS MADE THE TISSUE AROUND MY HIP BLACK BUT THEY SAID IT WILL HEAL ONITS OWN I HAD TO STAY IN BED FOR TWO WEEKS BECAUSE THE PELVIS WAS CRACKED BUT WITH IN THE TWO DAYS OF THE NEW HIP IN WHEN THE NURSES TURNED ME OVER A LITTLE THEY DISLOCATED THE NEW HIP. I WAS REALLY IN PAIN I TOLD THE NURSES SOME THING WASNT RIGHT I ASKED FOR A DOCTOR TOOK ME FOR AN XRAY AND THATS WHEN THEY FOUND OUT IT HAS DISLOCATED AND HAD TO HAVE THE HIP MINIPILATED BACK IN PLACE AND NOW I HAVE TO WEAR A BRACE ON THE HIP I AM AT HOME NOW BEEN HOME FOR 4 DAYS NOW

  56. Jim I went to the partner of the guy that did my hip quote after just xrays and brief exam”” you are a trainwreck, full of infection, aged and I waddle because both hips are no good. would like your comment Linda

  57. Hi all,
    Happy Holidays to you all!
    I am now 6 weeks out and saw the doctor yesterday. The pinched nerve seems to have found it’s way back to where it belonged (it’s not being pinched any more). My leg still hurts and I can’t put much weight on it since they replaced the acetabular cup as it was originally placed too far back. The constant clicking and grinding that caused is now thankfully over. But I now have 2 big screws in there that I saw on the ex-rays.

    But, all in all, I think I am on the mend. I’m down to 1 crutch now. I hope you are all doing a bit better and best wishes for a healthy 2012.

    —Kathy H-P

  58. Just learned that my father-in-law has just been admitted to hospital because of serious problems with his ASR hip replacement. His pevis is so badly damaged that he has to remain in a hospital bed because of the risk of complete failure of his pevis and in the surgeons words “death in about 5 minutes”.

    My god, how can they put these things in people.

  59. 6 12 2011 got a phone call from the hospital to say to morrow is cancelled as there is no beds and they will phone when there is spare beds. now it is the waiting game again . that they will be changing the ball and socket. they will see if they can save the stem. i will be having ceramic on ceramic.. i hope i will be able to do the things i use to do before this one was put in. they not sure if the leg will be short again like it was before i had it done.

  60. To Kathy S
    I am 5′-6″. One reason my Dr selected the cermaic head is because I tested for metal allergies and found out I was highly allergic to a metal used in some implants. Good luck and let us know what equipment she ends up with and how well it works.
    Bob H

  61. Kathy S

    So good to here from you. I sure hope things go well for your sister this time around and blessings to you on being a loyal sister. I have two brothers that are here for me also, I couldn’t do it without them.

    About the height, I was 6’1″ but lost 2 and 1/2 inches from all the revisions. I think it has to do with two things. The length of the femur and the size of cup. Frmur stems need sufficient length of bone to allow ingrowth and if you make the femur shorter you loose that ability of the prosthesis to properly seat itself and can cause early looosening. They have found in the earlier studies that the smaller ball size seem to associated with more wear in the acetabular and ball of the hip. Those are the two things I can think that the height of someone could impact. The best of luck to you both and Happy Holidays ans stay in touch….love ya Jim

  62. I had the treated spacer also for 4 months and IV antibiotics for 6 so I hope things go well for you David. You know i recieved 5 implants in 2010 and had immediate symptoms of inflammation and infection. I wonder if they had an infected lot of prosthesis, there are too many infections occuring in the Pinnacles implanted in 2010. I will have to research that. Good luck David and tell them lawyers in Texas to hurry it up, the latest word I got was that they are bringing out the big dogs to defentd the Pinnacle hip. The latest research released says MoM prosthesis are more likely to be replaced twice as much that other forms of replacements. I think these companies will want to settle these suits fast as these medical studies will erode their position…We will see and the best of Luck to You David keep us posted..Jim

  63. Judy, had Pinnacle implanted Jan. 2010 it failed before end of 2010. I stayed on crutches until Oct. 2011 had Pinnacle removed and now have treated spacer and infection is going down. Hope to have new replacement by early 2012. Watts and Guerra law firm in Corpus Christi Tx has filed some suits in federal court in Dallas where all federal Pinnacle suits have been consolidated. Hope this helps DLC

  64. To Bob H and Jim Moreland,

    Thank you both so much for sharing your experiences with your different systems, as well as what thought processes went into your final decisions.

    It hadn’t occurred to me to ask her OS for names of patients as referrals, Jim, so *thank you* for pointing out that common-sense approach (realizing, of course, that the OS is going to pass along the names of his happiest patients. When you speak with people one-on-one, though, it’s surprising what truths they share that their doctor either didn’t hear or didn’t think was a problem, much as my sister’s former OS ignored her chronic groin, butt and hip pain for a year).

    I know that I also need to find out the exact cup and liner the OS is planning to use, so thanks for sharing what your device is in its entirety, Bob H. My sister will be happy to take NSAIDs after her surgery if it means she can stop taking her daily painkillers altogether.

    Thanks, too, for the heads-up about the insurance. My sister has an (expensive) Individual Health Plan, so I’ll be mindful of any future renewal problems. I don’t know whether she’s grandfathered in to her current plan (I’ve only ever had employer-sponsored health plans), so I suspect this is yet another area where I will soon learn more than I ever cared to!

    BTW, Bob and Jim, how tall are you? I’ve read that the Pinnacle is a particular problem for people who are shorter (my sister is only 5′ tall and I’m not sure where the yardstick for shortness tops off). I want to find out whether the same issue is true for the Biolox Delta Ceramic Head or any of the other hip devices. If there’s a device that particularly suited for smaller folks, I want to know about it!

    Thanks again so much, gentlemen. I hope you’re resting comfortably, Jim, and that you’re in good spirits knowing how many people you have helped on this site. And, Bob, I hope you’re in a good part of the country to keep up on your golf game! It’s a beautiful day out here in California!

    Best always,
    Kathy S.

  65. To Kathy S.
    I have a Biolox Delta Ceramic Head with A Summit Femoral Stem w/POROCOAT, and a Depuy Pinnacle Sector II cup. I’m a very active 56, had my THR in Nov. 2009. I am able to play golf and walk 18 holes. I do have some pain on a daily basis especially after getting up from sitting. The pain is in the hip and front thigh but not severe and I manage it with a low dose of prescription NSAID (anti inflamatory). The outcome was not what I had hoped for but I am able to get around and do most activities.

    If there is anyone out there thinking of getting a THR another fact you need to consider is your future insurance. I am self employed with one employee and have a 2 person group plan. Our premium rates have doubled since my THR. I looked into Individual Health Plan and 2 major Ins. Companies denied me coverage because I had a THR. They oviously know of all the trouble and revisions that have to be done and don’t want to be stuck covering them. If your insurance is with a large group you should not have a problem unless you have to go out on your own and look for insurance.

    Hope this helps and good luck.
    Bob H

    Bob H.

  66. Kathy S,

    This was the hardest decision to make. I went with plastic and metal as it has been proven over time to function well with the least side effect profile. It is a proven enetity. There are people that are on the plastic and metal for more than 20 years and some I know 30 years out without problems. Which makes you wonder why we need different kinds of materials which have proven to be detremential so far and this takes me to the ceramic. It has not really been tested and I have heard some good and some bad about it. There are few on here who had the revision but I think they had the Corail with Pinnacle acetabular cup. It is an individuals choice and how much confidence you have in your doctor and you want to know how many of these implants he has actually used in his practice, if he has used get a few names of patients and speak to them. We always had a few people who would allow those undergoing total hip arthroplasty surgery to ask them questions and we found at the University Of Pittsburgh this most helpful and relieved alot of pre-op anxiety. I went with plastic and metal as they have been proven to be the best over time. But ask those who have ceramic prosthesis. The best of luck to your sister.

    take care
    Jim.

  67. Judy, what type of Pinnacle was used, metal on metal, plastic on metal or ceramic on metal????? It sounds to me that you may have some nerve entrapment or damage to nerve during surgery or scarring, but make sure the doctors are aware of this and if it worsens then have an EMG/NCV about 6-12 months after the surgery date. I have problems lifting my leg also my last revision was 6/2010. I have tremendous weakness in both hips, numbness to the anterior thigh like yourself and “stiffness” in the joints and muscles it feels as if someone has thrown cement into both joints. I am only able to walk 100 yards a day to to hip pain, stiffness. and weakness. My weakness is a problem. You should try to sue your doctor also. These ortho surgeons are up on the difficulties of the Pinnacle hips. If you had the Ultamet then you have big problems, but I am also reporting to the FDA the same problems with the plastic and metal. My hips are worse now than before any surgery upon them. Your cobalt and chromium are elevated and need to be watched and avoid labcorps. I hope things improve for you and I am here if you need anything at all.

    Take care
    Jim

  68. This post is to those of you who have had (or are scheduled to have) a hip revision. What hip device did your doctor use for your revision?

    My sister’s revision surgery to remove her Pinnacle/Summit combination is scheduled in early January. The hip implant her OS is planning to use is a “Delta ceramic femoral head”, which I believe is made by Biomet Orthopedics and is specifically the “Biolox delta Option”.

    I’ve never heard of this device before, and I’d like to know if anyone else has any prior experience with it. My sister is scared of the upcoming surgery so any info you can share would be truly appreciated (good or bad–she wants to know the truth so she can make the best decision). Her Pinnacle has to come out–the constant pain is too great–and she wants the next implant to be the last one (as you all do, I know!). I figure the best place to find this kind of info is to ask the people who have had the revisions.

    Thanks so much for sharing. I know from my sister’s experience how hard it is to sit and concentrate when you’re suffering from chronic pain in your groin and butt and thigh and have fatigue and exhaustion from two hours of sleep each night. You are all heroes for enduring what you’ve had to endure, and I pray that you each find a positive outcome so that you can get your lives back. I know that is all my sister wants: a normal pain-free life.

    Best always, Kathy S.

  69. I had a rt. hip replacement with a Pinnacle last Sept., 2010. I have had some hip pain ever since the surgery. I also have numbness and pain in my rt. thigh. MRI and Bone Scan didn’t show anything. Mt cobalt level was 8.3 and my chromium level was 3.6. A repeat level 6 weeks later shows the cobalt level dropped to 3.9 and the chromium increased to 6. Is this something I should be concerned about at this time? Two different labs were used to test the blood. Before I had the surgery I asked the Dr. about this prosthesis and he said there was no problem with the Pinnacle. Now I am finding out that there is and was a problem in 2010. I feel like my Dr. lied to me and with all the pain and problems lifting my leg( I can only lift my leg about 15 inches.) I want to sue him as well as Dupuy.

  70. Carol

    I know all of this seems overwhelming. In some ways it is easier, the fact that you have been through it before you will have no surprises. The pain is the same but where I think it is rougher his in rehab and just the longer time it will take to recover. The one thing you forget about is the present pain you do have and that will be gone. In 2 to 4 weeks you will feel much better. May God be with you and your surgeons. I will be praying for you and will look forward to hearing from you after you have healed enough. Blessings my sister….Jim.

  71. Hi Carol,
    I have had both of my 2009 replacements revised now, one in April and one 3 weeks ago. My advice is don’t go into it fearfully. It could be more difficult if they need to remove the prosthesis from the bone, but a lot easier if they just need to replace the cup liner. Either way, I have not heard of dislocation being easier. Of course you’ll need to do the PT work to gain back your muscle strength. Good luck.
    We will be thinking of you and wishing you the very best outcome!
    Best wishes,
    Kathy H-P

  72. at last the date has come around to have hip replacement after the first one has failed on me it was only 209 i had the first one done the date is on the 7 12 2011 and that is next week and i am feeling really scared because people has told me the second time round is worse and more pain full.and dislocate easy

  73. Hi Jim,
    Thank you for the info! Don’t know what we’d all do without you! Nerves still twinge badly, especially when lying down. I’ll call the doc tomorrow. to see what they have to say and to have it documented. I hope you had a great Thanksgiving!

    I hope you all had a great Thanksgiving —KH-P

  74. Everett is so right about frivolous lawsuits, especially medical ones. They just don’t exist. The second fallacy is that it does not add to the healthcare cost as dramatically as they want you to be believe as matter of fact frivolous lawsuits add very little to the overall healthcare cost. It is simply misinformation that Big Business tries to brain wash the public as the major cause of healthcare costs. The biggest cost to healthcare cost is inflation itself. While the nations inflation rates were 2 and 3 percent, healthcare inflation was reported between 18 and 22 percent…..Technology is what drive healthcare cost. We as consumers of healthcare in America are getting ripped off. Look World Health Organization ratings of all nations of the world and see how the quality of our healthcare stacks up to other modern industrialized countries and yes they are some for of socialized medicine….we have socialized medicine here in the these United States only it is big business calling the shot and as they line their pockets with cash the consumer receives subpar care in many areas of medicine. Everrett is right, they would love to see all this go away in the way of Tort Reform, meaning you loose your rights to claim damages….you have no right to sue……Protect your rights and speak to an attorney and we are in the infancy of this recall with Depuy having left the pinnacle not recalled as of yet……….I encourage all of you affected by these metal on metal hips and in the future I believe you will find that the pinanncle design itself will be challenged and recall, I have the poly version of the pinnacle after taking the metal out and I am having the same issues as I did with the metal. Its clearances are to low causing impingement and front edge loading no matter the material the motion dynamics are the same and producing the same results as the metal on metal…watch to see how Depuy spins this…The Pinnacle is their Darling and they will defend her to the end…another words war on the Pinnacle has been declared….It usually means they have a lot to hide when they spoend so much to fight to keep it tamped down….In time we will know…

    Happy Thanksgiving
    Jim Moreland

  75. Kathy H P, I have been praying for you and it is so good to finally hear from you. Unfortunately one of the side effects of hip revision is due irritation or injury of the nerves. The nerves run so close to inferior aspect of the actabulum and sometimes can be injured by the retracter or scar tissue can for causing entrapment so that when the nerve stretches like it should through normal body movements, it can’t thus causing a sharp shooting pain in the joint in front of the thight and sometime posteriorly to the thigh. I t will take a good 6 months to a year to reeally let the dust settle before you know which way this will declare itself. If it is an acute injury it will worsen immediately over weeks and any ortho doctor can tell if it has been damaged. In 8 to 12 months an EMG/NCV of the nerve can be done to determine if the nerve is injured. You should bring everything up to your surgeon and see that he documents everything that you are telling him. When it comes to court it will be vital as I have already caught my doctor underdocumenting my symptoms, it will be the last time he does that….So tell your physicican everything that you are experience and even right it down and do a daily journal of the symptoms. Right now Kathy I will tell you I wish I would have not had any surgery done. My anterior thigh is numb, still with bilateral groin pains, WEAKNESS and STIFFNESS that causes me to limp badly and prohibits me from walking more than a hundred yards. Sleeping does not come only after I have exhausted myself and I only get 1 to 2 hours at a time. I am not happy at all and currently I am researching the effects of the ions on muscle conduction and what leads to overall muscle weakness which might be the whole story to this becasue if you have irreversible weakness then they could put a perfect hip in and you still would not benefit from it because you don’t have the muscles to pefform simple functions they were designed to do.

    But for now I am so happy that you have had it done and are writing on the site. I pray that you continue to heal well. Love ya Jim.

    • If Big Business has their way you won’t be able to hold them responsible for anything at all, and they’ll sell it to us under the guise of Tort Reform. The reality is that, for the most part, “frivolous” lawsuits don’t exist. That’s because no lawyer in their right mind would waste their time taking one when there are legitimate cases lining up outside of their doors.

  76. Hello fellow unfortunates,
    Happy Thanksgiving to you all! I am 2 weeks out of my final, hip #4, revision —(i pray)! I’m feeling pretty good, but sometimes have sharp stabbing pains which feel like I’m hitting a nerve. Jim, do you have any knowledge of this sort of thing? I expect it to pass, but I am wondering…sure hope it is not a permanent thing. Is it something I should bring up to my Dr., or maybe just typical post-surgical pain?
    I hope this finds you all well and able to spend time tomorrow with family and friends.
    Best wishes to all,
    Kathy H-P

  77. Deb, it is the publics misfortune that this has happened. But big business lobby for laws that protect their interest. It is said because we all have become guinea pigs in this whole deal. I want to state that I think the Pinnacle system as a whole is flawed and that no matter what the type of prosthesis it is an inherent design problem but depuy will admitedtly deny this. The problem here in the staes is their is no total rplacement registry that tracks these things, but the companies would know to a tee what are the exact failure rates of their prosthesis and you can bet it is high and those are the facts that we will never got a chance at. The docotors don’t tell the patient why they failed they just say it has to be replaced..I have seen this done in a few orthopedic practices……..In all 7 of my surgeries the Bepuy rep was there……I want him court to…..I feel that the doctors and the reps through the companies are not reporting all the findings, they are spinning the diagnosis there way like a politician does…Jim

  78. It is good to see some people on here telling it like it is. This whole metal on metal is a travesty that doctors knew about in the 60’s and 70’s. This whole thing was spurn on by the big medical devices companies to create a new market for those that the market was closed to and the is the YOUNG in need of new joint by disese or trauma. It was something we rarely did 25 years ago and that is giving a young person a joint. Why? They are very active and no metal or plastic known to man would stand the test of time and stress that a young person would place on these prosthesis. I am 8 months out of both revisions and my muscles are week, pain in the groin with clumping and now I am having anterior thigh pain which would indicate stress on the femoral stem. I can bend over, sit for a few minutes and walk about a hundred yards before I must sit. I am stiff and it feels as if cement has been poured in my hips. I am housebound and and times bed confined due to the pain I have. My num bers have come down gut still we don’t know the long term effects of cobalt and chromium ions on our bodies. Weakness is my biggest complaint. I can’t get up from a seated position or bend forward to touch my toes. I need help days dressing and showering. The hip when first revised felt free, but after 8 months it is as if the scarring and synovitis is back impeding my rom and caussing me pain that will not allow me to sleep but 1 to 2 hours and this only when I am exhausted. I think doctors and J and J need to be thoroughly investigated as they were in England and remunerations hould be paid to us. I am not looking for 6 digit settlement but high 7 digits as I will never work, walk, sleep, stand or make love with my wife again. These doctors and prosthesis companies need to pay dearly for the harm they have done to us all. I was 42 when I had both of my hips done and I have not been able to practice medicine since, so someone is paying for my lost wages also. Jim, I agree with you people are like cattle they go where they are told to go, But me, I am looking forward to my day in court. Thanks for sharing. I am so darn angry. We need hit them where it counts…IN THIER POCKETBOOKS…..Jim Moreland

  79. I read about this on medicaldevicerecall.com too. The FDA needs to upgrade their approval process. All thats needed now is for companies to prove that a medical device is the same as one that is already approved and it get approval. sometimes this happens even before a trial is completed. No wonder so many devices are breaking down. I’m sorry so many people have to suffer before these recalls even occur

  80. Ron

    I hop things go well with your revision. Sorry you had to havea an unecessary back operation. Keep u sposted and you will be on my prayrs list.

  81. Daniel

    Yes you should contact your doctor and find out what prosthesis they used. Alslo a plain xray does not shed light on metallosis. You need to have a bone/indium scan, arthrcentsis, MARS MRI and Ct Scan to really assess the pahtology of your hip and you musct have a cobalt and chromium leverl if they are metal on metal. So get that information and share with your VA doctors and ask for the prelim,imary test before they do the revision. 10 years is a very short window for the failure of hip prosthesis also. Let me know if I can help you at all. Jim

  82. Kathy

    I have been thinking of you and I hope the revision went fine. Let me know how you are doing when you are up to it.

    Love ya Jim

  83. Scott Bee

    What kind of prosthesis did you have? It sounds to me it was metal on metal. Your experience is like mine as I lost a lot of my muscles. Now i have severe pain and stiffness. I also have debilitating weakness that causes me to fall, no wI am on a cane. We all need to keep raising kane so that the FDA wi pull all metal metal hips of the market. We should recieve our remuneration faster thatn later..I agreee witht hat, but they will take their sweet time.

    Roger, I am glad you are doing better. AThe pinaacle design is being scrutnized as having a design flaw. I think you will see that you hav just as many failures with poly and ceramic as you do with metal, so don’t give up yets.

    Take care and if you need anyting lwt me know.

    Jim

  84. i had the depuy hip replacement in dec 2006. i was in severe pain, had extensive grinding and popping, almost immediately. my surgeon laughed when i tried to tell him of my concerns. i had revision surgery two weeks short of four years, from the time the first one was installed. at the time of my second surgery, the dr had to cut out a large piece of my thigh muscle, due to being infested with metal slivers, also high levels if cobalt ions in my bloodstream. it has been about 13 months since that procedure and i still have alot of pain where the muscle was cut away. i feel as though i have been wronged…very wronged. i hope j and j depuy dont wrong us any further. PAY us for all the pain and suffering your faulty medical device has caused so many people. please dont drag it out for years

  85. I had both hips replaced in 2001 and 2002. I no longer have the same insurance, so the VA is handing my medical needs.Over the past couple of years I have complained about severe discomfort and at times had to stand up to kind of reallign the hips a bit. At the VA they said the X Rays looked normal and couldn’t see any problems. Should I call the doctor who put the implants in to get the name of the hip implant products he used? I was told then that after about 10 years they would have to be serviced anyway. The first couple of years there were no problems but the last 5 years or so I have tolerated the discomfort. The VA has records of when I complained about the discomfort and pain.

  86. yes I had my revision in march they found the original doctor put the first hip in made by Depuy 15 degrees off causing of course a misalignment as well as bone spurs. The specialists I went to said he fixed it now,they are no more problems so I should be happy. I feel I should be compensated for pain and suffering but no attorneys will take it on. Cause I have no metal in my blood.

  87. Original Depuy ASR in right hip (posterior) September 9th, 2009, revised (posterior) May 23rd, 2011, little improvement in symptoms and complaint, still lots of burning going on in the inner thigh and down the inside of leg into foot. Pain specialist has always thought it was coming out of my back, had a laminectomy in March, 2011, no relief. Have also had two injections into L4-5, no relief. Am having my left hip replaced November 23rd, 2011. This time I am headed to a University hospital and having the anterior approach performed by a doctor that specializes in this approach, am not sure what hip will be used. I will let you know what the difference in the two hips is when I recoup and from what I have heard, it won’t be very long.

  88. Kathy, Thank You!! And my thoughts an prayers will be with you on Tuesday with your revision. Lets us know how your doing when your up to it.

  89. Roger, is it a staph infection? My husband’s Pinnacle Marathon ceramic/poly hip cracked/blew up in March 2011; he had a revision where they left the femoral stem and replaced everything else with the same type of device only used a metal ball this time, but in July he came down with a horrendous staph infection located in his hip revision (3 aspirations later…it took 3 days to locate the exact pocket of infection) and they got close to 120cc’s of staph junk out of his hip before ANOTHER replacement leaving the femoral stem again. They opted to leave it in and just treat him with Azithromycin (Z-pak) and it is tearing up his stomach. Take lots of probiotics as you do your antibiotics (I am sure you know this) but goat yogurt is good, and kefir, and keep up on the B and D vitamins…you are not alone. Keep touch with all of us, as this is very helpful. There is power in numbers and we have to keep gathering victim stories… Take care.

  90. David Christopher

    My thoughts and prayers are with you. I had the same thing happen to me. Be patient it is a long haul but you will make it. May I ask you what bacteria they found in you? How bad was the joint when they first went in, did you have a lot of scarring and fluid? David I am here is you need to talk or just blow off steam as you will have a long 6 weeks, I have 4 months of antibiotics but I ahve an autoimmune disease and they had to use one only two antibiotics that would kill my infection. I am here for you also.

    Best of Luck
    Jim Moreland

  91. Tami.

    You sure are facing some interesting signs and symptoms. Fiest this 2 inch lump under the incision could be a seroma which is a sac of fluid that occurs in the different layers of tissue are sewn up during the close. The fact that this is tender and you are having weakness this could also be a torn vastus lateralis or the quadriceps as you are having giving away and anterior thigh pain. This could also be a collection of fluid from destruction in the joint causing cystic formations.

    I believe that the pinnacle has a design flaw that is found in all of it prothesis. I have heard about the equal of failures in the poly versus the metala. The fact that you are hearings sounds and popping makes me think that you have malalignment. You will have a good evaluation at the Cleveland clinic and a great evaluation. You have all the signs of femoral loosening. The anterior thigh pain is always usually the fenur. The last thought I have is that you have general weakness and may need further rehab of all the hip muscles and quads and hamstings also. Finally i know you have had cultures down but infection is always in play.

    Good luck to you and if you need anything I am here.

    Jim Moreland

  92. Linda

    The tumor of the acetabulumn is a concern. Do you have the metal on metal hip? It sounds like you are still having quite a pain. The tumor in the metal om metal is usually a sign that you have advance metallosis with severe tissue destruction and possibly bone involvement. If you are having a lot of pain then I blieve you have advance pathology and a revision may be in your future. Can you tell me what type of hip you have in and describe the pain to me. I feel awefully bad for you and let me warn you with Broadspire, not to sign away your legal rights. If you haven’t had an attorney evaluate your case then I would get this done before I would accept money from Broadspire, which represents the interest of Depuy.

    Please write back with more details and I will help you through this. By the UM and MS have excellent orthe surgeons. I wish you the best but if you give me the info I may be able to give you more insight, but you are doing the right thing by getting the opinion of a reputable ortho surgeon…

    Best of luck to you
    Jim

  93. Roger

    If you want and have the time, give me the all of you data and I would like to go over this with you. Part of the issue with Pinnacle is its design and it hard to place it in the right position and the clearances are less forgiving. Even though it may have been put in 15 degrees off, if you developed any reaction, pain or swelling or infection you still may have a claim. Did the attorney tell you this. The fact that you have had to have a revision means that something was majorily wrong and the revision is the proof of that. Have spoken to any attorney? Send E. /Sizemore the lawyer who has this site for a legal opimion before you give up or loss the right to file a suit due to the statue of limitations. I will help you in any capacity. I feel you still have aoptions as I have written in the past. You have nothing to lose. I hope to hear back from you. Blessings on you…Jim.

  94. To David Christopher: I’m so sorry to hear that they discovered an infection after beginning the surgery! Your scenario is my sister’s worst nightmare (her revision is scheduled early Jan 2012). How did your doctor not detect the infection pre-op? Didn’t they do a hip aspiration and various blood tests?

    I do truly hope your spirits are good and that you’re resting as comfortably as possible. They are many great people on this site who share their knowledge and support, so keep in touch if you’re feeling discouraged or just need to vent. Take care!

  95. Hi Mike D.

    Jim knows more about this than I do, but I think he is right, it is probably a psuedo-tumor which is a reaction to the cobalt and chromium that your implant is releasing. You should request a blood test from your surgeon asap, it is a specific test for cobalt and chromium in your blood. The results may take about 10 days or so to get back. My advice is, don’t delay, get you blood tested. If it is the cobalt and chromium metals causing this lump, leaving it untreated can cause serious and lasting deterioration to both your bone and muscle.

    Good luck.
    —Kathy H-P

  96. Tami,
    I too have a poly liner and ceramic head done 2 years ago and have many of the same symtoms. I also have gone to the Cleveland Clinic, Dr. Steven Lietman. No infections or obvious signs of losening, just a very small difference in my exrays that might be signs of loosening. I have pain daily in the hip and thigh but not so bad that I can still play golf. I do not feel or hear any cracking or popping like you, that dosen’t sound good. Let me know how it goes. Where did you have your surgery done, I had mine in Columbus from Dr. Michael McShane.
    Bob H.

  97. Just had DePuy Pinnacle removed 10/25/2011 there was fluid sack(infection), so now have treated spaccer in now and will have to have IV antiboiotics ever day for next 6 weeks then get new hip

  98. I had a right THR with the Pinnacle but it is the Poly liner not the MOM March 18th 2010. I continue to walk with limp. When I take a big stride when walking is when I can really feel a lot of discomfort in my hip. At times it catches almost like it is cramping like a charley horse. I continue with discomfort in the front of the femur. Very sore to touch at certain spots. I am not sure if it was injured when trying to get into the car last week. I lifted my good leg into the car and as I was bearing full weight on bum leg it gave way. I had the door and the sit to help me get back up. Is this normal to give way like that? At times when walking or sitting it seems to bother the whole entire hip joint. Is this normal? When sitting for about 15-30 minutes the thight starts to ache and bother me. Is this normal? And then after sitting long periods at my desk when I get up to walk it takes a few seconds to get moving. I have to kinda stretch the leg out to get moving. There seems to be alot of cracking or popping I can hear when walking. I know my body and I really feel something is wrong. I have been to 2 other surgeons that have said nothing is wrong. Had a bone scan and aspiration in June- negative and labs for metal-in April- negative. I am seeing a THIRD opinion surgeon at the Cleveland Clinic the end of November in hopes to get some answers from him. One other thing is have a lump about 2-3inches long and is extremely tender to touch along the outside of the femur just under the incision. Has anyone experienced any of the above or can I get your opinion on these symptoms? Going upstairs when I put full weight bearing on the right hip I feel pain shuting up the front of the thigh from the knee to midthigh and seems very week. Any suggestions or comments would be greatly appreciated. Thanks alot for listening.

  99. Hi Jim, I have an appt. with a hip surgeon Dr. Norman Walters in Flint Mi. we live in the suburbs I am within driving distance of UM and MS. I have a tumor on my right actubilum(sp) which is causing me pain thank God I don’t have to have a hip replacement(that is my opinion) from reading the report plus torn & impinged rotator cuff on right shoulder not going to worry about that, I just want to be able to walk. will not know anything about left hip until I see surgeon. You have been a (GOD SEND) to all of us I wish I had known about this page when I first started with this falling apart a joint at a time. My blood work is ok. but my insurance won’t cover it I am going to try to send it into BroadspireI have a claim #) How are you doing Linda

  100. I can’t help but see all the problems that the Depuy pinnacle has caused. I will get no compensation because they tell me even though I had to have a revision and the original Doctor put the part in 15 degrees off I am ok now. So my thoughts to all of us is we are only in these bodies for awhile make the best out of it youcan. I have had both hips replaced twice both knees replaced my neck and lower back replaced. I figure what the heck keep me medicated and I can reach a happy place and pray that the end will come soon as the lord wants me to leave.

  101. Kathy H-P

    Good to see you on again, I am doing Ok still with a lot of residual p[ain and stiffness but this improving slowly. How about you how is life treating you? It is always good to hear from you Kathy and my God’s blessings be upon you today.

    Love ya
    Jim.

  102. Mike D

    Yes, you should be concern as the Ultamet is the Pinnacles Metal on Metal hip. My experience tells me you may have a psuedo=tumor which is caused by the tissue reaction to metallosis. Are you having any problems or pain with this hip???
    Let me know and I will help you with info you can take to your doctor who should be up on this issue by now. I am here to Help you..

    Take care
    Jim.

  103. I had total hip replacement in 9/2006. Today I went for a MARS (MRI) and they detected a fluid sack the size of a golf ball near the hip. I was never really sure about the type of implant I had. But after today and being in constant pain, I looked carefully at my medical records and discovered I have the following:

    DePuy Pinnacle Multihole – Acetabular Cup 64 Sz mm
    Depuy AML Small stature 155 mm length, 43 mm offset
    DePuy Articul/Eze Metal on metal femoral head 36mm 12/14 cone
    DePuy Ultamet MTL INS NEUT 36mm 64D

    Should I be concerned about these particular implants? Are they part of the recall?
    Not too sure what my options are right now?

  104. Good luck Belinda! I hope the results are good and both docs agree on the right course of treatment for you. Sorry I don’t have any knowledge about the other things you are going through. But, I am sure with you on replacing any other joints, Had I known I’d need 4 hip replacements within 2 years, I’d have waited til I couldn’t walk anymore to do the first one! My (hopefully) last hip revision surgery is Nov 8th.

    Best wishes to you, I hope it all goes well for you!

    Hi Jim, I hope you are doing well, and hi all of the rest of “us unfortunates” too.

    XO, Kathy H-P

  105. Belinda, you dure have gone through the wringer with this. First of all it is about time they did the bone scan. He is what happens when these metal flakes get into the joint. It reacts to bone causing death of the bone then causing the prosthesis to become loosened. The finding at the tip of your femur is what we call winshield effect, essentially the femoral prosthesis is loose and moving and everytime you are on it forces cause the tip to go side to side causing the windshield effect, like on your car when there is mud and you first turn it on. the problem he faces is what is the best way to proceed, you definitely need it revised but if you have all this bone loss is it healthy enough at this time to accept another prosthesis that is why he want to talk it over with a radiologist and there also may be a lot of soft tissue and psuedotumors that he needs clarity. You need to get this done as soon as possible. And you are right on the knees, you only have replacements for the relief of pain only, not to regain your youthfulness as Depuy misled the people and surgeons. So wait until you can’t take it any longer.

    I too have noticed a decrease in my lightheadedness and vision is clearer, but I still have tinnitus and myoclonal seizures, hypothyroid, less fatigue but still enough to curtail me from a normal life. I will get my levels tested before Christmas to make sure they have come back to normal. I still have hip pain and stiffness and the stiffness is getting worse which means that I am scarring up again which limits my range of motion.

    You thigh and buttock pain is due to the loose acetabular and femoral prosthesis. You will have to get this revised before any further diagnostic studies can be done to see if other pathology is involved. But the pain is excurciating with a loose prosthesis.

    As far as the antibiotics goes it probably is subclinically infected and the antibiotics offered some relief but the aspiration should take place a minimum of 2 weeks afer you stopped the antibiotics for the cultures to be diagnostic. Your hip sounds like mine they had to open me up from my iliac crest to the ramus whcih is what you sit on in order to do the synevectomy which mean inflammed tissue and take out the muscles that were dead. It sounds like you are in for an extensive synevectomy just by your history. I know it has been quiet on here, but I think everybody is getting there own hip revised and going through the process and the blog is so large and long that most don’t want to take the time to read and understand the issues. But I too hope everyone is doing fine and taking care of themselves as for most of us it is to undergo revisions and that bring in a whole new set of risk..

    If there is anything else I can do for you Belinda I am here for you and Blessings my sister…love ya Jim.

  106. Its been really quite on here for days now I hope everyone is doing OK! I had my bone scan done and went for the results Wed and the Dr. said it showed hot spots in several places like my shoulders, my left knee, my whole left hip at the replacement, and the top of my femur, and at the very tip of the stem on the top of the femur. So with that being said,he believes my shoulders is arthritis and my knee needs replaced (lol) like that’s happening anytime soon after what this hip has put me through there’s no damn way, it will be bone on bone before I do it. Plus it’s on the same side of my hip replacement and I know my hip is not strong enough to handle that. And this whole time I thought my knee pain as from the replacement and how bad I limp. He also said that the hot spot at the top of the femur is like hollowed bone on the inside of it, and shows stress shielding. Does anyone know of it and why it’s causing me to have so much thigh pain near my buttocks. And as for the hot spot at the tip of the stem he said he didn’t know what it is yet. that he was going to show all my x rays and bone scan to another hip Dr. an he’ll let me know next week. So I wait again!! But last week I got another kidney infection and was put on antibiotics and I swear taking them has made my hip less sore inside an I can lay on it longer to sleep at night. And when I press on it it’s not as tender. Which makes me think I still have infection in there still. So he’s sending me for another hip aspiration test. And another blood test to see if my metals have dropped any. But I say they have because my headaches are decreasing along with my dizzy spells. Well I sure hope everyone’s doing okay If anyone can let me know if they’ve had anything like this please let me know, and Jim you already know your every thought and knowledge is very much appreciated Thank You!!!!

  107. Dave,
    My wife had both hips replaced in 2007/2008 with the recall ones. She had revision surgery on the worst one six months ago and is still not right – headaches, bleeding, stunted walk, etc. Your email has me really scared that something very serious is wrong with my wife. She also was diagnosed with MS twenty years ago, but, thankfully, has had no serious relapses. She didn’t have the massive chromium/cobalt levels, but they were in the toxic range.
    My heart goes out to you and your girlfriend. I hope the diagnosis is VERY wrong.

    Ray

  108. Kathy H-P,

    I sure hope things go well with your revision in November. I will be placing you on the prayer list at my church and please keep me informed on your recovery, I will be in prayer…..love ya…Jim

  109. Belinda

    I would say that your femoral component is loose until proven otherwise. Usually a loose femoral prosthesis causes pain in the front of the hip worse with weight bearing. A bone scan is the appropiate test. It seems like you the doctors are not very aggressive there. I am so glad that you are pushing the issue. If we don’t take responsibility then no one else will. So Belinda with my note above I have covered everything that it possibly could be. It sound like the femoral component is loose and if this doctor says you needed a revision then he is seeing something on the plain x-rays that indicates loosening. There are obvious signs on plain xrays of loosening femoral prosthesis. If it is loose it has to come out and then revised. That is major revion work and carries whole set of different risk that just revisiong the acetabular. I am here for you my friend and let me know if there is anything I can do for you at all…..Love ya..Jim.

  110. Dave, I am so sorry to hear this about your girlfriend and please accept my sympathy. This is the first case I have heard metallosis causing death, but I am not surprised. I am so,so very sorry Dave. Make sure you get all the documentation in order. Of course there have been deaths due to metal poisoning, so I am not totally surprised. I woinder what the Depuy reps Luke and Robert have to say about this. I would appreciate your comments guys if you are still reading the blog. You are so right Dave, we all need to wake up and raise cain about these metal on metal hips. Again you have my deepest sympathy.

    Sincerely
    Jim

  111. My girlfriend had two Dupuy ASR hip replacements, both in 2008. She does have the cobalt, chromium in her blood, liver, kidneys and other places. She had one replaced but the damage is already done. They cannot remove these metals from these organs so she is dying. She is only 49 years old and will be lucky to live one year. Doctors already told her to get her will and burial affairs in order. Wake up! This is deadly serious. If not you may join the ranks of the many older people that have already died due to these implants, are buried, and had no clue the implants were related to their death. They just thought their organs gave out as they aged. My sister’s husband had one of these implants in 2007 and his liver failed in 2010 and he died. No one thought to link these things together because he was in his 70’s.

  112. these MOM? And Jim can I get your take on all this. I’m so scared on what this bone scan is going to show I feel like I have a cracked femur or my rod in my thigh has came lose all I know is its painful!

  113. Well since I last posted I’ve still been in a lot of thigh pain to the point I even started to go to the ER . But I didn’t I just made me an appt with a new Dr. And I went yesterday for the appt and I went through everything with him about my THR and the revision an since the revision how bad my thigh pain is in the back of my leg, so he did several x rays and then when he returned from looking at them he said I need another revision an he was sending me for a bone scan of my thigh this coming Wednesday, my stomach fell I just wanted to cry. But I had to be strong because I’m fixing to go thru hell!! An I’m pissed this MOM has hurt my body this way and how some drs will not listen to us, my thigh pain started right away after my revision and no one would listen to me, I asked my dr 4 times to x ray or do a bone scan or a mri for me and he flat out said no there’s no need you are still healing and I believe its your capsule that your feeling from all sutures I had to put in it. He’s let me suffer for months!!! I just wish I knew what’s going on with all this MOM. Has anyone heard about the nickel allergic reaction from

  114. Hello all,
    Wow Belinda, you have been through the wringer, good luck! I know I’ve been through more than most as well, having had 3 replacements in 26 months, I have hip #4 coming up in November and I hope to God it comes out OK and my metal levels return to something close to normal.
    Has anyone with very high cobalt and chromium had vision problems out there? My eyes have been really sore, my eyeballs hurt. They are really bloodshot and reading for any period hurts them, it’ hard to focus. The aching has been going on for 3 days now, I called the eye doc, but have not heard back from them. Have any of you had any similar experience with your eyes?
    Thanks,
    Kathy H-P

  115. Belinda

    I feel for you, as this whole thing has messed a many a life up for the worse. I too am stil haveing acute pain after my revisions. We have to give it time, but in your case where the pain is acute, then this should raise the suspicion of your doctor. Your back pathology is all on your right side and not on you Left sympotomatic side. During surgery spinal nerves can become stretched as they reduce the hip and then replace the ii with the new hip, so nerve injury could have occurred, usually this will resolve in time. I have not examined you but if you are having Left and right leg pain then spinal root injections can help your problem. You do have a problem with your back at such a young age. Moderate to severe stenosis can cause severe pain, weakness, numbness and tingling, you need to pay close attention ofor the signs of spinal stenosis of the spine, they are increased in back and leg pain and weakness with prolonged staning, sitting or walking and alleviated with rest. I think he really needs to wxamine you slocely to rule out any other pathology that may have happened due to surgery and if there were a lot muscle and soft tissue destruction in the hip from metallosis then the problem will be hard to chase down. Know one in medicine knows exactly how these MOM hips are going to affect the human body, but one can make a conclusion from other heavy metals that have been study. So there is not a lot of information but you may need a second opinion from another ortho and I would say a neurologist who will be able to review your MRI and tell you whether the injections would help. Your MRI shows right sided pathology and your symptoms are left sided, if=t could be that you have cental canal or left foraminal stenosis. I would get this done immediately.

    I tried for 5 years to get back to work, only to fail. I know how you feel as our lives have been permanently altered by these MOM hips. I would encourage you to reach out and get some counseling as talking to another and venting your emotions to a neutral party is helpful. I have done it as I have had these hips on top of severe autoimmune diseases. I just feel Belinda, that they are missing something you, wither they irritated a spinal nerve due to stretching, or that the femur prosthesis is loosening or your back which has significant findings effects both left and right foraminal nerve roots,

    I am here if ever you just want to vent,,,I have been angry the last week and I am not in a good place, but I am seeking professional help….I am here for you Belinda and I will help you work through this..Love ya take care…Jim.

  116. Luke, I believe you need to read the hew study just relwaesed on all metal on metal hips. I think you and your company may behind the 8 ball here, because the ortho in Lexington has essentially stopped using MOM hips and I think your number will show that to be true, I am refereing to the MOM hips tdy just released that included the Pinnacle as well as other MOM hips. I really gt upset with depuy reps like you who slant the information especially on your heralded Pinnacle hip system. I believe Luke you are going to find that the Ultamet will fail at the same rate as the ASR that failure rate ranges from 12 to 29 percent shame on you for using various studies to try to muddy the waters on the MOM hip issue. You need to understand that all MOM design and the promises your company made were way out of line and the payoffs that have occurred really do not give you much Credibility when you respond in defense of your product. Know one knows in America wherhter their is an issue with the Pinnacle simply because there is no registry, so we are looking to other countries, read the study out of Australia. When me surgeon revised both of my hips his exact words are that the Pinnacle Ultamet is the same as the ASR,,,,,,,,Why would he say that? Because he is revising about the same number of ASR as Ultamet hips. Yes, I have the knowledge and experience of both sides of the issues and I am way in front on the information on MOM issues and keep my doctors informed of the findings. In time Luke we will see how many Pinnacles end up in court, as the word spreads and those who have already had revsions prior to this becoming public knowledge start asking what prosthesis they had. You know there is no clear cut way of knowing, but your company does possess the number of revisions done,,,,your track your sales…so tell the truth and When you have the education and experience that I have, maybe you will have earned the right to speak your own mind like me, not that of your company., The ceramic issue will play out. There a few cases that have been filed already and they all report the prosthesis shattering inside,,,,,,,the next recall, If you read this blog you will read that there is a high failure in a 3 forms of the Pinnacle,,,,,,I did talk to the head of Orthopedic Surgery at Harvard, Harry Rubash and he has hired to full time revisionist to handle this MOM travesty and he too has noticed early failure in the ceramic hip….you see you get the info your company wants you to spout off and there is the truth….you are as a Rep. know exactly how many hips are being revised as you are there to sit in on the surgery and report back to the company, funny thing I had a rep at all 7 of my operations observing and that is alright, he will be called into court, you see people are wise to the way you buy doctors and you will flatly deny this but it is so true that you reward those doctors who are Depuy doctors and other makers do also.

    Yes I am aware of the normal wear and tear of all prosthesis, It is man made and is bound to have problems. Their isn’t a patient out there who does not know that these replacement are not perfect and there are risk, it is not what God gave us. You carry the burden of advertising that you have perfected a prosthesis that will out last all others and allow the young to retain their activity levels, hell your own Poster woman is suing you for the sme thing. You and your company promisied something way more than you could deliver, you deceived the public and patients. We knew in the 60 and 70 that metal on metal was not viable due to wear. You should educate yourself on the history of MOM hips. All tecnology, you are wrong, hip replacement surgery has been one of the most important break throughs in modern medicine,,,,,It is a company like yours who don’t adaquately test these prosthesis and the spend billions in advertising how advanced they are…You see what I am getting at. If you were in my position what would you do??? I had to medical clinics that owned and operated and had to essentiallly walk away from due to the inability to walk and the pain and the treatment kept me from practicing my trade. I had 7,8 million in billables,,,,,,,,,to do I have to live of on a disability pension and social security….How does that make you feel Luke your company doesn’t want to address the human factor, that is why lawsuits are filed,,,,I can’t talk to you Reps because you act like robots and spell the company line without really paying attention to the prevailing knowledge that all MOM are disatrous to the human body. Tell me what you know about Nano-particles and how they affect the body? What effect do ions really have on the body???? look at my pathology and you will Giant cell with muscle necrosis……You can’t talk medicine to me unless you have been in medicine yourself. So, Luke shame on you and your company, you run against someone who speakd there mind and all you can do is attack my credentials and claim misinformation…You better do a heck of a lot more reading and research and then maybe we can have a medical discussion…your future failure rates will tell the story…..your Compay is in position to loss Billions and you the bottom tier guys will suffer that loss…….Shame on you Luke, think for yourself and comcern yourself on the real pain that we suffer, if not, I have nothing further to say to you….Jim Moreland PA-C, MHS

  117. Well I had my revision on June 28th an Ive had my ups an downs and for some reason my thigh in the back of my leg of the THR just hurts bad now. But when I went back to the Dr. on my 8 weeks check up I told him my problems and he said it’s just going to take time, my leg had been thru a lot during the surgery an before the revision from the MOM so to give it time, an asked did I want to go back to work at light duty if my job agreed to it and I was all for it cause I was just sitting around hurting and I thought whats the difference hurt at home or at work. Maybe I needed to get back and be around people and I’m so behind on all my bills I’m getting worried of losing my apt. So my job said I could do light duty so I went back on Sept 6th and I did office work for 2 weeks then all of a sudden I was schedule to go back to my regular job and I was worried cause I wasn’t doing as well I should of been in my mind. And they promised I could do light duty for 3 weeks so I was hurt but I couldn’t stick up for myself so on Monday I went to my job by Fri I was a mess I woke up in so much thigh pain,and i was late 3 days that week, But I just took my meds an sucked it up and went in an I stayed tough an limped around all day until my thigh and back was killing me. So come Sun I as done. I had an appt with the Dr. Mon the 26th to get the results from my MRI on my back an couldn’t wait to tell him about my thigh. Since my first THR in June 26th 2007 I came out of the surgery with a really bad limp and its killed my back Ive been wearing an 1 inch lift in my right shoe for 4 yrs and now since this revision the 1 inch lift seemed to be to much so I’ve been using a 3/4 inch but nothing I’ve done has helped my back an thigh pain I just keep getting worse an on Mon I woke up all swollen in my eyes an tired I’d looked as if I’d cried for days, and I was limping so bad I just went all to pieces at The Drs office I couldn’t stop crying to even talk to him my moma had to speak for me, and I believe he’s getting tired of my complaints he acted like I disgusted him but he did say he could see I’m stressed an wrote me out of work for 3 weeks an read me my mri which isat L5-SI mild bulge of the disc with a tiny midline annular tear without canal stenosis, chronic appearing at right lateral foraminal/lateral disc/osteophyte complex with facet spurring at L4-L5 with moderate to severe lateral stenosis. unilateral right side spondylolisis at L5 with facet spurring at L5-SI and he wants me to have some shots put in my back and see if they help with the pain and I’m scarred to death to do this, Ive been asking around an some people say do not do this, Jim what do you think? Should I do this? I’m falling apart ever since my first THR I’ve fallen apart and I’m only 45!!!!! And I believe my Dr thinks all I want is those dern pain pills, but if I don’t take them I honestly can’t hardly walk and no one seems to understands at all. I’m at my wit ends here Mon I had all I can take an wondering why I’m even on this earth anymore an lord I said that to my family dr an now he wants me on depression meds and I don’t want that I want someone to fix me!! I’M SO DAMN MAD AT THOSE MOM REPLACEMENTS! My whole life is gone I don’t even feel like going to my grandsons games. All I want to do is stay home an crawl in my bed an be real still so I don’t feel pain. Jim what is causing my new thigh pain its from my buttocks don the middle of my left leg on the back side of my leg, I know its not my back causing this it just came after the revision, and also how do I get my legs measure to find out what I need for my shoes? MY Dr said go to a shoe repair place I went there he said I have to have a prescription for him to make me a shoe. WHY wouldn’t my Dr know this? What would you do if you were me? In my revision all e done is put in a ploy plastic liner an he removed the metal ball an replaced it with a new one an that’s it. An also I’m wondering when will he send me for a blood test to see if my cobalt levels have came down. Cause I believe they have from me having the dizzy spells an my headaches easing up on me but I’d just like to know. Well I’m talking to much again I guess just need answers as I’m sure a lot of us do since we’ve been poisoned from this pinnacle hip replacement an others!!!

  118. Thank you so much Jim I am so tired of being ignored, that I am begining to doubt myself and that is a bad place to be. you are so very helpful to everyone, it will come back to you Linda

  119. Jim,

    Your British Registry comment is off base, as the Pinnacle was the most implanted cup and had a 97% survival rate. The average from all companies in the study was 96%; so it performed above average. As for ceramic components bursting, all ceramic materials are made by the same company (Ceramtec) and shipped to orthopedic companies. And the comment about different materials (ceramic on poly, metal on poly). That is the norm in THA. From your background, you should know that. How does it not make sense? You’re bashing all technologies out there, so what is the answer in your mind? They all have pros and cons, just like everything else in life.

  120. Donna, please send me everything you have on this hip. I have gotten all of my running done for a bit, so I will have time in finding you the proper care….I just can;t get over how this doc’s and PA’s are not addressing your issues. Send me everything you have I mean everything and then I will get backt o you..You hang in there, you shouldn’t have to suffer like this. Hang in there. My email address is jmmrlnd@aol.com, We will get you some help. Jim.

  121. Bob H.

    Impingement occurs when two body part pinch another, for example have you ever bitten the cheek of your gums with your teeth. This is impingement. In the hip is usually caused when rim is struck by the sneck of the femoral stem. In the case of all Pinnacles they have the lowest clearances of all total hip prosthesis. Essentilaly this shortenes the angle and allows for these part to touch each other. You will be hearing more about this. Also the lower clearances allow soft tissue to become pinched between the prosthesis creating a condition of synovitis. Synovium lines the joint area and fluid is located within this membrane that allows the synovium to slide over the joint promoting smooth range of motion. When impingemt occurs is usually causes a sharp pain and over the long run the capsule becomes tighter causing a decrease in the range of motion. For instance, My hips feel tight and warn to touch all the time. It is difficult to flex, adduct and abduct my hip. This has to do with metal debris reduced to a nanoparticle being absorb by the muscle tissue causing damage. Any foreign bodies or increase in fluid joint will cause pain and reduction in range of motion.

    Front edge loading accurs when the rim of the cup is put under stress usually by the femoral neck, malaligned prosthesis altering natural range of motion. I believe this is were they have an inherent design problem, the cups are undersized making it difficult to place correctly and low clearances. You have very little forgiveness when omplanting these prosthesis. No matter metal, ceramic and plastic, In my case when the cup was removed the only part of the cup that had ingrwoth was the rim itself. The actually removed some cortical bone along with the cup, The rest of the porous cup coating showed no ingrowth in the cup which is proof of front edge loading. Bob H., any prosthesis that undergoes front edge loading is a prosthesis that is under constant strain and movement, meaning that it is a failed prosthesis. YOu may hear a squeaking noise, groin pain that radiates to the buttocks and would be able to reproduce the pain on examination and Range O f Motion testing. It is more likey than not that if you have this type of pain you are suffering from front edge loading and a failed acetabular cup.

    I found that a ceramic/metal case was filed by a Google alert I have entitled “The Latest on the Depuy Pinnacle hip recall. I have read to many cases that the ceramic component literally exploded into to pieces, and think about it, it is never a good thing to put to different surgaces together, although plastic/metal is preferred it too has had issues of debriedment found in the hip/ Dpoy has lined up some top attorneys to defend its Pinnacle hip to the hilt, as it is is most popular and they know that it is also failing in all makes of it, more will be uncovered and the more we are able to look back at the revision rates on all Pinnacles then we will be able to show that now matter the type of surfaces used it is the design flaw itself that causes this hip to fail. I am going to stick it to these guys. I hope this answers your questions. Keep following the Pinnacle recall by creating a Google alert, but Ceramic.metal was filed amongst all the metal/metal hips.

    You take care.
    Jim

  122. Linda
    It sounds like an ultrasound????Am I right. Listen if your surgeon is still saying you are not having problems then it is time to move on to another. If you live by a major university then they would probably be up on the current status on this hips. I had metal fragments all the way into the anterior femoral gutters. It was a mess and I still can’t walk, sit, or lay down without severe pain in the hip, buttocks and quad areas. Tell me where you are at and let’s find you some help. This is ridiculous because the pain management doc’s will offer you know help and as long as you have a failed hip in, no amount of medicine will take care of the pain. Get me up to date on where you are at with lab work and xrays. We will get you some help.

    Let me know soon. Take care Jim

  123. I am in NC seeing my immunologist. I will be back home Saturday where I will catch up with you guys. Donna I want to talk with you about your lab results..You guys take care as there is a lot of information ZI want to share withall of you. If you want get opn Line and see the result of the British Joint registry. It looks like the pinnacle designs has flaws. MOre this weekend.

    Have a blessed week…Jim

  124. Jim
    Where can I go to read about and follow the new lawsuit on Pinnacle ceramic THR? You are amazing, I hope you grab J&J by their ceramic balls (sorry ladies) and sqeeze the life out of them.
    Bob H.

  125. Hi Jim,
    I hope you enjoyed your vacation, it’s been a month again weather wise ( flooding)
    In my area, thankfully I was not personally affected. I have my blood work, however
    my PA is not interested in looking at the results, if you recall the rheumatologist sent me back to my PA, she seems at this point only willing to treat my pain.
    Back to taking pain meds at the rate before my THR. 2weeks ago I went on a small
    3hr trip came home, got out of the car and crippled by hip cramp unable to walk I was stranded in my parking lot unable to move at midnight, very scary situation, i finally got into the house, more cramps, seems the more I drive the more cramps, leaving me unable to so much as lift my leg for a day or 2 afterwords.
    My sed rate is 33, positive Ana- titer 1:80. My comp metabolic panel normal
    Except slightly elevated glucose,(not fasting) CBC- normal thyroid normal
    Crp- normal. Thanks so much for your help, I hope your recovery is progressing well. Thanks again, Donna

  126. Bob H. and others

    Like I suspected the ceramic /metal Pinnacle lawsuit has been filed with the metal on metal prosthesis.

    Things are heating up and it predicted that Depuy is bringing the big guns to salvage what they can of the Pinnacle acetabular modular set as they have over 150,000 prosthesis in the US. I believe they are really covering up on the pinnacle and are bringing the big time lawyers to stonewall and procrastinate as Depuy would stand to lose much more tha the ASR and is trying very hard to avoid a recall on the Pinnacle, that would be devastating to J and J and depuy. It would run into the billions and billions. Keep informed.

    Take care

    Jim Morwland

  127. Jim and others,

    Thanks for the reply. It’s hard to hear that I am now benched in life. But I still don’t know which hip to get. Im confident with the help of freinds and family the financial will work out. Which is the lesser evil plastic, ceramic, poly?

    Good luck and quick recovery
    Carlos

  128. Jim I had my pain management Dr. run the xray (that he uses to give me an SI injection) I asked hime to run it over my hip appilance and it was solid Black even down to just above my knee. I always thought it showed up white on xray everything else did Please let me know cuz all of these Dr. avoid my hip like the plague Thanks Linda M.M. -9-17-11

  129. Carlos

    So sorry that you have had this to happen to you as you sound like a very active man. If you are having pain and you are told to have a revision then it should not be considered an elective procedure, it should be diagnosed as a failed hip surgery.

    when you get your revision You should be made aware that all of your high impact activities that you use to do can no longer be done on a total hip arthroplasty. This is one of the main reasons for hip failure is putting it in extreme conditions and positions that causes loosening. So make sure that you understand the total hip precautions.

    I am hear for you if you want to bounce off of. Financially you need to explore what the state of Fl can offer you during this period, but I would not get Depuy money to have it done. You should be able to have your revision due to failure and have it done as a primary condition. This is were the problem is, this is not an elective surgery, this is primary surgery to revise a failed hip. ask your ortho about it.

    The best of luck and I am hear if you have any questions.

    Take care
    Jim.

  130. Carol,
    I am so sorry to hear about your revisions due to the metallosis. I will pray for a good result for you and that your recovery goes well. We all are here for you.

    Take care
    Jim

  131. Bob H.

    Bob, The sad thing with all of this is that we did the hip surgery to rid ourselves of pain and the medication used to treat the pain. Anti-inflammatory medications are fine in the short run, but if you need them prolong to treat the hip pain specifically it sometimes can mask new pathology in the hip. So in reality if you require the anti-inflammatory meds long term for the hip specifically then you may want to come off it in the near future to truly evaluate the ceramic prosthesis. You see I am not convinced the the Pinnacle’s design does not have an inherent design flaw that causes failure in all of the plastic, ceramic, and metal prosthesis. I have just heard about to many ceramic nightmares that I am not ready to say the it is just in the metal design of hips. Why???? Listen it has only been a year and the Pinnacle hip design has been on the market since 2003. There is a great possibility that many hip revisions have taken place for unknown causes: we have no y of tracking the number of revisions or even the complaints if any were made. I complained as early as 2004 and I eventually told the surgeon he was wrong that the pain is from the prosthesis and eventually I found an orthopedic surgeon who I trusted and understood the mechanics. Bottom line here is that we may discover or uncover that there have been a lot of revisions done because of design failures and pathologies not understood by the physicians at that time. Remember that Ortho’s are now just understanding the real issues with these hips in particular the metal on metal, but I have read on other sites of people that have had catastrophic failures in all the Pinnacles options. I am not convinced that this design is performing the way J and J and Depuy say it is. The clearances are two low which causes more surgical errors and increase in impingement and front edge loading. I hope you are doing alright Bob H. Take care Jim

  132. Linda

    What you are describing to me is someone with severe osteoarthritis of the knee, The v sshape you describe is what we call a varus deformity from the loss of the joint space. I would see see your orthopedic surgeon. The Baker’s cyst is produce as a result of chronic inflammation usually from severe arthritis. If I can be of any further assistance please let me know. Take care Jim.

  133. Has anyone had thier leg become crooked from just above my knee (which has a torn ACL torn menescus, and a large bakers cyst and bone edema) my leg is kicking out almost like a V of course my pain increases daily, on meds etc, which are affecting my liver, just DO NOT KNOW which surgeon to go to. I just lay around and walk from one room to the other I am so tired of living like this Jim I guess you this is addressed to you ( and anyone else) Linda wallyandlinda@comcast.net

  134. in 209 i had a hip replacement due to being born with a deformed hip 2 years on i have to have the metal on metal hip replaced after finding out that the lining of the cup as come out and now i am waiting to have it done on the 11 8 211 had a pre op it is the 8 9 211 and still waiting to be done and even in more pain

  135. I got a pinnacle mom in 2009. I am 34 I was a gymnastic coach recently let go. I’ve been coaching my whole life. I have a crappy insurance with a huge deductible. I’m not sure how an out of work person who lives in pain daily suffers from fatigue on crutches is suppose to work. My doctor is will to do the revision because my cobalt and chromium levels are really high. Before he we do the revision I need to cover my deductible ($3000 in full) because my insurace and my doctor conceder this an elective procedure. With the loss of my job and my inability to work I have no choice but to move in with family. I have a few questions once I get actually moving with this. Is there any support group that provides loan grants any kind of help with people stuck in my situation. I’ve already lost my job my car and now my house. Now I’m going to lose my pride. A 34 year old man having to move back in with mommy and my girlfriend left. (girlfriend leaving was probable my fault) All because I didn’t do enough research into which procedure or prosthetic to get. Yes i do have a competent lawyer, his advice to me is wait to file until I get my revision. He said i have a better chance of get a winning after its removed. Which brings me to the question section of my rant. Assuming I get the money for my revision somehow. What questions should I ask my new doctor. Which implant should I swap this out for. My reason for having a thr was avn my femur was mush. I was extremely active gymnastic, rock climbing, dirt bike riding, snowboarding, surfing. I was at the gym 5 days a week. I feel like I might never be myself again. What should I do metal poly, ceramic. Will any of those hold up to my life style? I read in here something about a pathology report. What’s that for? If someone can spell out exactly what I should say to my doctor it would help so much. I know ultimately it’s my choice on which implant to get but help from actual people living with these foreign object in them carries more weight with me that some doctor who might be getting a kick back. This is my first time posting but I have been following allot of your progress I happy to hear most of you are recovering well. I’m also curious to know what kind of settlement they have or are being offered. I have to get a whole new life and I don’t think any amount of money could replace what I had (I loved my job). But life must go on.

    thank you partners in pain.
    Carlos
    La to Miami

  136. To Merilee:
    Thank you for your concern, my THR was Nov 2009 and I have had the same pain all along. I’ve had my blood tested twice for infection and had a second opionion from the Cleveland Clinic and nothing seems to be wrong with it according to the doctors.
    Bob H.

  137. Hi Jim and Fellow Unfortunates,
    I am back in MA and saw Dr, Malchau about revising hip #4. He (and I) determined I should revise it since my cobalt and chromium levels have not come down enough after the last revision (hip#3) in April. So I will go back to MT tomorrow, then come back in Oct for the revision. Hopefully that will go well and I will finally not be producing this poison from the M-O-M Pinnacle hips! Hope you are all hanging in there through this mess!
    My thoughts are with you all,
    KH-P

  138. Bob H…
    I don’t know how long you have had this pain or how long it has been since your replacement, but keep an eye on it big time. My husband has a third device placement (replacement 2006, revision March 2001, another revision due to staph infection from March surgery, this recent one in July 2011). He had no pain till the fateful day of it’s emergence—the area around the suture got red, hot to touch, and he got a fever of 102. Went to ER that night; admitted; took 4 days to find the infection, which was a full blown staph infection with over 120 cc’s of ickky fluid in his leg below his hip device and all around it. The staph infection took 3.5 months to incubate without any pain, and then the pain set in one afternoon and he was became really sick. All of his devices (he also has had a replacement in his right hip) are DePuy and all are ceramic/poly Pinnacles.
    Best wishes and health…
    Merilee

  139. Jim, I looked into my files from the hospital and my 1st revision the doctor used the same Depuy hip only a larger ball and socket. That too kept coming out. that was done in July of 07. I finally had enough and had it redone in 2010, I don’t know what he used. It is not in the records that I received. I am currently looking for an atty who will take my case. Most want the metal on metal for a quicker and surer win. Not that I can blame them, but I wish that they would give the rest of us some creditability as well.
    If there is anyone out there that knows of an attorney who does accept my type of case with a Marathon Poyethylene liner please let me know through my email at
    mswerthit@gmail.com Thanks

  140. To Jim Moreland,
    I have a Ceramic/Poly hip and not sure I would say it has technically failed but I do have daily pain in the hip and thigh that is managable with the aid of prescription anti-inflatory meds, the same ones I took before surgery.
    Bob H.

  141. Hi Jim Gary (Uk) here again.
    Before reading on, suggest you place TONGUE in CHEEK and prepare for a tiny comedy, god knows we could do with some…
    That post to me should read: “favourite WELSH MAN” ?
    A CONCISE HISTORY of TRADITION within UK:
    The UK is a tiny Island divided into 4 Parts consisting of England, Scotland, Wales and Ireland (Only the North part of Ireland) the south of Ireland escaped and is now a small part of Europe.
    There is a STRANGE historical tradition of dislike between the 4 parts that surfaces during sporting events.
    FOOTBALL (SOCCER)
    If Wales is playing in the World cup, Ireland and Scotland will grudgingly support Them
    If Ireland is playing in the world cup Wales and Scotland will grudgingly support them
    If Scotland is playing in the world cup Ireland and Wales will grudgingly support them
    If ENGLAND is playing in the world cup THEY ARE ON THEIR OWN..
    I am a WELSH MAN married to a SCOTTISH WOMAN, both of Our Fathers were IRISH and one of my daughters was born in ENGLAND..
    I AM A RUGBY ( Rugger) man Myself .
    I understand USA has 50 States ha ha…

    I am glad to see that you are somewhat up and around despite it all, I hope the US attorneys make the greedy corporates pay for GOLDEN PERAMBULATORS (we say wheelchairs Tomatoes TAMATOES…
    Jim, Have a look at REUTERS NEWS from a few days ago, they were discussing DEPUYS (BROADSPIRE ) The medi-lawyer Spin OFF they have deployed as there is some questions by the uS attorneys into how they are changing tactics…

    MArcia: I have a mixed Depuy Zimmer Ceramic on Poly hip and I have been incapacitated for almost 7 Years. Only now, because wife threatned our medical system with solicitors (attorneys) have they moved to investigate.
    Check out a US site called ABOUT LAW SUITS .com and place your comments on it. Also there is a Medi lawyer in the US (type in Zimmer trilogy Longevity and they have mentioned my HIP, 1st time I have seen that. (Longevity)was the old liners they used and they were thinner, found to be cracking… The firm is something PHILLIPS (medi lawyer) and check if that Depuy liner is faulty. Also check out FDA adverse reports) in SEARCH Site,type in the name of your hip parts and Scroll through the lists. I have found hundreds of faulty adverse reports with mine.
    Jim The lawyers here in UK are only dealing with MOMS at the moment, but the solicitor (Attorney ) I spoke with has 40 people with same hip as mine on books. It will be a long time before It jumps, but please keep me informed about any progress with Ceramic on polys in US. As usual the brit Lawyers will move after the US have done all the work.
    I’ll let you know how I get on with my camera (Arthroscopy) when it’s done Over next couple of months. I can’t even rely on an honest report over here, for despite our ORTHO DOCS yelling about the dodgy hip probs for 2 or more years, the corporates and the medics PROTECT each other here. Worse than your FDA because your attorneys won’t let them get away with it.
    Anyways I am rambling on now…

    All the VERY best and May good/ better health return
    Gary UK

  142. Reuters) – Johnson & Johnson, which could face billions of dollars in costs over an artificial hip recall, is taking an unusual approach to managing the crisis — one that could limit its financial exposure, legal experts say.

    J&J’s DePuy Orthopaedics Inc unit recalled its metal ASR hip system a year ago after it failed at a higher-than-expected rate, with some patients experiencing pain, swelling, joint dislocation and sometimes systemic damage to the central nervous system, thyroid and heart.

    The company now faces more than 2,000 lawsuits in state and federal court in the United States.

    In a highly unusual move, DePuy has hired a third party — Broadspire Services Inc, which manages workers compensation and other medical claims on behalf of insurance companies and employers — to administer patient claims for out-of-pocket medical costs associated with the recall.

    The move has prompted debate among industry and legal experts. Some see it as an efficient way to outsource a process that is unrelated to making artificial hips. Others see it as a way for J&J to limit payments while gaining control of medical records and other material that could be used against patients in court.

    In general, companies and their lawyers handle recalls directly. They answer patient queries and pay claims for reimbursement. Typically, companies accept a treating physician’s recommendation when it comes to determining if a device should be removed or replaced.

    In DePuy’s case, it is Broadspire’s physicians, not the patient’s own doctor, who, in effect, make the final decision on whether a patient’s hip should be replaced. While Broadspire physicians cannot directly override a patient’s doctor in terms of treatment, they make the decision on whether to pay. That can effectively rule out surgery for patients who cannot pay.

    “Doctors who are evaluating these cases are being paid indirectly by DePuy, and research suggests that even when we are very well-intentioned we can be influenced by conflicts of interest,” said Kristin Smith-Crowe, associate professor of management at the University of Utah, who specializes in business ethics. “This is a bit of a red flag in terms of the way this situation is set up.”

    Lorie Gawreluk, a spokeswoman for DePuy, said Broadspire’s role is entirely benign. The company conducts its own reviews to ensure that a patient’s hip problems are the result of the recall, and not some other cause, such as a fall.

    “Similar to the process insurance companies use to evaluate claims from subscribers, medical records are collected by Broadspire if a patient requests financial assistance,” she said in an email. “Broadspire requires no more information than a typical insurance provider would request, and like an insurance provider, Broadspire has a team of reviewers who review claims.”

    EVOLVING STRATEGY

    Patients and lawyers argue that the hip recall claims should not be treated in the same way as a standard medical claim. An insurance company, after all, does not decide whether to reimburse policyholders for medical costs related to a problem it caused itself. Moreover, lawyers representing patients say the amount of information being collected by Broadspire is excessive.

    “This is an evolving strategy that is outside the norm of what companies have done in the past,” said Edward Blizzard, partner with the law firm Blizzard, McCarthy & Nabers. Blizzard is representing plaintiffs in the case.

    “Normally a company would not get the kind of information Broadspire is asking for until a case was in litigation, and even if the case was in litigation, in no circumstance would the defendant be allowed to have their own physician talk to the patient’s physician privately, as Broadspire is demanding,” he said.

    Last August, DePuy wrote to orthopedic surgeons asking them to forward to their patients a package of information about the recall. It contained a form letter from doctor to patient, written by DePuy, asking the patient to set up an appointment to discuss any concerns and to bring with them a signed medical release giving the physician permission to share information with DePuy.

    “It is important to share this information with DePuy so that DePuy may contact you directly regarding any additional information regarding the ASR Hip System and process your claims efficiently,” the letter said. “Please complete the form and bring it with you to your next appointment.”

    DePuy offered doctors $50 for each completed set of forms.

    “I have been doing this work for 35 years and it is almost unprecedented for a large corporate defendant to run out and preemptively attempt to identify potential claimants,” said Alex MacDonald, a partner at MacDonald Rothweiler Eisenberg, who helped negotiate billions of dollars in settlements over the diet-drug cocktail Fen-Phen. He is not representing clients in the DePuy case.

    “J&J is reaching out to doctors and asking them to use their influence with their patients in the hope that the doctor will help identify potential claimants in a lawsuit,” MacDonald said.

    DePuy, which is based in Warsaw, Indiana, denies that it is doing anything out of the ordinary, or that it might be seeking to influence doctors with its upfront offer of payment, as some critics charge.

    “It is standard practice for, and indeed healthcare professionals require, reimbursement for the costs of producing the medical records,” Gawreluk said.

    But some doctors say they have not previously been asked by a product manufacturer to persuade patients to give up their privacy rights, or been directly offered payment to do so.

    “It made me uncomfortable,” said Mark Barba, an orthopedic surgeon at Rockford Orthopedic Associates, a surgical center in Rockford, Illinois. “I’ve never faced anything like that before. Never.”

    METAL POISONING

    Some 93,000 people have been implanted with DePuy’s ASR hip system worldwide.

    With wear, the grinding of the hip’s ball-and-socket structure causes metal debris to collect in the tissue surrounding the implant, damaging muscle and tendons and complicating replacement surgery. In some cases, metal ions released into the blood causes broader health problems.

    Aubie Brennan, a 56-year-old teacher on the Hawaiian island of Oahu, had replacement surgery for each hip in 2007 and 2008 due to bone deterioration.

    In 2009, he began to be plagued by flu-like symptoms, rashes, swollen lips and debilitating fatigue. Doctors were unable to locate the cause. They thought he might have allergies, or be depressed, or poisoned by a substance in the ocean surrounding his home.

    But last August, Brennan said he received a letter from his health insurance company, Kaiser Permanente, alerting him to the recall and urging him to come in for tests. These showed that his left hip was crooked and that his blood contained significantly elevated levels of chromium and cobalt ions. The surgeon told him he wasn’t sure if the elevated metal levels were causing his symptoms, and to return for further testing in six months.

    Brennan could not wait. He sought a second opinion, and in February met with a surgeon at The Queen’s Medical Center in Honolulu, the leading medical referral center in the Pacific Basin.

    “He looked at my results and said, ‘I think you need surgery, on both hips, and you need it now,'” Brennan said. He declined to name either surgeon.

    The Honolulu surgeon was not part of Kaiser’s network, so Kaiser declined to pay, Brennan said. He turned to Broadspire for reimbursement.

    Broadspire told Brennan it would not agree in advance to pay. His only option would be to pay for the surgery himself. Then he would have to submit the doctor’s report to Broadspire, whose physicians would review the case and make a decision on whether the procedure had been necessary.

    Brennan could not afford to pay the $43,467 that the surgery would have cost — or take the risk that Broadspire would decline coverage. He canceled the scheduled procedure.

    “I was really devastated,” he said. “Emotionally, and as far as my job went, it really devastated me.”

    Ultimately, Kaiser reversed itself and agreed to pay for the surgery, which took place in July.

    Broadspire would not comment on individual claims, or its payment process in general. DePuy said patients first file for reimbursement through their insurance company, and DePuy later repays the insurance company.

    RECALL UPON RECALL

    Over the past two years, J&J — for decades one of the most trusted brands in America — has recalled more than 50 products, ranging from Children’s Tylenol to insulin cartridges to contact lenses. The company’s handling of the recalls has in some cases sparked Congressional and federal criminal investigations.

    Particularly disturbing to regulators was an older “phantom recall” of painkiller Motrin. J&J hired a contractor to secretly buy the product from stores well before it alerted the general public in 2009 that the pills did not dissolve properly.

    To critics, DePuy’s handling of its hip implant recall is designed to save money by potentially settling claims with patients before they fully understand their legal rights, or the likely cost of their hip-related medical costs in the future.

    DePuy is adamant in its denial.

    “To be very clear: the sole purpose of the Broadspire process is to assist patients and health care providers as efficiently as possible,” Gawreluk said.

    David Prince, professor of law at William Mitchell College of Law, said that while the hiring of Broadspire may make economic sense for J&J by saving the company the trouble of gearing up and organizing in-house, it also has the effect of distancing the company from patients.

    “By pawning this process off on a third party, they don’t have to deal face to face with patients, and may be less sensible to the human cost of what their product has done,” he said.

    Prince, who has represented both plaintiffs and defendants in the past and specializes in product liability, said he can see both perspectives.

    “In a larger sense, this is a clash between the individual and his or her needs, and the broad corporate interest,” he said. “If I were a patient I’d be very unhappy if someone I trusted, my own doctor, recommended a procedure and someone stood in the way. I would find that intolerable.”

    On the other hand, he said, “You can see how the company wants to make sure they only pay what they consider in their own mind legitimate claims.”

    J&J has taken special charges of about $400 million associated with the ASR recall through the second quarter of this year. The company’s litigation expense also includes a component for increased product liability reserves related to the recall. Gawreluk declined to quantify that component or say what DePuy has paid out so far in claims.

    Some experts say the ultimate cost to J&J could run to the billions of dollars.

    In January 2001, Swiss medical device maker Sulzer Medica AG recalled a hip implant after a manufacturing glitch caused it to loosen. The company settled the case in 2002 for $1 billion. Of the 31,000 patients who received the Sulzer Medica implants, more than 2,760 had them replaced.

    The DePuy recall is three times larger and much more complex. The revision rate has not yet been established, but data from a study released in March by the British Orthopaedic Association and the British Hip Society showed the ASR system had a failure rate of up to 49 percent after six years — nearly four times the rate cited by DePuy when it recalled the device.

    “This is the absolute worst thing that ever happened to my practice,” Barba, the Rockford surgeon, said of the recall. “It keeps me up at night wondering how to treat these patients whose future is so uncertain. It has been difficult for all of us emotionally.”

    Read carefully……..Jim

  143. Thanks Jiim for getting back to me. I am so angry and frustrated with this whole thing. I have lived with pain and anxiety for so long. I am on meds and I am afraid to travel outside the US for fear that my hip with go out on me. I went T Thailand last year and my right leg went out from 3 times (because of the femur bone left in my leg from my Depuy hip) and ended up cracking a bunch of ribs. I wouldn’t go to the hospital until I got home 2 weeks later. That’s it for me unless I stay on a ship with a doctor.
    Whenever I contact a lawyer they seem really interested, but when you get their reply most are only interested in the metal on metal or send you a contract that should they decide to take the case and drop you will be responsible for all court and legal fees.
    I suffered so much these past 6 years between 3 operations and numerous trips to the E R. I was visiting my daughter in Maryland and got stuck between 2 beds while tying my shoes and could not move and in terrible pain when my hip went out until the ambulance came. This has been they way my life has been. I am in my early sixties but was only 56 when this started. I want to enjoy my life. I worked hard for this.
    I know there are so many people younger than me who are going through this and that is even worse, There has to be some whey to rectify this wrong.
    Thanks for listening.
    Marcia

  144. Marcia

    You are an example of the Pinnacle suffering an inherit design flaw according gto me review and of many speciallist. I here about just as many failure with poly/ metal/ ceramic as I do with metal on metal hips. You have either suffered form catastrophic prosthesis failue or your surgeon is incompotent. You still are having issues and if you leg is giving way, something is amiss again. I would contact an attorney to review your case either for a case against Depuy but also your doctor. You had a revision without the femur being revised and that could be loosening. I would get a bone svan, hip aspiration and just to cover yourself I would get a titanium/chromium/cobalt level to make sure that the titanium cup is not shedding particles, or the chromium cobalt of the ball part and titanium/cobalt/chromium stem. I would not give up. I believe you are going to find that the Depuy Pinnacle hip has inherent flaws like I said and you need to watch how all the metal on metal hips proceed. If they find that Depuy and the FDA didn’t test properly these prosthesis and enough professional make a stink about the design then you will see a recall of them all. I amtelling you the truth, I see a 50/50 split in failures poly/ceramimetal versus metal on metal hips. I don’t think there is enough attention given to poly/ceramic hips maiinly becasue the recalled ASR is metal on metal and we know about metalosis, but what is not geting attention is the occult failures in the Pinnacle hips. Doctors just revised hips prior to the recall, there are many out there that had revisions without being told why it failed or the doctor could not determine what the cause of failure was. The doctors are not ahead of the issues in this moduloar hip, they just lnow that J and j and Depuy had a great reputation and trusgted them, my ortho is very leary of the Pinnacle now as I have debated this with him. He also shared with me about failures in the poly/ceramic/metal. Some of this ceramic prosthesis have just exploded inside the joint….that isn’t right…so don’t give up more is going to be revealed about this Pinnacle hip,,,,personally I think the the clearances on these prosthesis is the cause of the front end loading. Anyway if you need osmething we are here for you….Jim

  145. HI JIM,
    GLAD TO SEE YOUR DOING BETTER. IT’S BEEN 9 MONTHS SINCE MY DEPUY REVISION AND I TOO HAVE HAD PAIN ABOVE MY KEE CAP THAT I NEVER HAD PRIOR TO MY REVISION OR BEFORE THE FIRST ABORTION WAS PUT IN. DRIVING ME NUTS WHAT IT IS AND MY SURGEON HAS NO ANSWER. IT DOES GET PAINFUL SOME DAYS AND OTHERS NOTHING. WHAT COULD IT POSSIBLY BE

  146. I had Depuy Total Hip Replacement with an Acetabular Marathon Liner (metal on polyethylene) done in 2006. this has failed miserably. It kept coming out and after so much pain I finally had a revision. This also did not work (2007) and in 2010 I finally went for a constraint hip. This so far seems to be holding. The only problem I seem to be having is with the femur bone part left behind from the original Depuy hip. My leg keeps going out on me and I keep falling down,. I have even cracked several ribs. I still have pain when I walk, though it is not as bad as before I had it done,
    All in all this has been overwhelming.
    I have contacted several attorneys and most of them only handle the metal on metal claims. I have talked to several. One in St. Louis and one in New Orleans, and neither of those worked out either. If anyone can recommend someone who would handle this type of case I would welcome all referrals.
    I would also like to hear from anyone with similar problems and what is happening to them now and how they are doing.
    THanks in advance.
    Marcia

  147. Hello everyone!!!!

    I have been busy the last couple of weeks with my attorney here in Lexington Ky. My case is the lead case and he is filing in state court and then it gets sent into the MDL in North Texas. I spent a lot of time in his office educating him and his nurse he hired on the issues that these hip failures has caused. He has about 17 cases that he will be filing. There is still a lot of information out there and they are just now conducting research in this area, but for the most part there is no concrete answers here and I think ans my attorney, this doesn’t bode well for Depuy.

    Have you guys noticed that there are alot of failures with the ceramic/poly hips also? for your information a Depuy total knee has ben recalled.

    I am ready to take on some questions. I am taking my wife to Florida for a weeks vacation and to test how my hip is actually doing. My issues are still pain, stiffness, now with subluxing right knee cap which I have never had before. i am 11/2 inches shorter on the right than left. Anything above 3/4 inch in length difference will cause proems to the, knees hips and back. So alot of us who have been revised will be shorter on one side. So report this to you ortho and make sure he measure the length and circumference of you thighs for atrophy.

    My attorney has talked to a lot of attoerney across the country and they feel like Depuy and Johnson and Johnson will pay out BILLIONS, they expect some suites to go in the multi-million dollar ranges as like me who have had 7 hip operations/revisions and all the infections and extensive debriedments all add up, I encourage you to get involved in the legal process with your attorney and establish a google alert to the depuy pinnacle/asr hips and other hips that seem to be failing. The way these hips by-passed the FDA is going to cost these makers of prosthesis big time and the FDA is not looking very good in all of this also. So, I will be around for a week then off a week and willl devote my time to this site.
    I was a Navy Corpsmen stationed at Camp Lejeune with the Marines, while there I was drinking the most conatminated water in this country’s history. This has led to catastrophic health failure mainly autoimmune, neuropathic and endocrine problems. I am fighting the VA and there is Toxic Tort claim against the federal government and the government has been caught several times for with holding or destroying documents, but I am on otheer sites concerning my fellow sailors and marines.

    Linda: Bone Marrow edema is the first signs of trauma in a joint, usually it is caused bu bones rubbing on each other or foreign body causing repeated trauma. it is significant because swelling the bone can lead to Avascular Necrosis(death of bone) but usually you will get this kind of reading on MRI when there is traumaa in the joint or to a bone by itself.

    Belinda- No limping should not occur at all. In your case with leg length discrepancies you will have an obvious limp. Heel lifts will cause other problems in your foot , knee, hip and back as you are probably discovering. What you need to is it add to the bottom of the heel on the shoes. Inserted heel lifts are dangerous and will cause other problems. What would help is to go to an Orthosist, and have full-length plastizote orthotic made for both feet. That is insert into your shows, full length support the entire foot. Your other compaints sound like ilio=tibial band symptoms and is normal after hips surgery, this is caused by swelling of the surrounding tissues, when things settle down it should go away if not, then there is treatment like cortisone injections that may help but if there was infection in the joint then let no one inject your hip with cortisone because it will cause the bacteriaa to grow rapidly.

    Hip and foot coldness and numbness. Might be back, but it can also be caused from you hip surgery. It is possible to injure the sciatic and femoral nerves which will gie numbness in the thigh and it is worse when sitting or lying and can be made worse by prolong walking or standing. There is also a psooibility of Reflex Sympathetic Dystrophy, the cause is not clearly understood, but after any operations the nerves can just start acting up and going crazy. Have your back looked at and if there is no pathology and it continues then an EMG/NCV is warranted, that is testing the nerves with electrical impulses that can determine at what level the nerve is entrapped or injured.

    Kathy H-P, so you had psuedotumor, make sure that you have a pathology report for your court case. This alone proves hip prosthesis failure. And your are right about the number, everyone needs to follow the numbers closely about at 6 month intervals is when you should a substantial drop in the numbers.

    George- attorney’s are trying to keep the cases in state as that it will usually wnd up with higher settlement figures. The stay is probably a result of the ruling by the MDL federal court as many will routed to the MDL, there have been a few cases that won their ability to keep the case in-state,,I believe Wisconsin and another state that escapes me. I believe that is what is happening to all state cases now.

    Gary, good to hear from you my favorite Englishman….keep us posted on the progress in England as US attorney’s will be using some of there evidence and vice=versa, so hang in there brother man….always good to hear from you

    Finally, we all are suffering in one form or another, It is perfectly right to us this site to talk about how we are feeling about all of this, this is devastating and I know there are days that I range from angry to down right depressed especially when I am missing out family things, so if anyone needs to share there feelings this is a good site as we all can empathize with one another and there is nowhere you can go, even a psychologist, who would understand the loss that all of us have gone through and for the most part for the majority of us have had our lives altered in a way that impacts our overall quality of living,

    God’s Blessings on all of you and love you guys.

    Jim

  148. Jim I am sooo happy you are doing better is bone marrow edema anything to be concerned about, of course living with 2 failed hips left side now my knee is going. Linda M. M. Michigan

  149. I’m wondering does everyone come out of these THR with a limp?? My moma’s is bad! An I’m 1 1/4 inch longer on my thr leg. I’m wearing an inch lift in my right shoe to just even out and that thing kills my heel and my back too.
    Just a question for everyone I’m curious is this normal.
    Thanks Belinda

  150. Jim,
    Thank you for checking on me ! So far its been okay, it will be five weeks Thursday an I’ve not had a headache yet, I had one to try to come on Sunday and became very nausa an I got sick, but after that it all went away thank goodness. Ive still got these white spots that keep showing up in my left eye near the bottom in the left corner, I don’t know what that means really. Plus when I first get up I have a little popping or a rubbing going on inside my hip but I cant tell what it is cause by time I walk from the living room to the bathroom it’s gone until I get up again, so I guess it’s a wait an watch an feel game right now cause it has only been five weeks.Ive still got alot of thigh an knee pain an also my leg goes completely numb an turns so cold my foot will be freezing an my whole leg looks blueish an it happens when I’m sitting an laying down.Also when I’m standing for awhile my whole right foot goes to sleep which is not my THR leg and When I told the Dr he said my backs causing that so when I go back hes sending me to have my back looked it. I’m guessing this is all okay an will go away, I sure hope so. So how are you doing? I hope good an we all heal right this time, Its really hard going thru this again!! I can’t remember how long it takes for our scar to stop being so tender, it seems his time its way worse. What I dont understand is my moma had a THR an at six weeks she went back to work an even with my first THR I was 12 weeks an in therepy at 8 weeks, now I will say with this revision I’m on the cane already. I just feel sad this has happened to us.I’m 45 an I swear I feel old. OH well I’ve whinned enough!! LOL PLEASE take care everyone my thoughts an prayers are with us all.
    LOVE BELINDA

  151. Hi Jim,

    Glad you are feeling better! Boy, we have a few path that have crossed, btwn U of M, Dr. Harry Rubash, Mass General and Glacier, maybe we’ll have to meet someday when you are up and around. We’ll take the boat in from Many Glacier, a very short walk and the other boat to the small lake (Josephine, I think) below Grinell Glacier. If we do it in the early fall we’ll see Grizzly bears. Something to think about for someday when you’re better! Wouldn’t it be nice to be there, someday, able to hike around again?!

    My numbers are still high, but seem to be dropping, I’ll find our more back in MA in a couple of weeks for the hip #4 determination. The weird thing with me is that I never did have any symptoms, even when my cobalt was at 512 and chromium at 150. That is why I think EVERYONE needs to get their blood tested! By the time I went to Mass General, I had a sizable tumor in my left hip, never felt a thing…could have done serious damage if it was left un-revised.
    XOK

    Hi fellow unfortunates,

    I have 2 brother-in-laws that are attorneys, one in MT the other in CO. I am working with the one in MT. Both are excellent. For whatever reason, my attny here is not filing me in the class action suit. I just filled out some papers the other day with him, but it’s that first thing I’ve done, I really have no idea of how long the process is, or what it will entail. If anyone needs a Denver or Montana attny, please contact me and I’ll get you their info.

    Good luck to you all, my thoughts and good wishes are with you!
    Kathy H-P

  152. Jim my attorney has filed my case. I believe he is handling about a dozen of these complaints. My (and my wife’s) case was filed with all of his other clients ( and their spouses) in San Diego. The case is going to be heard in San Francisco with all the others from CA. As I understand it the first complaint was to go to trial
    this September. However the judge in the case has issued a stay. What that means I have no idea. That is all the info I have.

  153. Hi Jim
    Gary here in the UK. Glad to see you have recovered in some shape from your op. I did wonder when there was no posts from you for a fair while. These infections are a worry, makes it all much more complicated. Good to know that THE great spirit is looking after A good spirit.
    My surgeon here has told me about a new infection he is worried about here in the UK, it started in Asia and has travelled. His field is with young adults and he told me alt of the kids are getting infected and there is no anti-biotics for it. I could see the genuine concern written on his face.
    He is a nice man, he has arranged an arthroscopy for me as he doesn’t want to dig out if he can’t see any problem. He said My tools are like having a ball of string and a hammer Gary and you have the supposed best hip around inside you, I have nothing to replace it with and the risk of that infection is troubling. I trust him, thats it not about money and our NHS system here in uK.
    The surgeon over here, Tony Nargol, who is replacing the MOm hips is actually using my type of COP hip, I don’t know if it was a Zimmer, mine is a mix of depuy and zimmer but I saw it on the dispatches programme shown here in the UK last april DISPATCHES, UNDER THE KNIFE, CHANNEL 4 UK and I can understand what my surgeon meant. He admitted that all prosthesis shed and it’s part of the risk, per chance to walk a little…
    Anyway friend, once again I am glad you have somewhat recovered and We are sending you well wishes..
    Good health
    Gary in the UK

  154. Kathy H-P

    Good to hear from you and thanks for the thoughts and prayers. I am making steady progress but I will never be able to wlak any distance or without pain. I played my college ball at University of Montana and use to get up to Glacier National Park.

    You had great doctors and I talked to Harry Rubash the chief of Mass General and he says they are doing 300% more hip revisons than last year and most believe it or not are the pinnacle. Your number will probably take a good 8 to 12 months to come into a normal range. Do you feel better systemically?? I do in that I have more energy than before, but my activity level for the last 7 years has been really low due to the hip pain. I will visit the site I have filed a comp-laint with all 7 of my revisions. So if you have two defective hips you should make an individual complaint. I’m not out of the woods with the infection part due to my impaired immune system.

    Has anyone’s attorney filed on their behalf yet? My attorney has 9 cases and mine will be the lead case. He will file it in state court then it goes to Texas and if no settlement is reached then it will be tried in the state courts. There advantages and disadvantages of both. You should as your attorney about those differences.

    Glad to be back and talk with Kath H-P

    Jim

  155. Hi fellow Unfortunates,

    Jim, I’m glad things are coming along well for you, I sure hope for a very good outcome, for you and all of us.

    I am now 3 + months out of my right revision (hip#3). It feels pretty good, I went for a couple of SHORT hikes in Glacier National Park last weekend and the hips survived. My recent blood tests are still very high though; COB 152, CHR: 47, but that is a far cry from 512 and 140. I will see what Dr’s Malchau and Kwon say about this when I go back east on the 18th. Malchau and Kwon practice together at MGH, they seem to take different insurances so they can cover more people. I think they are both very good doctors and probably know as much about this as anyone can—so far anyway. Unfortunately, we are pretty much all guinea pigs here.

    Kathy S., good idea mentioning to Carlos to register with medwatch a while back. I registered with them and I think we all should do this. It can’t hurt with the recall of the Pinnacle hips, especially for people who are now in very bad circumstances— those that might have had surgery, then lost their jobs with the economy, only to be faced with having these things poisoning them now and not having insurance to get them out.

    Barry Meier had another piece in the NY Times last week on this issue, at least he’s keeping us in the news!

    Here is the link again, for anyone willing to do register on Medwatch:
    http://www.accessdata.fda.gov/scripts/medwatch/

    Best wishes to you all!
    Kathy H-P

  156. Belinda, how are you doing wih your hip?? How are the headaches? Have they diminsihed. It akes at least 6 monhs for blood levels to drop, but you can sometimes feel the difference right away. I was just thinking of you today and praying for you and the others on the site. Love ya…Jim

  157. I ran across this while doing research. This about Dr. Kwon at Mass. General Harvard affilitated. Dr. Kwon deal specifically with revising the metal on metal hip. There is a slide show presentation. My former mentor Harry Rubash is the head of orthopedics at Mass General.It has a lot of technical medical jargon, but it also explains his findings. Those of us with high chromium and cobalt levels may suffer from the formation of psuedotumors. Psuedotumors are probably formed by allergic reaction to metal particles, thus producing exensive scarring. Now most orthopeadist have not seen this type of reaction becasue it is rare. Well that is before the implantation of metal on metal hips. If your surgeon says you had extensive scaring around your hip then what he is identifying is prbably psuedotumors. This matters because the outcomes of revision are poorer in this group of patients. I am one of theose. So ask you doctor after revision what did you find? Was their any dead muscle tissue? Make sure that you check the pathology reports from your surgery. My surgeon didn’t take biopsies because he was ot awar of the metallosis and psuedotumors, he thought it was just scarring. 2 months later I developed an infection and osteomyelitis and had to have all metal taken out and spacer put in and antibiotics for 4 months. I insisted on tissue samples the second time around and sure enough there was still an inflammatory condition in my hip. So when you go for your revision, insist on tissue biopsy and fluid microscopic be done intraoperatively. this is important to do, especially if you are persuing legal action.

    http://achesandjoints.org/2011/03/23/2011-kappa-delta/

    Take time to read this.

    Jim

  158. My husband had a DePuy Pinnacle Sector II Acetabular Cup with Pinnacle Marathon Acetabular Liner S-ROM Total Hip System implanted in his left hip in Sept 2006 and the same exact model into his right hip in Sept 2007; in Mar 2011 his left hip (ceramic/poly NOT metal on metal) shattered like a teacup and he had a total revision with the DePuy Altrx model implanted. In early July, not 4 months after this revision, he had came down with pain at the suture site and a high fever one afternoon….we took him to the ER and they admitted him. It took 3 CT scans, an MRI, 4 aspirations and non stop blood tests and they finally found the problem. A staph infection, deep into his hip, where they aspirated 60cc’s of gunk and decided he needed another revision after they flushed out the entire area (at least we hope so….). He was in the hospital eight days. The dr said they got even more than the original 60cc’s of more staph gunk out during surgery. This is every persons nightmare to think of this additional risk when you go in for any surgery. We are so frustrated over this entire ordeal, especially with the device failure in the first place that caused the surgery needed which it appears is what lead to this present staph issue. My husband is home for another 6 weeks on an IV pick in his arm that he administers daily, is missing work, and as an avid athlete, is so very bummed at what the future could bring. I am terrified of another failure in the right side for him too, as they were exactly the same and one blew out already.
    Please post all failures to the Medwatch FDA complaint site as that is the only way we can get this out in the open!

  159. Vic

    I am glad you are making progress with your new hip. I can tell the difference in my new hips already. But there is irreversible damage that will always be there. I read the same thing about the 2 million documents, but that proves they have buried some incriminating evidence. I think you will find out that they have known about the ASR and Pinnacle for a long time and the will be found guilty of with holding vital information on faulty hips. When they find this information out, they will pay big time monetarily…….Good hearing from you Vic. Jim

    Bob H.

    It stinks to high heaven. Depuy spends a lot of money making sure they keep the physicians in there pocket, even with reform, they have learned to circumvent the law. Good hearing from you Bob H……Jim

  160. Jim,
    Thank you for your response, I hope your recovery continues in a postive direction,
    and will continue to pray for you and all who have been effected by their implants.
    I am working on getting my blood work, and Phila is not out of the question for me.
    About an hour and a half away, my issues are taking off work for repeated visits,
    I work in insurance, part of which deals with disability, and I have had 2 in the last
    2 years, so I think you know where I’m coming from. I didn’t even take off when I fx my 3 ribs. I found the link about the ceramic hip interesting, I too heard a loud pop my 1st day home after surgery, my surgeon said it was a tendon. I was thinking more along the lines of the poly liner. I assume ( although I hate doing that) I would not be able to walk if the head broke. I will be in touch when I get my bloodwork thank you again for your valuable time and knowledge, you have no idea how much I appreciate it, all I get from
    Dr’s here are looks like I’m crazy or dismissed because I’m too complicated and demanding. Thanks again,

    Bob H.
    Thank you for your response also, I too will pray for you and your wife, it is very frustrating you are right. Your wife is lucky she has your support and understanding
    perhaps because you understand her pain. Alot of relationships suffer greatly as mine did because of constant pain and financial issues that go along with continued
    issues, it really can strain relationships. I hope your wife gets some resolution to her problem soon.

    Donna
    Donna

  161. Jim,
    Glad to hear you are progressing in the right direction. I read the article abt the umpire with the ceramic hip and the relationship the manufacturer and surgeon had smells like a rotting fish. Unfortunately it’s all about the cash.
    Bob H.

  162. FOR SOME OF U THAT HAVE TO GO THRU THE THR BECAUSE OF THE DEPUY MESS UP, I’M 7 MONTHS OUT OF THR AND MY LEG IS JUST STARTING TO FEEL BETTER. THE BURNING HAS STOPPED AND THE LOCKING UP OF THE QUAD MUSCLE SEEMS TO BE GETTING LESSER AND LESSER. MAYBE THERE’S IS SOME LIGHT AT THE END OF THE TUNNEL BUT I RECIEVED AN E-MAIL FROM MY ATTORNEY LAST WEEK AFTER I ASKED HIM HOW THE LAWSUITE WAS GOING(AND YOUR NOT GOING TO BELIEVE THIS BUT I HAVE NO REASON TO MAKE UP TALES) HE TELLS ME THAT HIS STAFF HAS READ THRU 150,000 PAGES OF PAPERS FROM J&J WITH OVER 2MILLION MORE, YES I SAID 2MILLION. THEY WILL DRAG THIS OUT FOR EVER. PLEASE DON’T GIVE UP WRER THE ONLY ONES THAT KNOW WHAT PAIN WE HAVE SUFFERED. THE LONGER THEY GET THE LESS WE GET. STAY ON YOUR ATTORNEY

  163. Roger

    God has blessed me so with people like you, who don’t even know me and yet they take the time to pray and think about me and I know I am thankful for your words and encouragement and I know God put that on your heart to say to me. We all are blessed that we have a God who sent his only son into this world for our salvation. Thanks Roger and I am so happy you are getting some of your life back and Depuy will pay…but what is money, when you can’t enjoy the simplest things in life like walking, sleepeing and most of for me, playing with my 12 grandchildren…Thanks Roger….Jim

  164. Bob H.

    You are so right. As being on the other side and working at University of Pittsburgh we got all the ortho failures in the region and nationally and the stories and the run around they got was shameful and as a Healthcare Provider I am ashamed. Wrist and total joints, just haven’t had good result in the past. Your wife I know has to be suffering so, and for that I will pray for her. I am happy that her hip is not as bad as others as she already has enough on her plate with this wrist. I am happy that the allergist is proceeding with testing and given the brief pathology findings you listed, Yes, it does appear she may well be reacting to the metal or that the bone will not heal itself…..If ever I can help, let me know…Jim

    Ron

    I echo your statement. IF YOU HAVE A SYMPTOMATIC HIP REPLACEMENT, IT IS WISE TO DEAL WITH IT SOONER THAN LATER…..

    I do feel better with them out and like you I am letting the dust settle from all these surgeries before I see what permanent damage I will deal with. I have many people on other sites who express the same things. ..Jim

  165. Two months out from having a Depuy ASR revision and things are going good. I still limp a little but can put up with that. Still have a little burning, hope that goes away with time but that could be nerve damage, will explore that a little in the future. I was told by many that the second hip replacement is better than the first, at least you know what to expect, true.
    Again, if you have a MOM hip and are having problems, pick up the phone, call your OR and schedule a revision, two months from now you will be glad you did. Posting all the comments on this forum about your symptoms will not solve the problem, go for it.

  166. Donna,
    I found this sight because of problems I’m having with my THR which is not as severe as many who visit this sight. I also get great information that helps with my wife’s wrist joint replacement, she is having some of the same issues you are having. The surgeon’s name is on the prosthesis and he owns the company that distributes it. As you can imagine he’s been giving us the runaround ever since the problems started. She has seen 2 other hand specialist who don’t want to get into another surgeon’s problems. She got metal samples from the prosthetic and an allergist is going to test her for allergies for those metals. We know there is some type of rejection going on because of the pathology report from dead tissue and inflamation that was removed a few months ago. It’s very frustrating that we have to dig and scratch to find out on our own how to take care of problems after surgery. Some surgeon’s only want to do surgery and once that’s done and they get paid they wash there hands of it.
    Bob H.

  167. Thanks to all of you and your thoughts and prayers, they worked and god is good. We will never be the same agter dealing with this travesty, but we must carry on and get busy living. Yes, I did keep the doctors to task. I had a temp 0r 104.8 and had a seizure and I must say it was the first time I was really frightened. Then my white blood cell count dipped to 2 which is babd new, but God does love me and i am very thankful for family and friends like you. It means so much that we encourage each other.

    Donna, don’t give up and you have right to vent, it is frustrating to us all because the medical professionals are really behind the eight ball and most don’t care and some have other financial reasons not acknowledge what is already been acknowledge by so many.

    Would you travel to Philadelphia??? I graduated from Hahnemann Medical University and Graduate work from Drexel and I do still know people in the philly area that I might be able to help you.

    I would love for you to send me your lab work. Slight elevation in ANA and Sed rate is telling and don’t let anyone tell you different, as a matter of fact you can get diagnosed with most autoimmune diesease without positive lab work like lupus, sjogren’s and EDS. You diagnosis most autoimmune idseases from history and a list of the symptoms and you will run across some Rheumatologist who don’t want to really dig in and do what they trained to do. They are apathetic and they are to be called out on it. I will encourage not to give up. We have to get you tested for the heavy metals, that is the first priority in helping you with this hip and your health as the ANA and sed rate can be indicative of the bodies raction to metallosis of the hips, this is the perfect storm for this as metallosis triggers an autoimmune response after an inflammatory response. So your lab work is very telling to me and makes me even more confident that you definitely have a systemic problem, also it can inflame other autoimmune or disease processes within your body.

    So let’s start off with where are you willing to travel to to get help. I know the head of ortho at Boston General Yale and I can get you in there and like I said I still have contacts in Philly. You need and deserve answers about your health issues. So let’s roll up our sleeves ans see what we can do.

    It is good to be back, also I will be willing to call and talk to your PA about the issues that we face, trust there are very few in this country who know about metallosis and the issues with these hips. Let me know and don’t get down, use this rejection as a motivator to find that provider who will find your answers.

    Love you guys
    Jim

  168. Welcome home Jim, Hope that this is the end to the problems you have ran into. The power of prayer is so wonderful and the chain was not broken until god wanted it to. Hope that Depuy gets what they deserve as far as medivcal devices go. Glad to have you back brother you are such a good man that God has plans for you and the rest of us. I don’t even go to church but I believe in a higher power.

  169. Great to have you back Jim, we’re lost without you :) . When your up 2 it I could use
    some advise, had a rough time over the last couple of months, my third rheumatologist just dismissed me as unable to treat me, has no idea how to test for metal levels. Having a very difficult time finding a Dr who knows or acknowledges
    or willing to treat my complex problems, again negative for lupus “slightly” elevated
    ANA and Sed rate, fx 3 ribs from lung infection. At a loss as to where I can go for
    help, totally frustrated with medical professionals at this point, didn’t so much as xray my hip, told me she does not test or treat EDS, got angry at me for demanding the results of my $1500. worth of blood work a month after it was taken.
    Cannot get a return phone call or email from a EDS specialist at greater Baltimore med center. My PA wants to pass me off to specialists, the specialists want to pass me back to my PA. None of them want to have anything to do with my hip issues.
    Telling me to go back to my surgeon. My surgeon sent me to rheumatology
    Very frustrating, my problems are complex they tell me, i say no kidding, I have to live with them and the pain, they really don’t care. Sorry for the venting.
    I hope your recovery continues to progress without anymore complications, when
    your up to it, post or email if your up to the challenge.
    Take care, your in my prayers,
    Donna
    Sorry for the venting. Stay well.

  170. Jim! Welcome back! I know you’re not at full strength, so thanks so much for taking the time to reach out and let everyone who’s been worried about your infection know the outcome. I was just wondering/worrying about you last night! You’ve been on my mind since I read about the infection, so I’m relieved and grateful that you’re back home. I’m sorry to hear about the lupus flaring up on top of the other complications. I’ve gotta say you sound really positive though–and your mind is still as keen as ever, which is doubly good news. I bet you kept the doctors on their toes in the hospital!

    I hope you have a great weekend (hope you’re not anywhere in the Sweat Belt where temps are over 100) and that your rehab is going smoothly and you’re gaining strength every day.

    Best,
    Kathy

  171. Hey Ron

    How are you brother?? Ron is right if you are dealing with complications of your metal hip, bite the bullets sooner than later, as to prevent further irreversible damage. Glad to hear you getting some of your life back brother. Take care let me know more. I am glad i had both of mine out and honestly systemically I can tell the difference. Although I have residual pain and always will, I feel better with the metal out than in….Take care brother…jim

  172. Hi everyone, I am back, not full strength yet but getting there. I suffered an infection and he had to be re-admitted for 10 days on antibiotics and my lupus is flaring bad, so it has been rough, but I am optimistic. Belinda, love ya, I am so happy you have done the revision and improving slowly, take your time and let this new inplant take hold before you do too much.

    Funny, you had a positive aspiration but negative pathology, I did too, makes me wonder if they got proper biopsies and did the proper test, I have my pathology report for last year and they said they saw nothing but my pathology noted chronic inflammation, necrosis and Giant cell which is indicative of a freign body like the metal. So, all of you if you want to get a copy of your pathology reports and post them and I will give you my opinion. The doctors and researchers have no clue what test or microscopically preparations they need, because these particles are nano size whcih was there selling point also. They said this would lower the tissue reaction rate, but my medical training and experiences say that the smaller the particles the more readily it is absorbed in the blood stream and thus producing systemic effects. So pay attention to your pathology report and get a copy of it all. I will be available and find the answers for you. I will try to review the post and give you my thoughts if they are still relevant and if you get this post it would help to repost the questions.

    Mri was a question. MARS mri is a new filter program that reduce the high signal from the metal hips is the only MRI that will produce a clear picture of the hip.

    I want to thank you all for your thoughts and prayers and the love, We all will be joined together for the next few years as we go through the judicial process of remunerations or reparations for pain and suffering. I have never been a letigious person, but in this case it is unexcusable what happened too so many of us.

    I love you guys, it is good to have energy to engage again….Jim

  173. Well I had my revision June 28th an so far everything seems to be going good. The pain at first was just as bad but seems to be getting easier to handle now. I’m still on this crazy walker an should go to the cane next week. But I’m just so glad Ive gotten that metal on metal out of my body, and I can get back to my life and have no more poisons in my blood an around my hip joint..Even thou they say the tissues they sent to be tested were fine. I cant see how a hip asperation test can show fluids an positive for some infection an then there’s nothing wrong with my tissue around the joint, but that’s what they say so at least now I can heal good around my new hip. An all those weird headaches and the hip pain and all that popping an clicking and the burning are a part of my past. I pray everyday I can get back to a normal life an move forward instead of hurting so much. I also pray the FDA or someone will please pull all the MOM off the market so no Dr. can place this poison in anyone else!! An I thank god my Dr. was here for me an seemed to understand me when I started telling him something was wrong inside there an how sick I was starting to get. PLEASE SOMEONE DO SOMETHING BEFORE ANYONE ELSE GOES THRU WHAT WE HAVE…
    JIM, WHERE ARE YOU? ARE YOU OK? I’M GETTING WORRIED?

  174. Belinda, and fellow unfortunates,
    I learned from Jim, that he was to be discharged from the hospital today, 7/13
    He developed a post-op infection, he said he posted on this site, but since I don’t see his post, I decided to pass the word along. I hope he will be feeling well soon,
    and keep us updated on his progress.
    Best Regards to all,
    Donna

  175. Kathy
    Thank you for your reply, has anyone heard anything about Jim I hope that everything went as expected for him, he has really had a hard time

  176. I will be released from the hopsital tomorrow. I developed a severe infection and have been on antibiotics, I hope to feel better and rejoin you guys soon, I am just tired and wiped out by all of the antibiotics and lupus flaring. I will get back in the game and thanks for the best wishes……I will see you as soon as I am out and settle in at home…Love ya guys……Jim

  177. Been down the Depuy ASR revision road and all the tests beforehand. MRI only showed a flash, worthless. A good ultra sound will show about everything you need to know. It was the Gold Standard of several authors I researched before having mine replaced. In my case, after 18 months in my body, the hip sac was overfull of fluid, muscle was inflammed, bone was starting to deteroriate. Got a new porcelain ball and plastic socket, stem was saved. About a month and a half out of surgery, never did use a walker much, crutches for a day or two, cane for a couple of weeks, was driving inside of two weeks, little PT. So far, so good. If you have any doubt, have it taken out, get this behind you.

  178. Hi Jim how are you? It has been about a month or so since your surgery, I hope you are doing well, and as you can see, so do the rest of us unfortunates!
    Best wishes!
    Kathy H-P

  179. Hi Linda,
    I imagine any decent-size hospital could do a comprehensive MRI and x-rays for you. Your doctor should be able to order these. I have never had a cat scan or ultrasound for this hip issue. I’d check with you doctor and see what he/she says.
    Kathy H-P

  180. Kathy
    where and how can I get a MRI,cat scan, ultra sound or Xray, Anything that would enable a Dr. and myself to see the hip without opening me up. They always say there is to much of a glare, or arc to actually see the appliance
    Does anyone know? my home e-mail is wallyandlinda@comcast.net anyone can us it if so inclined Thanks Hope Jim’s surgery was successful

  181. Hi Jim and fellow Unfortunates,

    I really wanted to be able to read through all of your information and stories, but it will require sitting for longer than is currently possible for me! I have read through some of this. I am now back home, after leaving for Boston (Mass General) for revision surgery on hip #3 in late April.

    I believe there may be an article on the M-o-M hip issues this coming Sunday in the New York Times. I imagine it would run in the Health section. I think myself and some others will be putting a ‘human face’ to the previously pieces that Barry Meier has written about this hip issue. I hope it helps somehow.

    My hope is that the article gets all of the doctors that have installed this crap to contact their patients to get a blood test, even if they do not show any symptoms!

    I will find out in late August if I need to revise hip #4. Will go back to MGH for another long MRI and more testing, so, on it goes….

    Good luck everyone,
    Kathy

  182. Does anyone have usual headaches since there MOM replacements.

    Jim I hope every things going well for you, My thoughts have been with you every day, an if I don’t hear from you before my revision 6/28/11 I know you are
    thinking of us all.

    My revision comes just 4 years after my THR. My THR was June 26th 07 an my revision is June 28th 11. Seems so unfair to me!! But Im not the only one thats going through this effect from MOM. I feel like such a big baby all the time I know my family has to be getting tired of all my complaints. OOH my thigh hurts, my hip popping an burning, my backs killing me, i have a headache again sorry I cant do that today, my heel hurts from my lift in my shoe cause I limp so bad!! so on so on its everyday all day. Its like my for years all Ive had is pain. But I try so hard to be positive cause I know theirs someone out there thats worst than I so I just keep going.

  183. Hi Gary, thanks for the response to my post, of the FDA approval.
    I too have ceramic and poly liner but with a pinnacle cup. I agree I have many of the same symptoms you describe in your post. My THR is over a yr now. Still unable to walk, sit or anything for any period of time, taking pain med again to the level of pre-op. 1st day home after surgery I had a very loud pop my surgeon, said it was most like a stitch, I think my liner and or head cracked or broke. 6 wks post op I had knee
    problems, most recently I have had a lung infection for over a month, that responds to antibiotics but just comes back when they are done. Also problems with my thumbs, this past week my thumb dislocated without force, but both my hands now have a great deal of pain. I also recently had blood work that indicated, I have muscle damage, my PA thinks that is because of my surgery, I think it’s too long after surgery to show that. It is very complicated, and frustrating. While Dr’s may not be to blame, mine has no sympathy to my issues. Only wants success stories.
    Best of luck to you, keep us updated on any info you find on a suitable replacement.
    Donna

  184. Hi Jim and we fellow unfortunates,

    Jim, I hope this surgery will help your condition, my best wishes for a speedy (and as complete as possible) recovery.

    It has been 6 weeks since my (hip #3, a Pinnacle MoM) revision and it appears that my metal levels are heading downwards. I will come out to see the Mass General docs again in August to determine if hip #4 needs to be revised (also a MoM Pinnacle). I am hoping it does not, but every click and grind makes me think it is releasing metal ions to some degree. That hip has been very “noisy” from the beginning, but it is not painful, I can live with it as long as my metals get down to normal levels.

    If any of you know someone who has a MoM implant and has not had their blood tested, please urge them to do so. I was not symptomatic and had no idea that my cobalt & chromium levels were so high (512 and 129 respectively at their highest). Within a period of about a month I had a pretty big tumor growing against my hip and bone and I still did not feel any joint or muscle pain. The tumor was just starting to damage tissue and bone and could have been damaging, had it not been revised when it was. I was able to retain the stem and cup which helped my recovery time I imagine.

    I have found out a couple of things that people here may want to know about, it seems the Pinnacle hearings will be in Dallas, while the ASR hearings will be in Ohio—I think (they’re somewhere in the mid-west) I do not know when these will be, I imagine they will be ongoing. If I find out more I will post the info.

    I head back home Tuesday after being away for 2 months. Not sure if I can really work as my job entailed sitting at the computer for most of the day, now sitting for more than a 15 minute stretch becomes very painful. I hope that gets better and that I can get on with my life, it has been an 18 month disruption for me so far.

    Still no word on the NY Times article which I imagine will put a few faces to this issue, finally! Will keep you posted.

    Good luck to you all!
    Kathy

  185. Hi Jim, Hope your recovery will be swift and without any complications I will be praying that your recovery will be a good one for you. Thanks so much for your input on so many different things and for so many people. Just to let you know I’m thinking about you. Sincerly roger.

  186. Hi There..
    Yes my wife and I been thinking of Jim too wishing him well in our thoughts. Hope you’r well Jim and we guess that you will be back soon..
    Donna The FDA are passing through many joint repacement prosthesis despite knowing of the potential problems with MOM, COP & COC. I have a Depuy stem & head with Zimmer TRILOGY R Cup and liner. I have been researching the FDA adverse event sections for Zimmer and cannot believe that the FDA have recently sanctioned the TRILOGY AB system with longevity liners in the US. I have been studying some of the CuPS, they all look the same to me. I saw an adverse event report in FDA site re TITANIUM poisoning??? ha ha… You have to laugh I guess. I have reported my adverse event to MHRA the uk equivalent of FDA here in the uK. My surgeon has contacted me trying to reassure me as mine iS a COP ceramic on Polyethylene but I have had soo many problems with Groin pain, thigh pain, I tore knee ligaments tryng to walk etc. Within six months of the op I had to use wheelchair A horrible shocking stabbing like set of pains set in throughout and had an undiagnosed rash on elbows, knees, scalp etc. One doc called it soft tissue rheumatism eventually but thumb came out of joint completely, had to have it fused last year. Now when I am reading all this stuff about metalosis and reading of other peoples problems, I am totally shocked. Surgeon has discussed revision with me BUT WHAT HIP DO YOU GO FOR? It’s like they are all JINXED and the FDA and NICE (UK) have given the companies carte blanche to play around. I am currently reading up on the old cemented hips but I struggle to understand in a way. All I know is I have said I wish this one to be removed ASAP. I Feel bad for the Surgeons, they need hips to fit, feel bad for us, we need them to walk or hobble ha ha… The companies should go back to the old way where the time frame of life of hip was shorter but WE had less pain and more success with getting around for a year or 5??. anyways, good health everyone..
    Gary (uk)

  187. I think metal on ceramic makes the most sense. They have to make them out of something and those two materials seem to kick off the least amount of cast off in the muscles and blood stream. I had a Depuy ASR removed less than a month ago but wanted to keep it in the worst way. In my case, it was replaced with a ceramic ball and a plastic cut. The ASR was solid, I could not have dislocated it if I tried and it would have probably lasted longer than I would but it was a process of elimination to try to get rid of a root problem, a very painful and burning leg. Most people with the ASR’s will probably never have any trouble and enjoy a very solid hip for a long time, I just wish I was one of them.
    The Operative Report stated that I had excess fluid around the joint, moderate inflammation of the muscle tissue and moderate bone loss. I don’t know if the MOM caused this or it’s indicative of artificial hips in general. Hopefully, the new one will offer some relief and years of service. Just as a progress report, at three weeks out, I am using a cane minimally, mowing my lawn, driving and popping a minimum amount of happy pills. The stem seemed solid and did not have to be replaced, I think that helped alot but the cup was good and solid and had to be dug out, that probably did not help.

  188. I have not posted in quite some time but I mentioned earlier that I had a MOM DePuy
    hip that was failing and would need to be replaced. This issue was first brought to my attention in September. I had blood work and my level were extremely elevated. Also, at this time I started feeling a great deal of discomfort in the joint. I retained an attorney and my hip was replaced in early March. I just had my final appointment with my doctor and my levels have dropped from 14.6 to 1.6 and all is well.
    i have been reading all of these posts over the last 6 months and what I can’t understand is how this is turning into such a difficult process for some of you. i am not extremely intelligent or wealthy. Getting this done was no more than following the steps and using a little common sense. Get an attorney that is dealing with these issues. If you have health care, they will pay for it and get reimbursement through the courts from J&J. Yes, you will be out of pocket your deductible. You will get that back when your case settles. Let me be clear, i sympathize with the pain and suffering you all feel and I recognize no one wants to face additional surgery. However, no one is going to do this for you. You must always take your health and well being in your own hands. if you can’t or wont do that then there is not much that is going to change. Good Luck to all.

  189. Hi all, and Jim,

    Jim, I hope your surgery went well and your recovering quickly, hopefully you’ll
    be back with us unfortunates soon.
    To anyone else who would care to comment on this post, I was shocked to read that Depuy had another hip system approved by the FDA today.
    The CoMplete ceramic on metal. The approval came after a 2 yr study in which the control group was MoM hips. This seems extremely crazy to me. The FDA is requiring Depuy to do post market study for adverse events and metal ion concentration in their blood. I cannot understand this in light of the problems
    with MoM hips. Thoughts?

  190. Carlos

    Man your story is tough to read. I have been confined to home and bed for about a year and half and I am 54, but 34 that is rough. My hope comes from not man, but through Christ, you take or leave what I have to say and you will not offend me and forgive me if I offend you, but someone who is hopeless is in dire straits, I have been their Carlos, deep in the valley, many people have but will not share their story, for me it was and still is my faith that gets me through this, nothing else, even my loving wife and children as much as I love them can’t sustain me in this difficult time, because although they sympathize and support us they really don’t know the physical and emotional pain we are feeling and you at 34 cab really get to feeling bad, and you will Carlos, we all will and we all will, Christ gives me hope and through my faith I am healed, someday we all will depart this rusty world, but today you and I can have hope because Jesus has conquered this world for us. So the answers for hope lies within you and Jesus, He is the only one who can sustain us through all of this.

    Now, financially I do not know why if your insurance will cover the revisions why the doctor and hospital want a deposit???? If it is a state issue and you have relatives in another I would consider moving, the fact that you have had two dislocations and those metal levels are the highest, you have to get this done and the sooner the better the longer you wait at your young age the more irreversible damage it may do to your tissues, muscles and nerves,,,,,,,You seem like you were an adventurer and love to live life,,,,trust me Carlos it will come back and it may not be the same way but all it will be is different, the will and the zeal you have for life and adventure is still in you, the hip can’t take that from you.

    Blessing my brother
    Jim

  191. Gary this is the second time I will be writing I think i forgot to hit the submit button.

    You sound like my kind of guy.

    There have been reported failures in the Trilogy hip on the FDA web page. I will continue to research for you this weekend. I had answer you a couple of days but i will have to find the info again. Polyurthane liners i will get for you also.

    Take care Harry Gary
    Jim

    In the states a famous baseball announcer for the Chicago Cubs, Harry Cary.

  192. Belinda

    Thank you so much for your comments and thoughts, and yes you are so right, I know people who have had their hips over 30 years. Our lives have been forever changed and the stories keep coming. There are people in their 60’s get metal on metal hips, why????? All we can do is take today and thank God for what we all have. It is hard, it is discouraging, it is painful, it makes us angry, it makes us miss and lose family realtionships, but it can’t defeat us. Somehow and someday our day will come, but this will be a long battle and we might as well help each other, don’t you think??????

    Thanks Belinda
    Jim

  193. To Jim Moreland: What’s the best way to find a competent orthopedic surgeon who has performed successful hip revisions? And truly, truly, Jim, I will be sending you tons of positive energy and prayers as you undergo your own revision on Monday. You’ve been a genuine godsend on this board through your medical knowledge, your experience workwise and from having had multiple revisions yourself, and your ability to understand exactly what and how each person on this board is suffering. I hope you realize how many people you have helped here and feel the love, my friend. Pls keep us all posted on your rehab because you have a community of friends here who are care about you.

    To Carlos N: You’ve found the right place for community here. I think you’re the youngest person on this board, so I really feel for you. You sound like my sister (she’s 51) who ran–not jogged, but RAN–every day since she was a teenager, played volleyball, basketball and softball, loved working out, etc. She was a preschool teacher who loved to interact with her students. Now she’s able to walk only because she takes painkillers–and even then, she walks like an arthritic 80-year-old woman. She’s waiting to get her heavy metal blood tests back, but she has many of the symptoms of cobalt and chromium poisoning.
    I wish I had answers for you, but the best I can offer right now is a way you can help build the case against the faulty Pinnacle implants. If you haven’t done so, go to the FDA Medwatch website at http://www.accessdata.fda.gov/scripts/medwatch/ to report your faulty device. The form for consumers complaints is called the MedWatch Online Reporting Form 3500. You could also call the FDA at 1-800-332-1088 to fill out the report. Enough consumers complained that last month the FDA ordered THR manufacturers to conduct a study of the toxicity problems and failure rates of their metal-on-metal implants, which includes the Pinnacle.
    From the New York Times: “In a telephone interview on Tuesday, Dr. William H. Maisel, the deputy director for science at the F.D.A.’s Center for Devices and Radiological Health, said the order marks the broadest use of the agency’s authority to conduct studies of devices after approval for sale.”
    What I read is that companies like DePuy (who makes the Pinnacle) will have to collect blood samples from Pinnacle patients to determine their heavy metal toxicity levels. DePuy also has to report on the failure rate of the Pinnacle, so completing the MedWatch form is a start because it asks if you want your complaint forwarded to the manufacturer. You should also check with your OS to see if he’s had to do any reporting on the problems you’ve been having.
    There have been hundreds of lawsuits filed against DePuy for the Pinnacle, so make sure your attorney is up-to-date on the latest MDL action (multidistrict litigation), which is taking place in Texas. I’ve heard that the respective cases should take about 2 years to resolve through the MDL, which is supposed to be a quicker, more efficient process than individual litigation (but the MDL is not a class-action suit, so each litigant’s claim is still handled individually). Your lawyer should be working on a contingency basis at 33 1/3% pre-trial–plus costs which could run as high as 5%. The case will likely be settled pre-trial.
    I’ve read that you should not sign anything from DePuy because you may be signing away your right to compensatory damages. I read somewhere on this board (I think) that DePuy may offer or arrange to pay for the revision surgery, but there are strings attached. I don’t know if this is true, but it’s something to be aware of.
    I hope you find some comfort or strength in taking action, even if it’s little steps at this point in the process. Waiting is hard, but you’ve come to the right place to seek out info and to find others who are in the same boat.
    Best,
    Kathy

  194. I had a thr at age 32 pinnacle metal on metal from the first year I’ve had bad pain clicking popping and 2 very painful dislocations. My lab work showed the highest level of cobalt poisoning my Ortho or even any of my research has turned up. My insurance will cover revision but my dr and hospital require a pretty big deposit. My pain and sickness from the cobalt and chromium prevent me from my job. I have a lawyer but nobody is willing to help. It’s very frustrating that all this evidence points to a faulty product yet I’m stuck with a bill I can’t afford or live with constant pain pills and stuck in a bed 90% of my life at 34.I just want my life back. If anyone has any info or maybe just a success story I can base so hope off of I would bed very happy to have hope. I’m a surfer dirtbike rider gymnastics coach snowboard climber extremely active. I’m reduced to judge Judy and hot pockets living on a budget. If my only option is wait so be it, please any info or update will help
    Thanks

  195. THANK U ! JIM

    I could not go through all you are! I will be thinking about u Monday! Its so so sad whats happening here with all of us, an until I found this site I thought I was crazy complaining all the time in pain. An people Ive meet in the last four yrs thats had THR’s seem to be doing so good so I thought when I got mine Id do great. But these people I know had theirs ten yrs ago or longer are doing better because the replacements were made better yrs ago. An all of ours are defective ! An IM SO PISSED! I was wanting to ask u what is the best liners, because my dr is putting a polyuratine (spellings wrong sorry) liner in me. What did u get this time? An whats the healing time with a revision?

    Thank you so much!! An I hope nothing but the best for u!!!

  196. Elaine

    It seems that the coating they put on the stem larger than the broach, meaning when you prepare the femur for acceptance of the prosthesis you hollow it out so the stem fits snuggly, in the case of the accolade stems the special coating they put on it makes it hard to fit, usually they have to go to a lower sizes but then when they do that the fit is wrong and is loosened from the beginning.

    from a blog of stryker reps

    so what your telling me is that the taperloc family of implants is exactly the same size as the broach? well if thats the case we should be seeing alot of taperlocs subsiding. the reason that they put that ammendment out is that the coating on the accolade stems makes the stem slightly larger than the broach which provides your press fit.

    here is a stryker rep talking about their bonuses, notice how they trivialize it, there are people suffering out here and being on both sides of this, I can tell you it is a cut-throat business

    We have actually recently switched several guys over to the MLtaper with kinectiv. They can just trial off the actual implant with modular necks and heads. There are a couple more that are on the fence. I can’t wait till I see them in the lounge Monday to ask if they signed yet. They can file it next to the Trident technique recall from a few months ago. Could you start doing this with knees soon so I can get another sub rep and a nice bonus.

    Also it appears that the Accolade went throught the same 510k process, that deals with similiar products being able to by pass the usual clinical trials.

    Hope this helps you
    Jim

  197. Hello Again..
    Jim, Crikey, for someone having surgery in less than a week you are amazingly FACE ON… Thanks for your reply Re the psoriatic arthritis (IT WAS a MISDIAGNOSIS) and they took me off it after 9 months. I had some weird ligament disorder, I thought I had some weird cancer at the time. Tests on my joints showed no aggressive disease but since then my thumb has had to be fused and my other fingers are slipping away from the ligaments.
    MY wife thought that metal from the sherman plate removal had got into my system but after studying the effects of METALOSIS post Hip replacement she is now combing the net. and gathering citations and patient experiences. She has found 7 other peop’s who had a Zimmer Trilogy COP ceramic on polyethelene and she is checking out the liners Some were crosslinked high and other had constrained. There seemed to be a problem wit the early crosslinked type, 1 citation said too thin arond the locking rim area. I’m still trying to find the difference between BIOLOX FORTE and BIOLOX DELTA Femoral heads??
    Jim after your operation, when you recover, and your walking like a rebirthed Neanderthal HA HA is it ok to contact you on your e-mail at aol? I’d like to speak to you about the osteotomies. The plates were left in for 26 years or so before they were removed during the THR in 2005
    Roger, re who’s fault is it. I personally feel that the docs are trying their best to work within a system that is immensly flawed especially here in the uK, hence, the rediculous long time frames and suffering caused to patients. This is a type of negligence and there may be the odd mistake but I guess they try their best to get it right.
    I guess “show us all the money” if it’s available is what most of us humans will try to attain eventually. For me I might get to walk for a while post op with a revision, I’m better informed now because of the dispatches programme and if there is a fault with zimmer trilogy or the depuy parts used in my mongrel type hybrid hip then I shall have no qualms in taking financial comp from a large corporate .
    JIM, In the uk on the National Joint registry NJR site they list all of the various combined components used in each joint replacement under prothesis used in joint replacements 2009 etc etc.
    Anyways, once again good health, good luck to all
    Gary

  198. Linda I am not receiving all your post, it is fragmented here and I want to hear about your case in full especially the heart issues.

    Vascular claudication is where areteries get blocked and circulation is impeded. This can cause hip and leg pain as well as weakness and numbness and it can be misdiagnosed as a back or hip problem, so you need your pulses checked.

    I look forward in hearing from you. Good luck.

    Jim

    Belinda

    I know hoe you feel, but God has all of us in his hands. It will be alright and all of us here are behind you and we should use this site to express our feelings of anger and fear. I am here if you need anything at all.

    Take care
    Jim

    Kathy

    I am so happy for your results so far, that is great. My mentor Harry Rubash is the cheif of Orthopedics at Mass General and I spoke to him last week. You are in good hands. Do you know why they are doing the MRI, they maybe conducting a study after revision???? just curious.

    If you get the New York times to do a story make sure we all get a post of it please.

    I had my 6th revision on april 18th and I am having my right done this coming MOnday,,,,So I will be down for awhile. But it is good to hear from you and I am so happy for you.

    Jim

  199. One thing I have a problem with is the Doctor who did the first surgery. He put the part in 15 degrees off. My understanding is that its almost near to impossible to really go to court and win against a surgeon, unless he has had similar complaints for the same issues. I think going after Depuy is still my best bet. And these revision specialists make it sound like its hard to win if the part is just put in the wrong degree they make it sound like any doctor could have made that simple mistake. But we end up with the pain and suffering for their simple mistakes. It sucks big time but we should not be discouraged because not giving up will make you a winner in the end. The end result should be Depuy gets hit hard for their ignorance.

  200. My lord Jim, 4th revision brother my prayers will be with you on this I sure hope they get it straight. Just when you think you have problems you hear about something like your situation and count your blessings. I sur hope all goes ok jim.

  201. Jim
    Boy thank God for you I have learned alot. However what does vascular clauidication have to do with the bad hip, This was picked up on a cat scan of my heart. Still waiting for blood results

  202. Hi Jim and all of us fellow unfortunates,

    Just checking in after a long surgical absence. I had (hip #3 as I call it) revised at Mass General in late April. Doing pretty well, going to see Dr. Malchau tomorrow for the latest MRI reading tomorrow. He and Dr. Kwon practice together.

    I may be in the N.Y. Times about this whole issue. I think I need to be an advocate to get doctors to contact ALL of their M-o-M patients to come in for a blood test, regardless of whether or not they have symptoms. I was asymptomatic for a long time with very high cobalt and chromium levels which I was totally unaware of.

    Will chime in further after I go through all of the last months updates. Looks like it may take a while!
    Good luck to you all,
    Kathy H.

  203. Roger

    WOW…..It sounds to me you have have a case against both doctors and depuy. First malalignment like I said before you could get support from other orthos that this is a cause of failure. Your revision with the blood loss sounds like you had a bleeder not caught at closing the wound or the drain can be sown into the fascia causing injury on withdrawal or some kind of clotting disorder. Depuy as I have argued before has a design flaw with to low of clearance causing less forgiveness with cup placement. How do I know? I have held both the cup and the liner in my hands and the titanium is lighter and with a smaller ballsize and the low clearances you end up with impingement and edge loading. I just had mine revised and like you I am having the same issues and there were no malalignment issues.

    Money will not make us whole again as you said Roger, but you should get an attorney and file against your doctors and Depuy, you have grounds. so go for it.

    I hope things improve. I am going in next Monday for revison on my right hip that has already had 4 revisions,,,,,,,there are too may of us with the same complaints and there thousands who are having the same issues that will never know that their hips are defective.

    Take care
    Jim

  204. Well my revision surgery is June 28th an I’m dreading it so bad. but it is what it is Ive cried off an on since i was told.

  205. Hi Jim – Thanks for your quick response to my email on the webpage. As I had explained, I had a total hip replacement June 1, 2010. OR report states “Surgical Component Used: Acetabulum: A Stryker Tritanium cementless cup 54 mm with a 36+0 x3 crosslinked polyethylene and 2 iliac screws of 24 and 28 mm. Femoral component: A Stryker Accolade cementless stem size 4 with a 127 angled neck and a 36+0 Biolox ceramic ball. From day 1, I had thigh pain and some numbness and to this day (one year later)still walk with a noticeable limp. Original surgeon passed it off as “the healing process” at both 3 month and 6 month appt. Went for a second opinion. X-rays show no problem. Had blood work and bone scan. Blood work was all within normal limits. Bone scan results: moderate osteolysis which could indicate infection or loosening. This was followed up by a hip aspiration. Results showed metalosis. I know that I need a revision, but how and why did I get metalosis with this type of implant? I thought metalosis was only possible with a MoM implant. Do you think the stem was loose from the beginning? What are your thoughts on what happened and if you think this was put in wrong from the beginning?
    I did research regarding a recall on the implant but could find nothing. Do you know if there is a recall?
    Thanks for your help,
    Elaine

  206. For any of you that have run into this problem. Who’s at fault??? I had my right hip done on 09/09/09 AFTER 2 months I noticed groin problems. After many tests the DR. who did the surgery sent me to another DR. who is a hip revision specialists, he revised my hip taking out the cup that was put in 15 degrees wrong. The revision DR tells me Depuy part is not bad its the Doctor who put it in wrong. I understand now the the part can be put in the correct way and due to healing it shifts sounds like a depuy pinnacle bad part to me. Now i’m talking serious pain and suffering plus had to be rushed to the hospital after 4 days home because I had lost two pintsa of blood spent 3 days in ICU. The question to me and maybe to a few of you is has this happened to many people ? If so whom do we seek compensation for pain and suffering the Dr who originally did the surgery are wait and see how many pinnacle patients will have this same problem. I want my money and I want it now. Ha ha I wish. Have a great daY and to all the p-ain their is a end of the rainbow . MONEY.

  207. Gary
    Welcome to the site and I am sorry to hear about your struggles and I am in total agreement that there should be an awareness not only to the public but to all healthcare practitioners to the failing of hip replacements regardless of the Brand name. There seems to be generalized failure in the whole industry when you look at the recall list.

    How are you doing with the Methotrexate? Psoriatic arthritis is destructive form of arthritis.

    Gary it is a rule that you should never interchange bearing surfaces. The reason is that they are different in chemical composition, tooled differently, sometimes sterilized differently and usually are doweled differently. In particular the Pinnacle hip advertises it unique manufacturing that essentially were supposedly the sides never touch, Tru-glide, I think is there term, so it is never a good medical practice to use different makers especialli in articulating surfaces now stems and cups are different, but liners and balls should never be used, it is just not accepted in orthopedic practice where I practicced orthopedics.

    Are you improving? Perthes, I have done a few femoral osteotomies in my days and sounds like you had a good result. Another problem Gary is that this medical device companies are trying to appeal to the younger people to have hip replacements becasue they are uncemented and last 20-to 30 years. The industry has promised something that their products can not deliver and many young people who were once productive individuals are now debilitated some wheelchair bound some a life time sentence to an appliance to assist in ambulation and sentenced to our homes and our love ones watch as we waste away, this is not an exaggeration but a fact that you and I can attest too.

    Thanks for the well wishes Gary and next Monday is “D”Day this makes the 5th hip revision.

    Godsspeed to you
    Jim

  208. Hello Everyone
    RE ZIMMER TRILOGY R cups and Crosslinked longevity liner with A DEPUY Corail stem and, Depuy Hip ball biolox FEMORAL HEAD
    Good luck to Jim with your hip op later this month, would like to thank you for further enlightening my own personal research..
    UNTIL RECENTLY I THOUGHT IWAS THE ONLY ONE WHO HAD BEEN JINXED BY A THR, I am not alone.
    I was born with bi-lateral PERTHES disease and had osteotomies in 1972 when I was 7 years old. Sherman plates and pins were inserted.
    I enjoyed a pretty notmal life.
    I began to have problems in 1990, I colapsed at work and my left hip had totally given up. No one would operate because of my youthful age and I had to do sedantory work.
    I had the replacement Zimmer TRILOGY R / Depuy mix in NOVEMBER 2004, post Op I had DVT which caused PE (BLood CLOT LUNG)
    6 months later, I had problems, HIP crushing Groin So severe, couldnt walk, couldn’t place left foot on floor to weightbear.. Had to use wheelchair…Had slight incontinence problems (permanant dribble and occasional full on episodes. Started having intense shocking pains throughout, joints , ligaments etc. Eventually misdiagnosed with Psoriatic arthitis put on toxic methotrexate drug.
    Passed from pillar to post
    Eventally an MRI detected torn knee ligaments, blood tests allways have about 5/6 raised abnomalies? ESR Lymphocytes etc.
    For 6 years now been complaining about hip. The docs have been looking but the system been failing. Now had 2 bone scans, 2 aspirations etc.
    ORTHO DOC now says suspects infection and has discussed revision using a ceramic hip.
    I am awaiting results of test I had last week.
    I feel that there are problems with the components ZIMMER TRILOGY CUPS /LINERS and or DEPUY CORAIL STEM /BILOX FORTE HEADs either individually as components or jointly???
    I have read comments on other forums/ blogs re these Zimmer cups.
    I have reported an adverse reaction to The UK (MHRA) the body Jim mentioned in a previous script.
    I am intending to raise awareness on any site that I can to urge fellow replacement joint recipients to lobby for attention to plight.
    I have been left in a wheelchair for 6 years with no one taking me seriously until 6 months ago. Not the doc’s fault tho, it is the system they function within.
    May I wish you all good luck with your potential revisions and injury claims. I really believe that the old ceramic hip replacements may be better than any of the new metal ones till they have been trialled properly etc. A shorter term of endurance but a better quality

  209. Linda

    On the post all that came through was “i had my liner changed 2 years ago”. My email address is: jmmrlnd@aol.com. Get in touch if you need some help.

    Take care
    Jim

  210. Bob H

    Sorry to hear about your wife, it sounds to me that if things were brown in color, inflammed and a cyst, all of this would be signs of failure. Remeber the wrist is not a weight bearing surface and if she is in a lot pain then it probably has failed. An indium scan can show you if there is osteomyelitis involved and you are thinking on the right line about this, also a bone scan can tell you of any loosening has occured. Wrist implants just have not had very much success, it is almost like the total ankle. Keep me posted or if you want to chew the fat about the hip or wrist I am here.

    Just keep your eye out on the ceramic hip, they are young and yet truly tested but some studies show the prosthesis to be performing good. Metallosis is always a concern, nano particles of ceramic are the smallest of all other particles and more will be refealed.I wish you the best on this and I am here if you need anything. Finally that article abstract I sent you, is abberration, I find a lot more papers that showed the ceramic out performed the metal on metal by far, but you must keep your eyes out for signs of failure in all of these prostnesis.

    God’s blessings to your wife and you Bob.

    Jim

  211. Donna

    You are so right. You and i have been on both sides of the fence and we know the how it goes down and there is really no argument they can make on that. I just read Roberts post and he gave great information that gives us insight in the makings of these prosthesis. It is so nice to have someone else who is passionate and stands up. I have surgery in 2 weeks, after that i will be starting a web page, so thanks for your support on that also.

    We all have to support one another, like Robert lfinally admitted that we are all guinea pigs, he is right, but it sure shouldn’t be that way. We need to do more in vivo studies and less in vitro studies unless we are willing those animals that are closest to a human and are willing to watit years for the result, I know i would versus ghaving a failed hip implant, but that wouod cause com-panies like Depuy without any new products to captyre the implant market with. I understand both side of this argument and they must do a better job at research level which takes time and that is how the FDA let them off the hook, that is purely business and not about patient safety. Robert gave an honest opinion on that, like it or not he is right, we are guinea pigs……But it is funny did your surgeon tell you this????? No, someone has to be accountable when these prosthesis fail.

    Thank you Donna
    Jim

  212. Elaine

    Sorry to here this about your hip. I looked up Accolade andi have found many variants. I tiwll be important for you to give the exact hip prosthesis and your ortho surgeon should have this in your records.

    By your symptoms it would sound like that you have a failed femoral stem, the part that goes down your leg. Get me the studies and i will be able to tell you exactly what is going on.

    All total hip system use metal as femoral components and acetabular cup that is embedded into the bone to receive the insert like plastic, metal and ceramic. So if you indeed have metallosis it is coming from these two area, also some femoral heads and stems have shown to produce metal particles. Your aspiration shows theat you have hip failure and a revision is warranted, but what kind of system next is the question? The metallosis probably caused the osteolysis, which means that the bone is being reabsorbed from the metal causing loosening whcih causes pain.

    Get me all of you information and i will help you. It seems that there was a recent recall on that hip, but i don’t the in and outs of it. So research this on your computer and look to see if indeed there has been a recall.

    good luck to you and let me know.

    Jim Moreland

  213. June 1,2010 had THR on left hip. Have had pain in my thigh since then. Can’t walk without a limp and pain. Do not have a mom replacement. I have an stryker accolade (?) with a titanium femoral stem. Had xrays, bone scan (showed osteolysis) , blood work (all negative), and finally a hip aspiration. Negative for infection but does show positive for metallosis. How can I have metalosis if I do not have a mom replacement? Dr is talking revision. Jim, your thoughts?

  214. Thank you Jim,
    Well said, I can’t tell you how many angry posts I stared and deleted to Robert,
    like you said, there is a lot of grey, not just black and white in this matter.
    Being a surgical tech myself I almost choked to death when Robert said he was in the OR to help the tech know what the surgeon would need next!!!! I’m still trying to get that one down, and the no more good ole days???? My thought was that Depuy must be paying him to monitor this site in order to do damage control just as J&J
    paid reps to purchase lots of tainted drugs to avoid a recall. J&J has been referred as the J&J mafia, and I will have to agree. I cannot believe a honest caring individual could be that loyal in light of all the recent data, I believe the loyalty comes in the form of $$$$$$. I wonder if Robert needed a hip replacement would he ask for a pinnacle? Feel free to answer that Robert If you wish.
    Enough said on Robert, I know I have a problem, I don’t know if my issues will ever
    get resolved, as my family relationships have been stressed beyond repair, I have lost much, and I can’t tell you what this has done to the family that has stayed by me. My job is on the line due to frequent absences from pain and lack of mobility. Not to mention being financially ruined. I would welcome your website Jim, and again
    I wish you the best in your upcoming surgery, I will be praying for you.
    Best wishes
    Donna

  215. Jim,

    The polyethylene liners you speak of, to the best of my knowledge were implanted initially in the late 80’s or early 90’s. That material was called hylamer. There is plenty of data out there on it. It was recalled in 2001. You speak of loopholes and finding new materials that wear less, etc., here is the problem, as I stated in my last post, all testing is done in simulator studies. Humans are used as “guinea pigs” in most all of these situations. Simulator studies do not take into account things such as human error, soft tissues and their effects, of any kind of aging. They can say 1 million cycles equals 1 year of use but the fact of the matter is that it takes 1 month for 1 million cycles to take place in a simulator meaning that the true effects from real time aging cannot be seen and are not tested for. Hylamer failed due to oxidation issues. DePuy figured that out the next time around with Marathon but there are companies still producing polyethylenes that oxidize, or suffer from accelerated breakdown in the presence of oxygen. (see Crossfire polyethylene and it’s failures and X3 will be the next, both made by the same company–X3 is essentially Crossfire times 3. If the process didn’t prevent oxidation by doing it once why would it by doing it 3 times? Jim research remelted vs annealed poly if you want more info. And it’s FDA approved.)

    So Jim this is how MoM hips get approved. Not really a loophole. Just proof through simulator studies that MoM hips wear less or equivalent to metal on poly (MoP) hips. So in a simulator, results are great but with either hip it is really unknown as to what the result will be when they are implanted and the effect they will have on the surrounding tissues.

    As for that MoM vs CoP paper in Europe, I do not have the link. It was shown to me by a surgeon who now questions what he should be doing so he has gone back to MoP due to the fact that it is probably the safest as far as lawsuits because it has the longest track record even though it has it’s problems. I don’t remember but I want to say the ceramic used in that study was biolox forte which is the previous version of ceramic and was used in the “squeaky” ceramic on ceramic (CoC) constructs. The newer version is biolox delta. Interesting tidbit here: all ceramic materials in orthopedics are made by one company and are shipped to and distributed by the orthopedic companies. So all orthopedic companies carry the same material just made to the specifications or dimensions of each particular company.

    So that’s how these things happen. Whether it’s right or not that is how the FDA regulates it and humans suffer the consequences. But the fact is that there are problems with every bearing combination and for something better to be developed it’s kind of a trial and error situation as sad as it is to say.

  216. Ron,

    I hope things are going well for you just went through my first revison last month and I am having the other revised on the 13th. I am just feeling better about getting the MOM hips out. Let me know how the ceramic hip goes for you. Good luck on the next one.

    Take Care

    Jim

  217. Bob H

    the latest news about MDL in Northern Texas is to include polyurethane liners also according to a news release today. In my research Depuy has had failure in a brand of polyurethane recently as 10-15 years. I haven’t found information to see if this failed poly liner was the basis for the FDA loophole that allowed similiar products to avoid testing, so you might want to contact an attorney and see if this pertains to you . I know you have a ceramic on plastic and the recent article about MOM out performing the ceramic-poly should explain alot for you. Right no I am researching the nanopartciles and already ceramic particles are the smallest particles and only can be identify on electron microscope and special lab procedures. So, I hope you get the information you need to proceed as I Believe that the Pinnacle Modular System has inherit design flaws especially the lowest clearances that increases wear inspite of malalignment.

    Good luck to you
    Jim

  218. Robert

    If you are interested I would like to shift gears and debate pros and cons of the future of metal on metal hips, Pinnacle Modular Systems, evidence based research and medicine, and operating techniques and manufacturing of the total hip prosthesis. Here is an article from The Surgical Technology international.

    tell me what you think about cup depth and diameters and clearances. I look forward in the debate and learning

    Jim

  219. This is how a scientific paper should report the facts. Note that there is so much more to learn and like anything in medicine today, when you think you have figured something out, then is when more doors open with questions. This is an ongoing process in medicine, no one side has the absolute truth like everything in life the truth lies in the middle of both sides of this argument. cCompanies should seize this moment and rise to the occasion and innovate new products that will avoid the spilling of particles like plastic and metal into the body. And physicians should spend more time talking to there patients to about immune responses and the infalmmatory responses. Like i said 20 years ago at the University of Pittsburgh there is more too prosthesis failure than the current thought, because there are too many hips and knees that fail without any identifiable causes or scientific explanation. The immune system is the mnost complexed system there is to understand and we are just beginning to understand the inflammasones, (new word), this in my opinion is the explains the unexplainable.

    http://webcache.googleusercontent.com/search?q=cache:MkIiJ33w9u4J:www.nyuhjdbulletin.org/Permalink.aspx%3FpermalinkId%3De19555af-a47d-4dc1-819e-77e8dc8af608+Biologic+Effects+of+Implant+Debris+Nadim+J.+Hallab,+Ph.D.,+and+Joshua+J.+Jacobs,+M.D.&cd=1&hl=en&ct=clnk&gl=us&source=www.google.com

    Hope this helps you
    Jim

  220. Belinda

    I echo your comments and feelings. I respect Robert as he is loyal to his company and that is refreshing in today’s world, but I agree and have stated to him that in order to really understand the whole ramifications of their failures that people like you and me have had our lives permanently changed and altered and personally I am a devoted husband and father and grandfather, and I have missed so much in my relationships with them that my relationship with them will never be the same, because I am absent. Robert wants to debate the science, and I am willing to take this on, his claim that is personal is off-base as he dowsn’t realize that i am talking about both sides as an insider and I have be previed to know exactly how this game is played. When at the University of Pittsburgh, a leading orthopedic research center, I was known as the professor as I was amongs researches, academicians, national leading physicians, fellows and residents and as a PA, my hand was always raised asking the questions of why and how. Now, Robert is right, I am passionate and always have been, that is why my patients loved me, now I have found an avenue where i can use my education and experience to still help my patients..online…

    Thanks for your truthful post and it is the heart of this dispute, thus emotions of those who are impacted by this debacle versus the large company and their slanted and biasised scientific findings. Trust me, there is enough science out there for either side to prevail, but when we get into a court of law we will have a jury of human beings who understand emotions and that will be the undoing of Depuy and other companies. Our stories will have a dramtic impact on the outcomes of our trials and kid you not, get ready, because they will try every trick in the book to make it look like you were the cause of the failure. My 7 hip revsions and loss of relationships mean nothing when it comes to the almighty dollar of Depuy and those like Robert who work for Depuy although their loyalty is commendable and respectable, they are the ones who are blind by their alligiance to a company who they derive their incomes from and thus have been blinded and jaded to both the science and the emotional impact of their failed prosthesus. Be ready Robert is giving you clues as how Depuy is going to attack your own case, so read and listen as he is being fed the company line of defense in this travesty.

    JIm

  221. I am in the process of researching the true beginnings of the MOM hip. I am finding some very interesting and disturbing information that I am handing to my attorney. I will share them later. In my search I came across what I think is a good and honest representation of the findings from a company in their quest to answer scientific questions for the lay person, Things like surface coatings, clarences, size and metal compounds are discussed. I encourage all of you to read this info, as Depuy will came after you in your quest to seek compensation. We are on the cutting edge of dealing with the MOM hips and as well as Hip Systems in general and we must unform ourselves so that we may help our attorneys with information to prove out cases. I already am anticipating the questions that De[uy will counter our claims with. I encourage all of you to do the same, become active in your cse and ask questions of your doctor and lawyer and you don’t have to be scientist to understand this.

    I wish all of you the best and I will be undergoing my last revision(knock on wood) on June 13, so I appreciate your prayers and support and I will continue to post for out benefit,

    Would you be interested in me developing a website that would advocate on our behalf and present our side of the scientific date? Let me know, this is my plan after my sugery and recovery. This is going to take a few years and I am willing to donate my time and efforts to our cause. Give me feedback on this.

    Thank you

    Jim Moreland

  222. Depuy ASR revised 5/23/11 with the Pinnacle ceramic head and poly liner. Have been told it’s the best combination for longivity and wear. Glad to get the MOM out of me, the revision was kind of rough since the ASR cup had to be “pryed” out of me but the stem was solid and reused. Give it a couple of months of rehab and maybe my other hip can get some attention.

  223. Robert

    I respect your work as a scrub tech and it is good to know that you have that kind of experience, so I think you can understand where i am coming from on professional level.

    You are getting it, it is both personal and professional. Sorry that Depuy doesn’t pay lucrative wages to their reps like the “good ole days”. You are the one who will not bury it. We disagree on the fundamentals and we can’t relate on the the suffering of all Pinnacle hip patients. So, yes it can and will exhaustive. Good that you accept my observation that all doctors are not competent, as are all reps that represent their products in an ethical way, it is living in “Alice in wonderland” if you can’t admit that not only is your hip defective, but its your business practices that also reveals your attitude towards these defective products that plague your parent company. Your company will have to answer for this unethical behavior and I will predict it will be your undoing. It is your reluctancy as a company to delay recall on your own defective problems, spend millions in public relations and hire battery of doctors to stay of the wave of letigation. Will all the people who are affected for the rest of their lives with the Pinnacle debacle ever receive full restitution or made whol…the answer is unequivically NO. You darn right Robert it is personal.There are people on this blog who don’t have any advocates in this healthcare system to make sure they even get the proper medical care and advice. If it weren’t for the ASR debacle and the Australian and UK registry’s the ASR would still be on the market. The same with the Pinnacle System and i said system, because the story on your ceramic on plastic and your metal on plastic modular system will be revealed in the future. I beg to differ from you on clearances, you have the lowest and it does and will continue to cause impingement for a number of reasons, first you advertise more improved range of motion, this is your first mistake as this can’t be promised and shouldn’t be promised as the only thing you should promise is that it will alleviate pain to da anything beyond this is false and frankly it is why you are getting sued, but back to the topic, low clearances translates into less forgiveness in cup positioning, second, tactically, the feel of your prosthesis, the titanium cup and the undersized head and cups places undue stresses on the cup and liner which causes friction and metal debris. It is not true glide, now you should not assume that all patients have the synovial fluid to produce the effect, the older you get and diseases like sjogrens and lupus and all autoimmune diseases suffer from a lack of producing fluids in the body that would cause the metal on metal surface to wear inproperly no matter what surface coating you apply on the prosthesis and no matter the manufacturing process on the liner and head. finally, it has been researched that the head size itself, no matter the alignment causes undue wear. The studies clearly show this. There are other issues reporterd in studies.

    The big problem Robert is that instead of promising patients, especailly the young, that they will have more mobility and the prosthesis will last 20 to 30 years, you should have dealt with the issues of metallosis in previous metal on metal hips as it was reported as early as 60 and 70’s. This was the real issue why metal on metal hips were and still not preferred. The travesty here is that how did you get this approved? Can you give me the papers on the development of your metal on metal hip systems? I would love this information. You can’t distances yourself from the Pinnacle, when The ASR was designed after the Oinnacle or at least a likeness. Now can you see where this may be a problem. You have yet to address this issue on how you can avoid proper testing because of a loopwhole in the FDA approval process that your company exploited and we who have been victimized is paying the price for your shortcuts. So, you should have integrity to test your products for safety and not spend millions on advertising a hip system that will not even deliver what you promise and not solving isssue of the past. Metallosis has not been dealt with and problem won’t be until the metal can be made in space. There have been many failures in the Pinnacle system. How many people have problems that a surgeon is saying to tthem, well your xray looks fine, but yet they are suffering and nothing is done and then there are those who had a revision and never have been told why it failed ot what kind of prosthesis it was? People are trusting and you guys know this and surgeons and Depuy take advantage of those who don’t have advocates. My resentment Robert is this, I just had my right hip revised after 3 other revisions due to what we know now was an acute reaction to the metal prosthesis on Sept 29, 2010 with an Ultamet, metal on metal hip and now I am having to have it revised on June 13, Now tell me when did Depuy know that they had a problem with their metal on metal hips and why weren’t the surgeons told and why were they still placing these in defective prosthesis into patients? You see, when you add all of these things up, you surmize that there is something wrong and reall stinks in the business practices od Depuy and J and J.

    So when you have a new product on the market you are not involved in the advising of surgeons on the use of new reamers and trials?? and if it were as any other hip arthroplasty surgery Robert, why have you in the OR? You are not being truthful in this regard and like I said all of Depuy, even you as the rep will be placed under the microscope on how you conduct your business. You didn’t answer me about the bribery case in Europe nor the large sum you pay doctors for using your products under the guise of consutlant fees? Things are different but you have ways of circumventing the changes and still get surgeons to use your products. In the 80’s and 90’s the rep. attend labs with us when we had the time to learn about a new product but most of time the training ocurred on the job as most medicine does,,,see one, do one and teach one…..Not all hips are the same, not all the hips have the same placements where optmuim performance is acheived, all sytems are different and perform differently. So, be real Robert if you weren’t different then what would you have to offer the public to choose your product withor entice the surgeon who wants more precision and better performance without patient complaints.

    Look we disagree fundamental on a professional and business level. You do offer a different persprective here and I am sure you have informed some, but the world is more gray than it is black and white in life, and I have been more than fair and not got personal with you. I am merely telling people what really happens behind the scenes of the OR and their doctors offices. Truthfulness and openess is the way practitioners should approach their relationships with their patient as most will forgive a mistake, but they will sue you when you lie to them and not accept any responsibility and until you have a patients health in your hands can you realize the awesome responsibility it is and what a special relationship it is and practitioners need to more active in the advocacy of their patients, if they don’t, who will. These hips have robbed me and many, many more of their livelihoods, relationships and the loss of treasured memories. So don’t take this personal, this is my truth and experience as a practitioner and a patient. I could debate you forever. Just last night the couts decided to approve the MDL on the Pinnacle hip in northern Texas, this is the first step to a recall of the Pinnacle Ultamet and eventually I believe of the whole Pinnacle system, we don’t have enough documented information to make this decision right now, but look at all the blogs and i think you can see a storm brewing on the horizon and I miss the OR as i bet you do too Robert, it is a passion to practice or be in medicine in any capacity and for that you have my respect and a point where we can agree on.

    Jim

  224. Jim,
    Thanks for the link to the abstract. I hope the materials have improved in the ceramic/poly components since those from the study.
    I think I mentioned in previous posting that my wife had a alner wrist joint implant that was giving her much trouble. She went in last month for exploratory surgery and surgeon found a cyst and also removed a lot of inflamation, yellow and brown tissue. The surgeon’s name is on the implant and he owns the company who distributes it. He said the implant looks great. I’m wondering if she has OSTEOMYELITIS. The head is poly and the cup is metal I believe. I’m afraid the surgeon has too much interest in this implant to admit if there a problems he is not telling us about.

  225. Bill R.

    I suffer from optic neuritis and the metallosis and cobaltism has effected my vision so i type in big caps so I can read, but I will try to slow down and do it the right way, but excuse the spelling. Thanks for your input and honesty i will try to comply. I hope things are well with you.

    Thanks
    Jim

  226. Jim,

    I will start by arguing your last point. If a surgeon does not know how to implant a total hip, it is not my job to teach him that. That is why surgeons go through the training that they go through before they start their own practice. There are intricacies to systems but placing a cup is placing a cup. All cups should be implanted at an inclination of 45-55 degrees and should be anteverted 15-25 degrees regardless of which system is used. My job is to educate the surgeon of the features of the products and from there he makes his decision. My job is to help the scrub tech stay a step ahead and anticipate what the surgeon will do next. I used to work in a hospital as a scrub tech and I have been on the inside too. There are surgeons who are surgeons for the wrong reasons. There are surgeons who use products for the wrong reasons. I’ll give you that but your statement about all of these guys being paid to use products is way off base. There is not one consultant in my territory. My surgeons use products that they believe are best for their patients. Not one of my surgeons has ever asked me how to do a total hip. Your comment about doctors being trained on how to do “procedures” by non-doctors is way off base.

    Secondly, if there is femoral neck impingement then that screams malalignment. It is not just cup position but position of the stem that effects this. If you are on the inside then I would think you would have seen this. No matter the system used if there is impingement then there is malalignment. I have discussed combined anteversion on here before; that plays a role.

    As for your metal on metal argument, I understand your point. All metal on metal implants are a risk, BUT just because you have one does not mean that it will fail. With the new FDA demand of reporting metal on metal data by all companies I believe that all companies will be called onto the carpet and it may get very ugly before it gets any better. Sad but true. Biomet has no published data on their MoM. Smith and Nephew has a good record with the Birmingham but may not after this. All surgeons have moved away from MoM implants, no matter the company, in my territory and that is for the better at this moment in time.

    I will continue to argue that “your” findings about the pinnacle system as a whole ( not just MoM) are off base. The truth will be found out on MoM in a short period of time, but there will not be a complete recall of the Pinnacle system. Your clearance info and impingement as a result is not true because you will find that the Pinnacle has one of the highest range of motion on the market. Malalignment is the issue and for the last time THE PINNACLE CUP IS NO MORE DIFFICULT TO POSITION THAN ANY OTHER MODULAR HEMISPHERICAL CUP ON THE MARKET. If it is not positioned correctly there will be problems.

    All data can be skewed one way or another especially depending on who is doing the study. The “30 year knee” will be the next uproar. Simulator studies do not equal real life because simulators don’t take human error or soft tissues into account. So what’s your suggestion to the FDA here? All initial data for a product is based on simulator studies so when products are actually implanted there are always problems that will arise. How else do you test it? Maybe you can tell the FDA that.

    The only reason the Pinnacle has been put under the microscope is because of the ASR mistake and I am confident the Pinnacle will still be strong at the end of the day, despite lawyers trying to capitalize on the fact that more Pinnacle cups have been implanted than any other cup in the world. I have been in cases where patients have demanded their ultamet liners be removed. The surgeon has done it even after testing blood levels and the patients being asymptomatic. No graying of the tissues. No impingement issues. No findings of metal debris in frozen sections after being implanted for 5 years. Poly liner put in with ceramic head. Patient now has that peace of mind and no longer has to worry. Is this the case on every one of these implanted? NO. But there are good results out there regardless of the bearing combination.

    I am a professional just like you and for you to group me with the guy that gets in this industry for the money is wrong. In my territory that is far from the truth. This is not the good old days. Reps are not making near what they used to. In my area, prices are 1/4 what they were 5 years ago. Doctors are not paid. The only thing a doctor can be given with a logo on it is educational material. No pens. No scrub hats. No gifts at all. The industry has changed a lot and I am willing to say that in order to do this job now, you must be good at what you do and you have to be willing to work and you’re not in it for the money. I could go back to being a scrub tech and doing some first assist work on the side and make what I’m currently making. I will also say that every DePuy product on the market is not the best in it’s category. I look at things subjectively and on a product vs product basis.

    With all that said, I’m sorry for what you’ve had to go through. Nobody should have to endure that but let’s not turn this into a personal battle of stereotypes because of people you’ve worked with in the past. I got on here to try to give others another perspective, a perspective that a lawyer or surgeon is not going to give. This has turned into a “contest” it seems and you’re probably “score boarding” right now, but let’s just state the facts and move on instead of calling each other out. You have your opinion and I have mine. We live in a free country. You’ve been through a lot and are very passionate about this but for you to point blame you need to hold everyone involved accountable.

  227. Hi Jim,
    I appreciate the time and advise that you put into helping victims of DuPuy. You could do me and others a big favor by not typing in ALL CAPS. I find it impossible to read through your longer postings. I can only follow these longer postings by printing the posting, then use an envelope or ruler to separate the lines of text as I read.

    Thanks again,

    Bill R

  228. ROBERT

    PLEASE POST THE FULL STUDY AS I WOULD LIKE TO READ THE COMPLETE EVIDENCE.

    THESE PEOPLE ARE VERY YOUNG, THEY HERE IN THERE LATE 20’S AND EARLY 30’S AT THEIR PRIMARIES. THIS DOES MAKE A DIFFERENCE.

    THE STATISTICS DON’T BEAR OUT WHAT THE CURRENT FACTS FROM VARIOUS OTHER STUDIES REPORTING HIGH METAL ON METAL FAILURES ESPECIALLY IN SMALLER DIAMETER FEMORAL HEADS LIKE THOSE OF THE ASR AND PINNACLE. BOTH THE AUSTRALIAN AND BRITISH JOINT REGISTRY PLAINLY DISPUTES THESE FACTS OF FINDING IN THIS STUDY. THESE REGISTRY’S ARE WHAT CAUSED DEPUY TO RECALL THE ASR AND SOON THE PINNACLE ULTAMET. THESE LIMITED STUDY’S ARE SOMETIMES SKEWED AND BIASISED BECAUSE OF THE PATIENTS SUBJECTIVITY AND THE SCALES ARE WITH ERRORS THEMSELVES. JUNK IN JUNK OUT. THE REGISTRY ARE FACTUAL AND INDISPUTABLE. THAT IS WHY DEPUY WAS FORCED TO RECALL THE ASR……METAL ON METAL HIPS HAVE TOO HIGH OF A RISK TO CONTINUE ITS USE MERELY ON THE FACT OF METALLOSIS ALONE. MORE WILL BE REVEALED IN FURTHER STUDIES AND THE MORE REVISIONS ARE DONE THE MORE WE WILL LEARN. RIGHT NOW THE MEDICAL COMMUNITY DOESN’T KNOW WHAT LEVELS OF THE CHEMICALS ARE TOXIC. SO IT IS ENCUMBENT ON THESE COMPANIES TO PULL THEIR PRODUCTS AS THE HARM THEY COST HAVE BEEN THOROUGHLY DOCUMENTED THROUGH THESE JOINT REGISTRY’S.

    FOR EVERYONE’S INFORMATION.

    Failures of DePuy Pinnacle Ultamet Hip Implants under Investigation

    The DePuy Pinnacle Ultamet hip implant is a metal on metal hip implant that appears to have a failure problem similar to the recalled Depuy ASR hip implant. The DePuy ASR is a metal on metal implant that was recalled in 2010 as a result of a high failure rate.

    The failure rate of the Pinnacle Ultamet is not as high as the ASR and has
    not been recalled but reports are building of metallosis toxicity. Metallsosis
    is caused by metal ions released from the metal on metal bearing surfaces of
    the implant. These metal ions are toxic to the soft tissues in the hip joint and
    can lead to loosening and failure of the implant. If radiology films show soft
    tissue reactions, fluid collections, or masses such as pseudotumors then most
    doctors recommend revision of the implant. Also, if blood tests show high
    levels of chromium and cobalt a revision may be recommended. Revision
    means removal of the implant and replacement with a different implant.

    Not all Depuy Pinnacle hip systems are metal on metal. The Pinnacle
    hip implant systems allow for insertion of different types of liners in the
    acetabular cup. Only the Ultamet liner has a metal liner that interfaces with
    the metal femoral head of the implant prosthesis. Other Pinnacle liners have
    bearing surfaces of polymer, polyethylene, or ceramic. Some of the Pinnacle
    systems have femoral heads that are ceramic.

    The 2010 Australian Hip Implant Registry has demonstrated that the metal
    on metal bearing surface has the highest risk of revision compared to all
    other bearing surfaces. It also appears that the size of the metal femoral head
    is a factor in the failures. It appears that the Pinnacle metal on metal with a
    femoral head larger than 32 mm pose a greater risk of revision.

    Surgeons removing metal on metal implants have found significant damage
    from the metallosis, or metal toxicity, including necrotic soft tissues, cavities
    containing cloudy fluid under pressure, avulsed tendons, and denuded
    osteonecrotic upper femora. If metallosis causes significant damage to the
    tissues and to the upper part of the femur it may be difficult for the patient
    to recover the ability to walk because those supporting tissues are necessary
    for proper movement of the hip. This type of damage has been found in
    revisions of the Depuy ASR and Pinnacle Ultamet as well as those of other
    manufacturers of metal on metal hip implants.

    The concept of metal on metal implants was intended to address the
    needs of younger patients who were active and were likely to wear out
    the polyethylene cups that had previously been commonly used. The
    polyethylene acetabular cups generally last from 12-15 years before
    a replacement was necessary. It had been proposed by the marketing
    departments of the manufacturers of the metal on metal hips that these
    bearing surfaces would last longer and that patients would not need as many
    revisions over a lifetime. However, it now appears that the metallosis risk
    is not worth the benefit of the metal on metal design. Surgeons are now
    moving away from recommending the metal on metal designs for their
    patients.

    One of the objectives of the many product liability and class action lawsuits
    that have been filed involving DePuy ASR will be to find out when Johnson
    & Johnson and DePuy knew or should have known that the metal on metal
    implant patients were taking a significant risk of metal poisoning from the
    implants. It appears that the next wave of lawsuits may be directed at the
    DePuy Pinnacle Ultamet and Ultamet XL hip implant systems.

    FINAL NOTE HEAR, THE PINNACLE HIP SYSTEM IS A MODULAR SYSTEM AND IT HAS YET TO BE DETERMINED IF THERE ISN’T AN INHERIT DESIGN FLAW THAT WOULD CAUSE EARLY IN ALL DIFFERENT PINNACLE HIP PROSTHESIS. BOB H, THERE ARE MANY LIKE YOU WITH A CERAMIC AND PLASTIC REPLACEMENT WHO HAVE HAD THE SAME ISSUES. AGAIN MORE WILL BE DETERMINED AS OUTSIDER IN THE US INVESTIGATES THE PINNACLE SYSTEM .

    TAKE CARE
    JIM

  229. Im really bothered by Roberts comments an many other people out here that is not in our shoes. If this was them living with pain an their blood being toxin, an having headaches, an your vision doing weird things, an all your joints hurt, and then there’s the limping around an how bad your back hurts, and the popping an the clicking then comes the stinging an burning then the achy pain afterwards an then because your in so much pain in your hips that your putting a strain on your knees an they hurt all day. So until they go through all these symptons caused by a metal on metal they have no clue why we are so upset an worried for everyone that has this MOM. I understand its your profession but you need to open up your ears an listen , along with the doctors. I just dont think every Dr has put these implants in wrong. But I do know every day is a struggle for me an many others, so please dont act as if we are stupid cause we feel an know our bodies. Thanks Belinda

  230. Robert,
    Please provide the link to the European Journal that has a 14 year followup on metal on metal vs ceramic on poly. I have the ceramic on poly and would be very interested in that study. 1-1/2 year post op and have had pain and discomfort from the beginning.

  231. ROBERT
    I WROTE TWO POST THAT DIDN’T GET POSTED, SO I WILL BRIEF.

    YES I HAVE SEEN THE STUDY. I CAN SHOW STUDY’S THAT DISPUTE THE FINDINGS GOING BACK TO 2008 THAT ARE CONTRA TO THIS STUDY. AS WITH ALL STUDY’S THEY ALL CAN BE MISLEADING AND ARE PRONE TO BIASIS, ESPECIALLY IF THERE IS INFLUENCE. NOW, DEPUY SETTLED THE EUROPEAN BRIBERY CASE FOR MILLIONS OF DOLLARS. YOU WILL SAY THAT IT IS EUROPE, I SAY THAT THERE IS AN ORGANIZATIONAL CULTURE PREVAAILING AT J AND J THAT ALLOW FOR SHORTCUTS AND EXPLOITING HUMANS AS GUINEA PIGS DUE TO THE FACT THAT THEY ARE NOT TRULY TESTED AND THE THE FACTS TRULY REPORTED IN ALL IN THE VAIN OF THE ALMIGHTY DOLLAR AND YOU HAVE NOT CHOSE TO ANSWER ANY OF THESE FACTS, SO LET ME HERE YOUR SPIN ON J AN J AND DEPUY’S ON BRIBERY AND WITHHOLDING FINDINGS OF EARLY FAILURE RATES. YOU GUYS JUST DON’T HAVE CREDIBILITY WITH GOVERNMENT, PHYSICIANS AND THE PUBLIC. YOU SEE WHAT I REALLY DISAGREE WITH YOU ABOUT IS THAT YOU ARE DISMISSIVE OF THE FACTS THAT THERE ARE ALARMING FAILURE RATES REPORTED BECAUSE THE PUBLIC HAS FINALLY BEEN INFORMED OF THE FACTS AND THEREFORE THEY ARE PUTTING 2 AND 2 TOGETHER. THE WUESTION THOUGH ROBERT IS, HOW MANY PINNACLE HIP FAILURES HAVE THERE TRULY BEEN? HOW MANY HAVE BEEN REVISED AND NOT TOLD THE TRUTH OR BECAUSE YOU DIDN’T REPORT THE FACTS TO THE DOCTORS THEY DIDN’T HAVE A CAUSE FOR THE FAILURE. I KNOW FEW DOCTORS WHO ARE NOT VERY HAPPY WITH DEPUY RIGHT NOW FOR THAT VERY REASON AND THE MORE THAT IS REVEALED THE MORE THE DOCOTRS WILL FEEL AS IF THE REPRESENTATIVES WITHHELD AND THERE WILL BE THOSE DOCTORS WHO REALLY DON’T CARE IT IS JUST ANOTHER HIP REVEISION, BUSINESS AS USUAL ATTITUDE. YOU REALLY AVOID THE TRUE ISSUES AND FACTS AT HAND AND YOUR ATTITUDE OF ONE UPSMANSHIP DIS[PLAYS THE PREVAILING ATTITUDE OF YOUR COMPANY, BUT YOU FORGET ROBERT, I AM AN INSIDE MAN, I KNOW REALLY WHAT GOES ON IN THE O.R. AND HOW YOU REPS TRY TO ALLURE US TO YOUR PRODUCTS AT ANY EXPENSE. YOU KNOW THE GAME. YOU KNOW THE PAYOFFS THAT OCCUR ALTHOUGH LEGAL, IT IS UNETHICAL AND YOU ARE PAYING DOCTORS FOR THEIR BUSINESS. THAT WORKS WITH WIDGETS BUT NOT WITH PEOPLE.

    NOW LET’S TELL THE PEOPLE ON THIS BLOG HOW IT REALLY IS. WHO TEACHES AND INSTRUCTS THE ORTHOPEADIC SURGEON AND PA’S IN THE USE AND INSTALLATION OF NEW HIP SYSTEMS? WHO TEACHES THESE SURGEONS ABOUT PLACEMENT AND INTRACIES OF OF USING THE MODULAR SYSTEM? IT SURE IS NOT ANOTHER PHYSICIAN, BUT IT IS YOU GUYS ROBERT, LIKE IN ALL PROFESSIONS THERE ARE THOSE WHO ARE GOOD AT WHAT THEY DO AND OTHERS NOT SO GOOD, AND YET YOU WANT TO BLAME TOTALLY THE PHYSICIAN WHEN IT IS YOU REPS WHO ARE THE TEACHERS, YOU HAVE CULPABILITY, IT IS ONE THING TO GO TO A LAB AN IMPLANT THE PROSTHESIS IT IS ANOTHER TO IMPLANT IN LIVE HUMAN BEING. SO, WHAT IS YOUR SPIN ON ALL OF THIS. THIS WILL BE BROUGHT UP IN COURT AS WELL AS OTHER FACTUAL FINDINGS AS OUTSIDE ENGINNERS AND RESEARCHERS LOOK AT THE PINNACLE SYSTEM, YOU HAVE THE LOWEST CLEARANCES AND YOUR EDGE-LOADING DUE TO YUR DESIGN HAS BEEN WELL DOCUMENTED. I KNOW THIS FIRST HAND AS IT HAPPENED IN MY CASE AND I THE DOCTORS COULD NOT UNDERSTAND THE DYNAMICS FO WHY I HAD ALL THE SCARRING AND WHY BONE FRAGMENTS WHERE ATTACHED TO THE RIM ONLY AND THE POSTERIOR PART OF THE CUP SHOWED NO EVIDENCE OF BONE INGROWTH AT ALL AFTER 7 YEARS OF IMPLANTATION, THE BEADS ARE THE SAME AS THE DAY THEY WERE IMPLANTED, ANOTHER ISSUE THAT IS UNDER INVESTIGATION. I HAVE NEVER SEEN THIS IN ALL THE HIPS I HAVE EVER REVISED AND THEY ARE MANY.

    YOU HAVE NOT READ MY POSTS OR YOU DON’T UNDERSTAND THE WHOLE COMPAINT ABOUT METAL ON METAL HIPS,,,,IT IS JUST THAT…ALL METAL ON METAL HIPS ARE AT RISK FOR THE SAME THING. RIGHT NOW OUT OF EUROPE THERE IS A STUDY AND THE OPINION OF MANY ORTHO SURGEONS THAT YOUR FAILURE RATE WITH ASR WITH BE AS HIGH AS 45 TO 50 PERCENT IN THE FIRST SIX YEARS. YOU HAVE SEEN THE REPORT AS YOU ARE ABREAST ON ALL THESE FINDINGS AS I AM. THE PINNACLE IS JUST COME TO LIGHT ROERT, AND MORE WILL BE REVEALED ABOUT THE FUTURE FAILURE RATES, PLASTIC OR CERMAIC THERE IS EVIDENCE OF FEMORAL NECK IMPINGEMENT DUE TO CLEARANCE ISSUE AND THAT IS WHY THE PLACEMENT IS CRITICAL, THERE IS NO FORGIVENESS FOR THE HUMAN ERROR FACTOR. THIS WAS REPORTED IN THE MID-2000, FUNNY MY FEMORAL NECK SHOWS DEMARCATION. LETS SEE EDGE LOADING FEMORAL NECK IMPINGEMENT, NO INGROWTH OF THE POSTERIOR CUP AND IT NO BECAUSE OF POOR REAMING, YOU GUYS MADE THE INSTRUMENTS,,,,,,WHAT DOES THIS ADD UP TOO,,,,,,AGAIN I TALK IN FACTS AND THE ISSUES AT HAND AND I AM NOT A GULLIBLE SURGEON WHO IS PRONE TO GOUPTHINK AND MONEY. WHY HAS THE FDA DEDICATED A PAGE TO METAL ON METAL HIP REPLACEMENTS? WHY HAS THE AAOS PUT OUT A STATEMENT. YOU BETTER HOLD ON BECAUSE THE RESEARCH WILL REVEAL WHAT MANHY OF US KNOW ALREADY AND THAT THE RISK OF METALLOSIS IS A RISK FACTOR THAT ALL PATIENTS SHOULD UNDERSTAND AND KNOW BEFORE THEY ARE IMPLANTED AND EVEN RIGHT NOW AND THIS ONLY 10 MONTHS OLD IS THAT BY JUNE YOU AND OTHER COMPANIES MUST REPORT TO THE FDA BY JUNE YOUR ANSWERS TO CERTAIN QUESTIONS.

    FINALLY, IF YOU WOULD JUST ADMIT YOU HAVE REPONSIBILITY IN THIS FAILURE, NOT TOTALLY, BUT YOU DO HAVE REPSONSIBILTY AND YOU DO THE RIGHT THING AND GET THESE OFF THE MARKET AND MAKE RESTITUTION AND LEARN FROM THIS DEBACLE, THE BETTER OFF YOU WOULD BE, BUT THE BOTTOM LINE IS THE BOTTOM LINE,,,YOUR RISK MANAGEMENT PEOPLE ALREADY HAVE FIGURED OUT WHAT YOU WILL PAY OUT AND THE PROFITS YOU WILL MAKE, YOU SEE ROBERT THAT IS THE PRICE OF DOING BUSINESS IN AMERICA TODAY, J AND J ONCE A HIGHLY RESPECTED COMPANY HAS HAD ITS BRAND TARNISHED BY THE DEPUY FOLKS AND I BELIEVE THEY WILL GET THERE HOUSE IN ORDER AND TAKE THERE LOSSES, LIKE THEIR WOUNDS AND LIVE TO PROFIT ANOTHER DAY, AS THEY WILL. YOU MAY NOT UNDERSTAND THIS, BUT THESE THING HAVE ALREADY BEEN PROJECTED AND NOW THEY WILL SPEND MILLIONS TO ASSURE THAT THIS IS THE RESULT THAT THEY WILL GET OUT OF IT AND MANY OF US WILL NEVER BE MADE WHOLE NOT EVEN NEAR, YOUR PINNACLE HIP TOOK AWAY MY 10 MILLION DOLLAR BUSINESS BECAUSE I WAS NO LONGER ABLE TO FIGURE OUT THAT I WAS BEING POISONED WITHIN MY OWN BODY. THIS ARE REAL ISSUE ROBERT THAT YOU HAVE NOT EXPERIENCES AND THANKFULLY SO, NO ONE SHOULD HAVE TO GO THROUGH THIS AND THIS IS THE POINT…NOT THE SPIN, BUT THE POINT..GROW UP AND TAKE REPONSIBILITY FOR YOUR FAILURES AND YOU WILL FIND THAT YOU WILL LEARN FROM THIS AND BE A BETTER COMPANY AND YOU WILL FIND YOU WILL EARN REPSECT WITH THE TRUTH, NOT DESTROY IT WITH MONEY AND DISINFORMATION. BY THE WAY I HAVE A DEGREE IN ECONOMICS AND ORGANIZATIONAL BEHAVIOR,,,,,,I WOULD LOVE TO TALK THE ECONOMICS OF ALL THIS WITH YOU ALSO,

    HAVE A GREAT DAY
    JIM

    • Jim,

      All posts go through moderation before they get published. Fortunately for me, I don’t sit at the computer 24 hours a day waiting for them to come in. Unfortunately for everyone else, that means sometimes it may take up to a day or two before your comment is visible to the public. I apologize for the inconvenience, but there is no other way for me to allow commenting on the site without opening myself up to spammers.

      Thanks again for all of your input on this topic.

      Regards,

      Everett
      Editor, USRN

  232. ROBERT

    HERE IS AN OBJECTIVE STUDY IN ALL METAL ON METAL HIPS. THIS ONE OF MANY THAT ARE BEING DONE OUTSIDE OF THE DEPUY WALLS. AGAIN IT HAS TO DO WITH METAL ON METAL HIP ARTHROPLASTY. I AM ONE OF THOSE WHO HAVE HAD AN ALLERCIR REACTION LEADING TO SECONDARY OSTEOMYELITIS. PATHOPHYSIOLOGY TRUMPS ALL OTHER FINDINGS, NOTE THAT THEY REPORT NO OBVIOUS SIGNS OF METALLOSIS UPON REVISION, BUT MICROSCOPICALLY THE STORY IS TOLD. NOW, IN MOST ORTHOPEDIC OPERATIONS THERE ARE NO BIOPSIES, ONLY IN OBVIOUS METALLOSIS SIGNS AND THOSE WHEN OSTEOMYELITIS IS CONSIDERED. THE MEDICINE IS DIFFERENT FROM THE SCIENCE ASPECT. WE HAVE TO CONSIDER ALL POSIBILITIES. WE CAN NOT AFFORD A MYOPTIC VIEW WHEN IT COME TO OUR HEALTHOUTCOMES TO OUR PATIENTS. I AM DEBATING THE MEDICINE AND YOU ARE DEBATING SCANT STUDIES THAT SUPPORT YOUR SIDE. THE MEDICAL AND SCIENTIFIC RESEARCH SUPPORTS CAUTION IN THE USE OF METAL ON METAL HIPS AND I WILL GO FURTHER THAN THIS, THE EVIDENCE BASE MEDICAL FACTS DON’T EXIST AS OF TO DATE TO IMPLANT METAL ON METAL PROSTHESIS UNTIL ORTHOPEDIC SURGEONS AND OTHER PHYSICIANS CAN IDENTIFY AND MANAGE THOSE PEOPLE AT RISK OF DEVELOPING REACTION TO METAL ON METAL HIPS,,,,,,,,THERE ARE TOO MANY COMPLAINTS WITH METALLOSIS AND COBALTISM FOR YOUR COMPANY OR ANY OTHER COMPANY TO DISPUTE. THE FDA HAS DEVELOPED A WEBSITE EDUCATING PATIENTS ON THE RISK OF METAL ON METAL PROSTHESIS, HIP OR KNEE. THE TIDE ON HOW METAL ON METAL PROSTHESIS ARE VIEWED TODAY IS CHANGING, THE RISK OF METALLOSIS AND COBALTISM MAY JUST BE TOO HIGH TO EVEN RISK FUTURE IMPLANTATION, TELL ME YOU HAVEN’T SEEN FAILURES IN THE OR YOU WORK ROBERT….THEY ARE DRAMATIC AND LIFE ALTERING…..JIM

    http://www.ceramtec.com/pdf/11thSymp-3-2.pdf

  233. ROBERT

    I LOVE THAT YOU ARE A DEPUY MAN. WHAT YOU SAY IS FACTUAL ACCORDING TO LATEST REPORTS ON NUMBER OF PROSTHESIS IMPLANTED AND THOSE THAT FAIL. IF YOU READ MY POST YOU WOULD SEE THAT I STATE THE NUMBER ONE FAILURE OF THESE HIPS HAVE TO DO WITH MALIGNMENT. YES THE SURGEON HAS SOME BLAME, BUT WHERE YOU AND I DIVERGE, YOU BLAME TOTALLY THE SURGEON WITHOUT LOOKING AT YOUR CLEARANCE ANGLES AS COMPARED TO OTHER MODULAR PROSTHESIS AND I AM NOT EVEN TALKIING ABOUT THE FAILED ASR WHO NOW ORTHO DOCTORS SAY THAT THE FAILURE RATE MY APPROACH 330 TO 49 PERCENT. THIS IS THE LATEST FROM EUROPE AND AMERICAN DOCTORS ALSO. I WOULD LOVE TO SEE YOUR RESPONSE TO FDA INQUIRIES DUE IN JUNE TO SEE WHAT THE COMPANY LINE IS.

    ROBERT, IT IS ALL METAL ON METAL HIPS, PLEASE READ MY POST AND THOSE OF ORTHO SURGEONS WHO GIVE THEIR HONEST EVALUATIONS AND YOU ARE SEEING A TREND FROM METAL ON METAL HIPS. THIS IS A GOOD THING, BECAUSE THIS IS WHERE YOU AS A DEPUY REPRESENTATIVE AND AS A COMPANY FAILED THE PUBLIC, IT IS IN THE FAILURE TO INFORM THE PUBLIC OF METALLOSIS AND COBALTISM AND CHROMIUM TOXICITY WHEN DOCTORS WHO HAVE DONE 1 TO 2 YEAR STUDY HAVE IDENIFIED THEY DANGER OF METALLOSIS AND METAL POSIONING. BECAUSE YOU TOOK ADVANTAGE OF THE FDA LOOPHOLE AND DID NOT DO CLINICAL TRIALS KNOWING THAT IN THE PAST THE PROBLEMS WITH METALLOSIS IN METAL ON METAL PROSTHESIS HAS ALWAYS EXISTED SINCE THE 60’S YOUR COMPANY FAILED TO DO THE BASIC EVALUATIONS ON METALLOSIS AND METAL TOXICITY. THIS IS AN OLD PROBLEM AND THIS IS WHERE YOU HAVE CULPABILITY IN ALL OF THIS. GIVEN THE HISTORY OF METAL ON METAL PROSTHESIS YOU FAILED TO DO THE IN-DEPTH STUDIES TO SEE JUST HOW THIS WOULD PLAY OUT ONCE ON THE MARKET, NO YOU PUT IT ON THE MARKET AND WE WERE THE GUINEA PIGS. THE LAW IS LOOKING AT THIS AND YOUR COMPANY IS SPENDING MILLIONS TO SPEND IT THE OTHER WAY, BUT THE PROBLEM IS THAT YOU NOW HAVE OUTSIDE ENGINEERS AND RESEARCHERS LOOKING AT YOUR PRODUCTS AND THEY HAVE A TOTALLY DIFFERENT SLANTS. PLEASE INFORM YOURSELF OF THE STUDIES DONE ON ALL METALON METAL HIPS AND METALLOSIS, GET THIS ROBERT FOR THE LAST TIME, IT IS ALL METAL ON METAL HIPS, BUT FOR SOME REASON YOUR ASR AND PINNACLE HAVE GOTTEN ALL THE ATTENTIION AND I HAVE READ THE INSIDE STORY ON HOW YOUR COMPANY IS HANDLING THIS, IT IS JUST A MATTER OF DOING BUSINESS IN DEPUY’S EYES, SO YOU LOSE A FEW BILLION, THE QUESTION IS HOW MANY BILLION HAVE YOU MADE IN PROFITS, HOW ARE YOUR PAYCHECKS BEEN AND THE DOCTORS THAT ARE IN YOUR BACKPOCKETS, YOU FORGET, I AM AN INSIDE MAN AND I KNOW HOW YOU COURT OUR ALLEGIANCE TO YOUR PRODUCTS. IT BOTHERS ME ALSO THAT YOU CLAIM TO BE ETHICAL IN ALL ASPECTS, BUT YOU NEVER ADMIT THAT YOU HAVE SETTLED A EUROPEAN BRIBERY CASE FOR MILLIONS. NOW YOU WILL SAY THIS IS EUROPE. I WILL TELL YOU ROBERT THIS IS ABOUT THE ORGANIZATIONAL CULTURE THAT EXIST IN YOUR COMPANY AND MANY OTHERS. YOU ARE NOT GOING TO LEARN AT MY EXPENSE ON THE FAILURE OF YOUR METAL ON METAL HIPS AND SOON TO SEE IF IT IS NOT THE PINNACLE DESIGN ALTOGETHER. I JUST HAD MY REVISION TO PLASTIC RETAINING THE PINNACLE, NOTHING HAS IMPROVED AT ALL, BUT MY SEIZURES, GOGNITIVE IMPAIRMENT, HYPOTHYROID, SHORTNESS OF BREATH, DEPRESSION AND FATIGUE AND TO SAY THE LEAST THE EFFECTS ON MY IMMUNOCOMPROMISED SYSTEM. THIS IS THE WORSE CASE SCENARIO THAT EVER COULD HAPPEN TO A PERSON WITH AUTOIMMUNE DISEASE LIKE LUPUS AND SJOGREN’S AS I HAVE LOST YEARS DUE TO THE METALLOSIS AND COBALTISM THAT KEEPS MY IMMUNE SYSTEM IN A CONSTANT STATE OF AUTOIMMUNE RESPONSES. I AM THE ONE WHO DIAGNOSED MY ILLNESS AND IT IS ME WHO HAVE GONE ABOVE ALL OF CURRENT PRICNIPLES IN MEDICINE AND FOUND THE ANSWERS TO MY CONDITION. MY RHEUMATOLOGIST, IMMUNOLOGIST, ENDOCRINOLOGIST, ORTHPEDIC SURGEON AND FAMILY PHYSICIAN ALL ARE UP-TO-DATE ON METAL ON METAL HIPS. MY FAMILY PHSYCIAN HAS FOUND OTHERS AFFECTED ALREADY, I DON’T KNOW THE SYSTEMS, BUT IT DOESN’T MATTER, AGAIN ROBERT, IT IS THE METAL ON METAL PROSTHESIS. TEN YEARS FROM NOW THE FAILURE RATE WILL TELL THE STORY, BUT THEN THERE ARE MANY WHO HAVE FAILED POROSTESIS AND THOSE WHO HAVE ALREADY BEEN REVISED WHO WILL EVER KNOW THAT THEY FAILED DUE TO METALLOSIS, NOT ONLY DUE TO MALIGNMENT BUT DUE TO THE FACT THAT MAN HAS NOT DEVELOPED THE METALS THAT WILL NOT SHED METAL PARTICLES WITHIN THE HUMAN BODY. CERAMIC HIPS STILL REMAINS TO BE SEEN. SO LET ME SEE YOUR COMAPNY SPIN ON ALL THE REAL FACTS. IF YOU ARE TRUE TO J AND J BRAND OF YESTERYEAR, YOU WILL ADMIT YOUR FAULT AND PAY RESTITUTION TO THOSE AFFECTED BY THE FAULTY PROSTHESIS AND CONSIDER A LESSON LEARNED, BUT THEN AGAIN YOU HAVE MONEY OUTLAYS THAT ACCOUNT FOR LAWSUITS, IT IS BUILT IN YOUR BOTTOM LINE AND YOUR RISK MANAGEMENT DEPARTMENT KNOWS WHERE THE CUTOOF LINE IS. SO ROBERT, YOU HAVE GOOD PRODUCTS, BUT YOU FAILED IN THE ASR AND PINNACLE ULTAMET. I WILL DEBATE THIS ALL DAY LONG WITH YOU AND THERE HAVE BEEN DEPUY REPS IN MY SURGERY AND I WILL BE CALLING THEM TO TESTIFY IN COURT AND WE WILL SEE IF IT ALL ADDS UP. RIGHT NOW I HAVE THE IMPERICAL MEDICAL EVIDENCE THAT PROVES A FAULTY DESIGN. SO I HOPE WE ARE CLEAR AND AGAIN I WILL WAIT FOR THE “OLE DEPUY COMPANY LINE”. BY THE WAY WHEN I TRAVELED AND PERFORMED SURGERY ON THE PITTSBURGH STEELERS AND THE MI-TEC ANCHORS CAME OUT, WE WERE ONE OF THE FIRST WHO IDENTIFIED THE FAILURES IN THAT SYSTEM, WHY BECAUSE WE WERE TAINED WELL, REASEARCHERS AND WE CARED ABOUT OUR PATIENT OUTCOMES, SO I KNOW HOW THIS DANCE GOES ON WITH COMPANY PEOPLE LIKE YOU. LAST NOTE, IT IS YOUR REPSONSIBLITY TO TEACH THE SURGEON THE USE OF YOUR PRODUCTS, NOW IF THE PUBLIC KNOWS THAT PHYSICIANS ARE TRAINED BY NON-PHYSICIANS IN THE USE OF THE NEW SYSTEMS, SO, ROBERT YOU HAVE CUPLABILITY IN THIS ALSO BECAUSE YOU TRAINED THEM ON HOW TO PLACE THE PROSTHESIS AND THIS WILL COME OUT IN COURT. YOUR JOB IS TO TRAIN CORRECT………WHY ALL THE MALIGNMENTS……..WHY ALL THE FAILURES,,,NOW CAN YOU SEE WHERE I AM COMING FROM AS AN INSIDER..SOME OF YOU ARE GOOD…SOME OF YOU NOT SO GOOD…JUST LIKE DOCTORS ROBERT, WE ALL ARE HUMAN……..THE BETTER MAN OWNS HIS MISTAKES AND MAKES IT RIGHT AND LEARNS FOR HIS MISTAKES. THIS IS A MISTAKE, SO OWN IT……JIM

  234. boy I wish I had found this site, 4 yrs ago, I am so wore out from pain, and pills, an Dr. making me feel like a jerk Jim the iron showed up on MRI had to have liver bio. which showed nas, also my report says(serveral nodules and artifact) that are not part of the liver Hope you are improving
    Thank you so much for your participation on this page
    Linda M.M.

  235. Jim,

    In regards to your latest accusations look for a paper recently released in the European Journal that has a 14 year followup on metal on metal vs ceramic on poly. Look forward to your spin on that.

    I would also like to again try to make you understand that the Pinnacle cup is no different than any other hemispherical modular cup. All hemispherical modular cups must be implanted properly to perform at the highest level. There have been over a million implanted worldwide whereas there were 100,000 ASR’s. Problems usually arise before a million get implanted and most systems never reach that number or even come close. The pinnacle is just as easy to implant and position as the Trident, the R3, the Trilogy, the Ranawat Bernstein, or any other hemispherical modular cup.

    As far as bearings, signs of metallosis show up much sooner than osteolysis from poly wear and the symptoms can be much worse. Those are facts if the products wear excessively for any number of reasons. There are more reasons for failure of a total hip than faulty manufacturing. I have never heard you say anything different than that, even when I battled you on surgeons and the role they play in all this, and that is completely wrong. I’m not saying it’s all on the surgeon, but that is what plays a role in most early revisions, whether it be hip or knee.

  236. LINDA

    ARE YOU SAYING YOU HAVE HIGH IRON LEVELS IN THE SERUM? A CONDITION CALLED HEMACHROMATOSIS IS HEREDITARY, BUT COBALT CAN WORSEN THE CONDITION OR MAKE A BORDERLINE CASE ACTIVE, PLEASE WRITE ME BACK A=WITH MORE INFORMATION AND I WILL ANSWER YOUR QUESTIONS AND DIRCT YOU TO THE RESEARCH. IF YOUR COBALT LEVELS ARE HIGH THIS CAN IMPACT THE IRON STORES IN THE BLOOD AND THE LIVER WHERE CELLS GET THEIR HEMOGLOBIN. WRITE ME BACK AS THERE IS A DIRECT LINK TO COBALT AND OTHER NON-FERROUS METALS TO HEMACHROMATOSIS.

    LOOKING FORWARD IN HEARING FROM YOU

    JIM MORELAND

    DONNA

    IF I CAN BE OF ANY HELP I AM HERE. WE ALL NEED TO ENCOURAGE EACH OTHER IN OUR STRUGGLES WITH CHRONIC ILLNESS. YOU ARE AN EXPERT IN EDS THUS THREATENING YOUR PRACTITIONERS……THEY ARE HUMAN TO AND MANY HAVE THEIR OWN PROFESSIONAL INSECURITIES,

    THANKS FOR THE BEST WISHES DONNA, I WILL BE IN TOUCH WITH YOU.

    JIM MORELAND

  237. on can you tell me what State you are in, I would really like to know where or if it hit a certain area Jim Morland I have been diag. with nas shows iron in my liver, do not drink but have been really bad since 2004 revsion just giving up

  238. Jim,
    Thank you for giving me the push I needed, I will take EDS info with me to my
    Rheumatologist, I wish you were my primary care provider, while she did appreciate
    some if my conditions, as I said before she is tiring of trying to treat me. Many physicians talk to me as though I have very little medical knowledge. I have worked in the medical field in one capacity or another for most of my working career, while I do not have a medical degree, I have practical hands on knowledge, many providers are offended if I question a treatment. However after reading your post, I have concluded that I need to have a provider who will be open to listening to me or I will need to find one who will. Thanks again, I get extremely frustrated with the “system” especially my ordeal with my THR that I have almost given up. Thank you
    again for giving me that push to move forward.
    My thoughts and prayers are definitely with you June 13th for a successful surgery,
    and speedy recovery. You are an amazing person to go through all you’ve been through, and still have the energy to help the rest of us.
    Best wishes,
    Donna

  239. VIC

    THANK YOU SO MUCH. I AM SO HAPPY FOR YOU THAT YOUR LEVELS ARE COMING DOWN AS THIS SHOULD BE ONE OF THE REASONS FOR REVISION. I TOO HAVE STIFFNESS, WEAKNESS, AND OTHER PAINS AS I DID BEFORE AND THE SAVNG GRACE IS THAT THE COBALT AND CHROMIUM LEVELS ARE DECREASING AND THAT IS THE “LIGHT OF THE TUNNEL” FOR ALL OF US. I WOULD JUST LOVE TO HAVE A DAY WITHOUT RINGING IN MY EARS. I AM SCHEDULED FOR MY OTHER HIP REVISION ON JUNE 13. SO LET’S KEEP IN TOUCH AND IF ANYTHING SUPPORT ONE ANOTHER IN THIS SITUATION WE FIND OURSELVES IN.

    THANKS VIC FOR WRITING

    JIM MORELAND

  240. RON

    SORRY FOR YOUR LUCK, BOTTOM LINE HAVE IT OUT AND CONVERT TO A METAL ON PLASTIC OR CONSIDER CERAMIC. THE ASR FAILURES ARE WELL DOCUMENTED AND SUPPORTED BY MEDICAL LITERATURE. THE FAILURE RATE OF THE ASR AS WELL AS ALL METAL ON METAL HIPS ARE RISING AT ALARMING RATES AND NO ONE KNOWS WHAT THE FAILURE RATE WILL ACTUALLY BE. IT IS SAD RON, BUT ORTHOPEDIC SURGEONS ARE NOT WELL READ ON THIS SUBJECT AND SOME ARE HOLDING TO THE DEPUY LINE OF THINKING. THE AAOS CAME OUT AGAINST THE USE OF METAL ON METAL HIPS UNTIL FURTHER RESEARCH CAN BE DONE. DEPUY IS SPENIDNG MONEYON PUTTING OUT DISINFORMATION AND SPREADING THE BLAME AS THEY WILL BLAME THE PHYSICIAN OR THE PATIENT HIMSELF, BUT THEY CAN’T ARGUE WITH THE MEDICAL RESEARCH AND FACTS. THE PROBLEM IS THAT WE, WHO HAVE THESE METAL ON METAL PROSTHESIS, ARE LEFT WITH IRREVERSIBLE MUSCLE, TENDON,NERVE AND SOFT TISSUE DAMAGE THAT IS PERMANENT. I AM OUT OF MY FORST REVISION AND MY HIPS FEEL NO BETTER THAN BEFORE. I HAVE A PEACE OF MIND KNOWING THAT THE METAL IS OUT OF SYSTEM. I HAVE LUPUS AND HAVE BEEN UNABLE TO GET AN RELIEF FOR 8 YEARS SINCE MY REPLACEMENT AND I KEPT TELLING MY DOCOTRS ALL ALONG SOMETHING WAS VERY WRONG WITH ME. WELL I AM STILL HAVING SEZURES, TINNITUS, HEARING LOSS, COGNITIVE DYSFUNCTION, AND DEBILITATING FATIGUE AS WELL AS DEPRESSION AND FEELING CONFUSED ALL THE TIME.

    SO IF YOU HAVE ANY OTHER QUESTIONS FEEL FREE TO ASK I AM WILLING TO GIVE YOU MY THOUGHTS. I WISH YOU THE BEST AND I HOPE YOUR REVISION GOES WELL AND I HOPE THE OTHER HIP GOES WELL FOR YOU.

    TAKE CARE
    JIM MORELAND

  241. Some of the latest posts are starting to sound familiar, I too had a Depuy ASR put in on 9/9/09 and have been having trouble from day one. I am scheduled to have it revised on 5/23/11 but wanted to get another opinion before going through all that again given my other hip has been patiently waiting for it’s turn. Went to see a respected OS on the other end of our state this past week thinking we would talk about nerves, tendons, metal, etc. but as soon as he looked at my before and after hip replacement x-rays, all he wanted to talk about was positioning of the ASR. Kept holding his pencil up to the after x-ray at a angle different than what mine was put in at. Said he revised one of these awhile back, the cup was loose, took it out, cleaned up the back side, put it back in at the right angle and whoever had it done is as happy as a clam now. When Depuy originally got wind of problems, they were blaming doctors for the angles, maybe they knew something everyone else was ignoring. Anyway, the OS said if he had one of these things in him, it would come out regardless. Does not help my situation but I was glad to get another perspective on all this.

  242. LORRAINE

    I AM SO SORRY THAT YOU HAVE TO GO THROUGH ALL OF THIS ESPECIALLY UNDER YOUR CIRCUMSTANCES.

    I DON’T LIKE TO SUE. BUT, AS I SAID WHEN I WAS IN PRACTICE TO OTHER DOCTORS. “YOU GET A LAWSUIT WHEN YOU DESERVE IT.” IN YOUR CASE HIP DYSPLASIA IS SOMETHING YOU CAN DIAGNOSIS FROM A SIMPLE XRAY. ESPECIALLY A SURGEON WHO DOES TOTAL JOINT REPLACEMENTS. THEN TO NOW HAVE BACK ISSUE THAT WERE NOT EXPLORED PRIOR TO SURGERY. I BET THIS DOCTOR DIDN’T S[END TIME WITH YOU ASKING YOU QUESTIONS ABOUT YOUR BACK, KNEES, FEET AND ANKLES. I BET HE DIDN’T EVEN CHECK YOUR PULSES. HE SEEN BONE ON BONE AND RIGHT AWAY HE THOUGHT WELL THIS IS ROUTINE. NOTHING ABOUT THE HUMAN BODY IS ROUTINE, EACH INDIVIDUAL IS UNIQUE AND DOCTORS BECOME COMPLACENT JUST LIKE SOMEONE RUNNING PRODUCTS ON AN ASSEMBLY LINE DO WHO DOES THIS DAY IN AND DAY OUT. IN YOUR CASE, ORTHO RESIDENTS ARE TAUGHT AND THEY DO HIP REPLACEMENT SURGERY AND ARE TAUGHT TO LOOK FOR AND DIAGNOSIS HIP DYSPLASIA. I CAN FIND NO EXCUSE IN DEFENDING SUCH LACK OF INFORMING A PATIENT ABOUT BASIC ORTHOPEDICS. THEN TO HAVE OTHER COMPLICATIONS ON TOP OF THE SURGERY, YOU NEED TO SEEK LEGAL ADVICE.

    THE MAIN REASON IS THAT YOU SHOULD BAVE BEEN INFORMED,

    HIP DYSPLASIA REQUIRES REAMING THE ACETABULUM TO ACCEPT THE CUP. SOMETIMES THERE IS NOT ENOUGH BONE STOCK TO ACCEPT THE PROSTHESIS AND MAJOR RECONSTRUCTION SURGERY SOMETIMES IS NECAESSARY TO CREATE A SHELF TO COVER THE CUP.

    YOU SHOULD EXHAUST ALL CONSERVATIVE APPROACHES TO GET RELIEF LORRAINE, AS YOU HAVE MULTIPLE ISSUES THAT WILL CONTRIBUTE TO SLOW RECOVERY.

    SORRY FOR MISSING YOUR EARLIER POST AND I AM HERE FOR YOU IF YOU NEED ANYTHING AT ALL. ONE LAST THING, WHAT KIND OF PROSTHESIS DID YOU HAVE IMPLANTED?

    BEST OF LUCK

    JIM MORELAND

    DONNA

    WE ARE CONNECTED BY OUR MORALES AND VALUES AND OUR DEDICATION TO OUR PROFESSION. IT TAKES THAT SOEMTHING SPECIAL TO PRACTICE MEDICINE DAY IN AND DAY OUT WANTING THE BEST RESULTS FOR OUR PATIENTS IN ALL THINGS, TO ME, I CONDIDERED IT AN HONOR AND THE HEAVIEST OF REPSONSIBILITIES, WHEN A PATIENT WOULD PLACE HIS LIFE IN YOUR HANDS. THIS GOES FROM THE MAJOR STUFF TO THE CASE OF BRONCHITIS, I WHICH I HOPE YOU RECOVER.

    DONNA YOU SEEM TO BE VERY INTELLIGENT, I WOULD ENCOURAGE YOU TO BECOME YOUR OWN EXPERT IN EDS AND EDUCATE YOUR DOCTORS IN THE DISEASE. BRING THEM COPIES OF STUDIES AND RESEARCH. THEY NEED TO BE EDUCATED IN EDS, WE DON’T REALLY STUDY IT IN MEDICINE, IT IS MENTIONED BUT DUE TO ITS RARITY IT IS ONE OF THOSE THINGS THAT YOU LOSE IF YOU DON’T USE IT. SO IN YOUR CASE, YOU NEED TOEDUCATE EACH AND EVERYONE OF YOUR CAREGIVERS ABOUT EDS. I ALWAYS WELCOMED INPUT FROM MY PATIENTS. THAT IS ONE OF THE WAYS I STAYED CURRENT AND WHAT A RELATIONSHIP YOU DEVELOP WITH YOUR PATIENTS. I LOVE TO CARE FOR IN INFORMED PATIENTS, THEY WERE SO PROACTIVE AND HAD THE BEST RESULTS.

    I AM HERE FOR YOU DONNA AND THANKS FOR THE BEST WISHES, I HAVE MY OTHER SURGERY SCHEDULED FOR JUNE 13. YOUR THOUGHTS AND PRAYERS ARE APPPRECIATED.

    I AM HERE FOR YOU AND THANKS FOR BEING THERE FOR ME.

    TAKE CARE
    JIM MORELAND

  243. jim,
    glad to see your operation went well and hope your recovery is going good. just wanted to let u know and some of the people who are going thru this terrible ordeal that i’m 5 months out of the revision surgery and have had my second cobalt and chromium tests and it looks like there comming down. my leg is still weak and i get a burning feeling once in a while in the joint area and i think it’s from either tissue damage or bone damage. i had radiation in that area twice after surgery because they found that my right hip bone started to grow after my replacement and said that the radiation will prevent that so i can have more flexability in my left hip. my left leg and hip still go stiff after a prolonged time of sitting, but i hope in time that will go away also. because my toxic levels have gone down such i hope others will also and maybe there’s some light at the end of the tunnel, if there’s and end at all.

  244. Hi Jim looks like your busy as ever. Ref to my 4/5/11 posting as you might know I had my surgery on 4/29/11 and sure enough the Doctor tells me its not the Depuy part that is bad its the Doctor who put it in wrong about 10 degrees off. So now who do you think you would go after the Doctor who originally put this in back in 9/9/09 who refwerred me to the specialist who did the revision on 4/29/11 / Do you think I can still go after Depuy it was a Pinnacle hip and has been replaced/

  245. Jim,
    Thank you for the blessings, my appointment with the rhuematolgist is this upcoming
    week, hopefully I will get somewhere this time, however I’m not overly optimistic
    being where I live, with no EDS specialist in the practice, they don’t even list EDS
    as condition they treat on their website. I am still going, as the more info I can gain
    the better. Presently I have come down with the worst bronchitis I have EVER had.
    I wish my PA had ordered a chest xray, but I think she is tiring of trying to treat me,
    asking when my rheumatology appointment was, gave me antibiotics breathing treatment and inhalers. I will see where my appointment takes me, and if you don’t mind, may ask your opinion again. I love your honesty, and genuine caring. You previously mentioned the oath, which is why I got into healthcare myself, I find that very few remember that oath, and their vision clouded with practice demands, well that’s a whole other subject. I hope your recovery continues to progress well.
    Please keep us posted on the pinnacle updates. I look forward to the day of reckoning, if we all bond together, it will happen, and at this point gives me SOMETHING to look forward to.
    Best wishes, and many thanks,
    Donna

  246. Jim:

    Jim. I hope this finds you well. I wrote to you in March – the gal that flips off the rope swing, but now can’t get to the mail box.

    My scenario was simple – I had groin pain. My family doc. sent me to Ortho surgeon. Ortho surgeon informs me I have osteoarthritis and I need a hip replacement.

    I had my hip surgery done at my regional hospital. The surgeon does knees, hips, shoulders, etc. I was told my diagnosis like all others osteoarthritis bone on bone of your hip.

    There is one part that is not mentioned – severe dysplasia, very shallow cupI

    When does a surgeon inform a patient of this congenital deformity? Never, after surgery, day before surgery, when? In my case, never. I did not know I had this condition until I sought a second opinion.

    I have dysplasia in both hips! Nine months ago, the mere mention of the word dysplasia then and my today would certainly be different.

    I have 3/4″ off-set from pelvic bone to femoral or 1/2 difference.
    I have adult size parts in a kids size body.
    Bone scan – soft tissue inflammation gr. trochanter, normal for hip heal time.
    Changes in x-ray stem and cup since January.

    MRI reveals mild to moderate degeneration at L1 and L2. Now, I have back problems due to the illi(sp) and pyriformus muscle connectivity so tight over gr. trochanter-from offset. These muscle clamp tight impinging my sciatic nerve. Poker hot behind calf, mid-thigh pain, joint pain, etc.

    I have two experts. Now, conservative approach, therapy, physio, is it possible to manage what I got until my other side gets bad enough to fix … uncertain what to do.

    Shouldn’t I have been told about the dysplasia?
    Is the doctor negligent for not telling me?
    Dysplasia requires a speciality hospital or subspeciality surgeon when both hips involved?

    I would like to hear from legal, medical for advice.

    Thank you for your help. Lorraine

  247. DONNA

    YOU’RE THE BEST AND THANKS FOR ALL YOU WELL WISHES. MORE WILL BE REVEALED ON THE PINNACLE SYSTEM AS A WHOLE. MANY OTHERS WITHOUT METAL ARE FAILING ALSO. SO YOU’RE NOT ALONE. I WOULD HAVE LOVED TO BE YOUR HEALTHCARE PROVIDER, BECAUSE I WOULD SKIN THE ONION AND GET YOU THE ANSWERS YOU SEEK. YOU HAVE IT SURMIZED RIGHT, MOST SURGEONS RAVE AT GREAT OUTCOMES, BUT DISTANCE THEMSELVES FROM COMPLICATIONS AND FAILURES. I HAVE LUPUS AND SJOGRENS AND YOU EDS, MY OWN SURGEONS TRIED THIS BIT ON ME, BUT I UNCOVERED THE FAILURE IN THE PINNACLE AND NOW THEY HAVE STOPPED USING THE ULTAMET IN THERE PATIENTS AND I BELIEVE YOU WILL SEE THAT THE PINNACLE HAS DESIGN ERRORS THAT WILL CAUSE ANY TYPE OF PROSTHESIS TO FAIL. PEOPLE WHO WORK FOR DEPUY WILL TELL YOU DIFFERENTLY, BUT THE COMPLAINTS AND LAWSUITS FOR THE PINNACLE HIP ARE MOUNTING AT ALARMING RATES, SO DO NOT GIVE UP AND YOU SHOULD AT LEAST GET YOUR CASE EVALUATED BY AN ATTORNEY AS THIS WILL NOT COST YOU ANYTHING UNTIL YOUR CASE SETTLES. THEY ARE MEETING IN LOUISVILLE TODAY TO DECIDE IF THE PINNACLE CASES SHOULD BE PLACED IN MULTI-DISTRICT LETIGATION, WHICH CUTS COST AND ALSO PUTS PRESSURE ON DEPUY TO RECALL THE PINNACLE. THEY WILL NOT DO THIS UNTIL THEY ARE PRESSURED. J AND J HAS A CORPORATE CULTURE THAT PLACES PROFITS ABOVE SAFETY. THEIR REPUTATION HAS FALLEN, SO IF YOU NEED ANYTHING AT ALL I AM HERE AND I WILL DO MY BEST FOR YOU. EDS IS LIFE CHANGING AND THE OLDER WE GET THE MORE DIFFICULT IT BECOMES TO LIVE WITH THESE DREADED DISEASES.

    GOD’S BLESSINGS TO YOU DONNA
    JIM

  248. Jim,
    Thank you so much for all the information you provide to ALL of us here. You have been a blessing to all of us who are touched by J&J/Depuy travesty. Although I do not have MoM I suffer problems as we have discussed. Until I found this site, I was left with my Ortho Dr opinion which is DENIAL of any depuy problems. Tagged as a complainer. I can’t tell the problems that have evolved from this nightmare.
    This has not only effected me, but my family, my job and my life. Yes, I have underlying conditions that my surgeon cared nothing about prior to my THR, telling me I would feel so much better once I have my THR…..now he can only blame those
    conditions for the poor outcome and doesn’t even want to see me for a 12 month follow up. I will pray for you and the best possible outcome from your recent and upcoming surgeries, as well as your battle with J&J. I unfortunately am in medical financial hell and at this point, unable to pursue any legal advise. As with many others here. I again want to thank you for your advise to us all, for me it is a comfort to know that it is not just ME as my surgeon would lead me to believe.
    Prayers, and best wishes,
    Donna

  249. RON

    SORRY TO HEAR ABOUT YOUR SYMPTOMS. I, TOO, EXPERIENCED BURNING TO THE LOWER LEGS AND FOOT. IF YOU INDEED HAVE METALLOSIS, THEN IT CAN AFFECT MUSCLES, TENDON ATTACMENTS AND NERVES, SO YES IT CAN BE HIP RELATED. THE FACT THAT THINGS GET WORSE WITH ACTIVITY TELL YOU THAT THERE IS EITHER METALLOSIS AROUND THE HIP OR YOU MAY HAVE A BACK PROBLEM. IF YOU HAVE TIME, GIVE ME MORE HISTORY AS I WOULD LIKE TO HERE MORE ABOUT THE SYMPTOMS.

    I WOULD GET MY SERUM COBLAT, CHROMIUM AND TITANIUM LEVELS TAKEN TO SEE IF YOU SUFFER FROM METALLOSIS. STAY CLOSELY IN TOUCH WITH YOUR ORTHOPEDIC SURGEON AND MAKE HIM AWARE OF METALLOSIS IN THE PINNACLE HIP METAL ON METAL. THE SOONER THE BETTER ALSO. COBALTISM HAS KNOW TO CAUSE PERIPHERAL NEUROPATHY WHICH IS HARD TO DIAGNOSIS, AND TREAT.

    ALSO HAVE THE PHYSICIAN CHECK YOUR PULSES TO MAKE SURE YOU DON’T HAVE VASULAR CLAUDICATION.

    TAKE CARE
    JIM MORELAND

    KATHY

    YOU WANT SERUM. GET CHROMIUM, COBALT AND TITANIUM. THE LAB TECH’S WILL DEIDE WHAT STUDY THEY NEED TO ORDER. THEY ARE USUALLY TAKEN IN A LAVENDAR TOP TUBE. IT IS IMPORTANT THAT THEY DRAW OFF A TUBE IN A RED TOP TUBE TO ELIMINATE ANY CONTAMINATION.

    KATHY THANK YOU SO MUCH FOR YOUR BEST WISHES. I AM GLAD THEY ARE OUT BUT I AM LEFT WITH THE INABILITY TO WALK WITHOUT WALKER AND CAN DUE TO WEAKNESS. I GO FOR THE RIGHT HIP REVISION ON JAN 13 THE AND THIS MAKES THE 5 TH ON THIS HIP. I WILL KEEP YOU POSTED AND I AM PRAYING FOR YOUR SISTER AND YOU. THIS IS A TRAVESTY TO DEAL WITH, MY LIFE HAS BEEN TAKEN FROM ME , AS THOUSANDS OTHERS.

    TAKE CARE
    JIM MORELAND

  250. Hi Jim,

    I’m so glad to hear that your revision surgery went well. You sound as if you’re recuperating about as well as can be expected (given that you’re 7 years older! =) ), which is also encouraging news for my sister, who is awaiting a revision and is concerned about the rehab time. You’re such a wonderful person to take the time to help others who are suffering. Thank you for making yourself available, especially when you’re also recuperating.

    I am concerned enough about my sister that I think we should get her the cobalt and chromium blood tests even though she is currently “between” insurance (her COBRA expired and she is still waiting to hear about her HIPAA application with Anthem Blue Cross).

    A local Quest Diagnostics office faxed me the Specimen Requirements, but I’m not sure what to request. Some choices that look appropriate are:

    1. Heavy Metals/Alum/Cobalt
    2. Chromium Blood
    3. Chromium Pl (for Plasma, I guess)
    4. Chromium Sr (for Serum, I guess)
    5. Heavy Metal Panel, Blood

    I was also asked if we wanted serum or plasma, which I couldn’t answer because I don’t even know what the question means. (!)

    Any help you can offer in deciphering which tests to order would be greatly appreciated. We’ll be paying for these tests ourselves, so we want to get the proper ones.

    Thank you for all your wonderful help, Jim. I hope this weekend finds you resting well!

    Best,
    Kathy

  251. Depuy ASR failure symptoms – I have visited many websites (mostly legal firms) and most list symptoms of failure. My symptoms are not typical, mine are more burning than pain and the onset was almost immediate. My own feelings are that of inflammation around the hip joint and down the inside of my leg to the foot. They settle down with rest and flare up with activity. Is there anyone else that is experiencing burning? Thanks in advance for your insight and sharing.

  252. FOR YOUR INFORMATION ON J AND J, DEPUY FINANCIAL POSITION AND ORGANIZATIONAL CULTURE THAT IS LEADING TO SO MANY RECALL OVER THE PAST DECADES AND THE PAYMENTS TO PHYSICIANS TO USE THEIR DEVICES.

    Johnson & Johnson’s quality catastrophe

    After more than 50 product recalls in 15 months, including for artificial hips and Tylenol, the $60 billion company is fighting to clear its once-trusted name.
    By MSN Money partner on Fri, Apr 1, 2011 12:05 PM

    BusinessWeek on MSN MoneyImage: Pills (© MedicalRF.com/Corbis)By David Voreacos, Alex Nussbaum and Greg Farrell

    In the split second after the blast, Lance Corporal Cody Perkins thought he was still sitting in his unit’s Humvee, enveloped in blinding dust kicked up by the roadside bomb. It was only when he slammed with shattering force onto the pavement that the 20-year-old U.S. Marine realized he’d been ejected from the rolling vehicle and thrown into the air.

    Perkins’s commanding officer was killed in the November 2005 incident outside Haditha, Iraq, and two other Marines were injured. Perkins came away with scrapes, bruises, and a fractured femur, or thigh bone. After emergency surgery in Iraq, the Mississippi native was transported back to the U.S., where surgeons implanted screws to fuse the broken bone.

    That failed, leaving Perkins hobbled. A military surgeon, Dr. Keith Holley, told him that his best option was a so-called metal-on-metal prosthetic hip made by DePuy Orthopaedics, a unit of Johnson & Johnson (JNJ). The new hip was being promoted as tough and durable—and thus perfect for younger, physically active patients like Perkins. On Dec. 13, 2006, Dr. Holley implanted DePuy’s ASR XL Acetabular System in the soldier at the Navy Medical Center in San Diego. (Story continues after list).

    Johnson & Johnson’s recall rap sheet

    * AUG 2008: Consultants to J&J buy defective Motrin from stores. The FDA says it wasn’t notified of this “phantom recall.”
    * NOV 2009: McNeil pulls about 6.3 million bottles of tainted Tylenol Arthritis Pain caplets made in Puerto Rico.
    * JAN 2010: McNeil expands withdrawal to include Benadryl Allergy, Tylenol, Children’s Tylenol Meltaway, and Rolaids.
    * APR 2010: J&J recalls 135 million bottles of meds made in Fort Washington, Pa., and closes the plant.
    * MAY 2010: The FDA’s Joshua Sharfstein says the U.S. may pursue criminal charges against J&J.
    * JUNE 2010: McNeil expands the recall from its Puerto Rico plant to include five more lots of Benadryl and Tylenol.
    * JULY 2010: Yet more recalls; company submits remediation plan for McNeil plants to FDA.
    * AUG 2010: Company appoints Ajit Shetty as quality-control czar, announces corporation-wide standards.
    * AUG 2010: J&J pulls 100,000 boxes of 1-Day Acuvue TruEye contact lenses; days later, DePuy recalls ASR hips.
    * DEC 2010: 13 million packages of Rolaids softchews are recalled after customers find wood and metal particles in them.
    * JAN 2011: J&J withdraws 43 million bottles of Rolaids, Tylenol, Benadryl, and Sinutab.
    * JAN 2011: J&J announces 2010 earnings, puts lost sales from recalls and plant slowdowns at $900 million.
    * FEB 2011: J&J units announce recalls of 70,000 potentially cracked syringes preloaded with the antipsychotic Invega.
    * MAR 2011: J&J withdraws 585,000 surgical sutures due to concerns about compromised sterile packaging.
    * MAR 2011: David Floyd, president of DePuy Orthopaedics, announces his resignation.
    * MAR 2011: J&J’s Animas unit announces recall of 384,000 insulin-pump cartridges that may leak.
    * MAR 2011: FDA and McNeil announce consent decree that will give agency expanded oversight of three plants.

    Perkins never regained the mobility he had before the injury, but he was able to resume full-time work. By late 2009, however, while he was working as a Marine criminal investigator at California’s Camp Pendleton, it started—muscle fatigue at first, which led to shin splints, followed by pain in his hip that radiated up to his back and down to his knees. Soon he was unable to sleep through the night. “It’s always uncomfortable,” he says. “There’s never a completely pain-free day.”

    The cause of his trouble, his current physician Dr. Richard Conn says, isn’t a complication from his original injury but the replacement hip. Perkins has been told he’ll need to undergo “revision” surgery to replace the ASR hip with another implant—a highly invasive procedure with a heightened risk of infection and joint dislocations down the road. It’s also likely to render him unable to pass the Marines’ rigorous annual physical fitness test.

    “I wanted to retire out of the Marine Corps,” says Perkins, who has earned two Purple Hearts. “But there’s no way that can happen … not a chance.”

    Now a sergeant based at North Carolina’s Marine Corps Air Station Cherry Point, Perkins has joined more than 1,000 other people who are suing Johnson & Johnson over its DePuy ASR implants, seeking damages for medical costs, lost wages, and pain and suffering.

    On Aug. 26 last year, DePuy announced a voluntary recall for two types of ASR hips, including the one in Perkins’s leg, but only after 93,000 had been implanted in patients worldwide, including 37,000 in the U.S. J&J says DePuy withdrew the hips for safety reasons, while denying in court papers that the devices are defective. Announcing the voluntary recall, it cited unpublished 2010 data from the U.K. showing that within five years, 13 percent of ASR XL hips failed and needed to be replaced, and 12 percent of the similar ASR Hip Resurfacing System failed. (The U.S. doesn’t collect numbers on hip failure rates.) All types of implants are susceptible to post-operative problems; Australia’s registry for joint implants says 3.3 percent of all implants fail after five years. But the stats DePuy cited for the recall—three to four times that norm—now appear sadly optimistic. On Mar. 9 the British Orthopaedic Assn. and the British Hip Society said preliminary data put the ASR XL’s failure rate in the U.K. as high as 49 percent after six years.

    The new report adds weight to plaintiffs’ lawyers predictions that thousands more patients will file similar lawsuits. Case after case describes patients in pain and immobilized by joint dislocations, infections, and bone fractures. Their claims are backed by surgeons who say metal debris from the hips, made from a cobalt-and-chromium alloy, causes tissue death around the joint and may increase the amount of metal ions in the bloodstream to harmful levels. “There’s so much metal, it’s toxic to the tissues,” says Dr. William Jiranek, a professor at Virginia Commonwealth University School of Medicine in Richmond and an orthopedic surgeon who has removed ASR hips.

    Accusations of selling bum hips are bad enough; the lawsuits allege worse: that DePuy continued to push the hips even after it received preliminary numbers as early as 2007 indicating rising failure rates for both ASR models. “This wasn’t driven by science. This was driven by marketing,” contends Michael Kelly, a lawyer at San Francisco’s Walkup, Melodia, Kelly & Schoenberger, which has filed 75 cases on behalf of patients with the DePuy hips.

    J&J has so far committed $280 million to the recalls, and has pledged to “address reasonable and customary costs associated with testing and treatment,” including new hips for patients who need them. Based on the latest estimates of failure rates, Kelly and others say, the total tab could reach billions of dollars.

    With $28 billion in holdings of cash and short-term securities at the end of 2010, J&J will surely weather the financial blowback from the bad hips. More troubling to customers and stakeholders, however, is that the DePuy recalls may be symptoms of a systemic quality-control problem at the 125-year-old corporation: a pattern of behavior that is distinctly at odds with the comforting image long enjoyed by the creator of brands like Band-Aid and “No More Tears” Baby Shampoo.

    The DePuy crisis is one of more than 50 voluntary product recalls that J&J has issued just since the start of 2010, covering brand names that read like an inventory of the family medicine cabinet. Tylenol and St. Joseph Aspirin were recalled for foul odors people said made them sick. Benadryl and Zyrtec were recalled for botched amounts of ingredients. Rolaids were recalled for containing bits of wood and metal. Most of these drugstore stalwarts come from J&J’s McNeil Consumer Healthcare unit, which has been plagued by dismaying revelations about the conditions and lax controls at its factories in the U.S. It shuttered one factory in Fort Washington, Pa., for a quality overhaul. Under a Mar. 10 consent decree, that plant and two others—in Lancaster, Pa., and Puerto Rico—will remain under Food and Drug Administration (FDA) oversight for five years. J&J/McNeil faces fines of $10 million per year if the agency isn’t satisfied with its progress.

    Johnson & Johnson management, from Chief Executive Officer William Weldon on down, maintains that the company’s quality-control issues are aberrations. Any suggestion of a broader malaise, says Weldon, “is just Monday morning quarterbacking. … There’s a lot of ‘J&J has lost its way,’ but I think that everything has been overshadowed by one company [McNeil],” Weldon says. “This is not a systemic problem. This is not an issue around J&J.”

    Except the problems don’t end with McNeil or DePuy. Over the last 15 months, the company has also recalled contact lenses, syringes filled with prescription medications, hernia devices, and other products made by subsidiaries around the world. In the year ended Mar. 8, 2011, J&J was involved in at least 11 major recalls, as defined by the FDA, almost twice as many as Pfizer (PFE), the world’s largest health-care-products? company by revenue, or Procter & Gamble (PG), the world’s largest consumer-products company. “I’m not familiar with another company that has had this many debacles in a very short period of time,” says Ira Loss, an analyst at investment research firm Washington Analysis who has followed the FDA for more than three decades.

    Moreover, J&J’s woes aren’t confined to the last couple of years. During the last decade, the company has been repeatedly confronted with claims that it sold a product that was defective, or that carried risks J&J downplayed in its marketing. It has been accused of paying kickbacks and using other financial incentives to promote off-label use of drugs and devices. It has been cited by federal authorities for trying to avoid the publicity of a recall by quietly buying up tainted products. And it frustrated FDA regulators who were urging the company to strengthen quality control at the factories that produced many of the recalled over-the-counter products. J&J has steadfastly denied these claims, but its own annual report for 2010 contains eight pages detailing government criminal and civil investigations and thousands of private lawsuits covering a wide range of drugs, devices, and business practices.

  253. TO ALL PEOPLE AFFECTED BY THE PINNACLE AND ASR RECALL. I ENCOURAGE ALL OF YOU TO READ THE ANNUAL REPORT SUBMITTED BY JOHNSON AND JOHNSON IN 2010. IT IS GOOD THAT WE INFORM OURSELVES ON J AND J, DEPUY MEDICAL DEVICES SECTION IN REGARDS TO THE AMOUNT OF MONEY WE ARE TALKING ABOUT. IT IS INTERESTING TO ME WHEN HEARING ROBERT DEFEND DEPUY’S RECORD THAT WE EDUCATE OURSELVES TO THE TRUTH OF THE FINANCIAL STATEMENTS AND THE VIEWS AND PROSPECTUS THAT THE COMPANY CLAIMS. BELOW IS A STATEMENT FROM THE ACTUAL 2010 REPORT FROM J AND J IN REFERENCE TO THE MEDICAL DEVICES AND DIAGNOSTICS DIVISION WHICH DEPUY IS THE MAIN INCOME EARNER.

    LEGAL PROCEEDINGS
    The Company is involved in numerous product liability cases in the
    United States, many of which concern alleged adverse reactions to
    drugs and medical devices. The damages claimed are substantial,
    and while the Company is confident of the adequacy of the warnings
    and instructions for use that accompany such products, it is not
    feasible to predict the ultimate outcome of litigation. However, the
    Company believes that in most cases product liability will be substantially
    covered by existing amounts accrued in the Company’s
    balance sheet under its self-insurance program.
    The Company is also involved in a number of patent, trademark
    and other lawsuits, as well as investigations, incidental to its business.
    The ultimate legal and financial liability of the Company in
    respect to all claims, lawsuits and proceedings referred to above
    cannot be reasonably estimated. However, in the Company’s opinion,
    based on its examination of these matters, its experience to
    date, and discussions with counsel, the ultimate outcome of legal
    proceedings, net of liabilities already accrued in the Company’s
    balance sheet, is not expected to be material to the Company’s
    financial position, although the resolution in any reporting period
    of one or more of these matters could have a material impact on
    the Company’s results of operations and cash flows for that period.
    See Note 21 to the Consolidated Financial Statements for
    further information regarding legal proceedings.

    THE FULL REPORT CAN BE ACCESSED AT http://files.shareholder.com/downloads/JNJ/1247842589x0x451776/433B9A41-6ED4-41BB-B893-A1D570EEE61D/J_J_2010_AnnualReport.pdf

    IT IS OUR RESPONSIBILITY TO EDUCATE AND INFORM OURSELVES ABOUT ALL THINGS INVOLVED IN THE ASR AND PENDING PINNACLE RECALL. DO NOT TAKE FOR GRANITE THAT YOUR PHYSICIAN OR ATTORNEY ARE ABREAST OF THE CURRENT INFORMATION. I ENCOURAGE ALL OF YOU TO ENGAGE AND EDUCATE YOUR PHYSICIANS AND LAWYERS OF THE CURRENT EVENTS IN THIS UNFOLDING DEBACLE. WE WILL HAVE TO FIGHT J AND J, DEPUY FOR EVERYTHING, THEY WILL NOT ALL OF SUDDEN BECOME SOCIALLY MINDED AND DO THE RIGHT THING. THE SAD FACT THAT YOUR AND MINE HEALTHCARE IS ABOUT BUSINESS AND AT TIMES IT IS NOT IN THE BEST INTEREST OF THE PATIENTS, THE FACTS SPEAK FOR THEMSELVES. READ ALSO ABOUT THE TALK ON THE MARKET ON J AND J STOCK AND OUTLOOK FOR DEPUY WHO JUST LOST THEIR PRESIDENT WHO WAS ASK TO RESIGN LET’S SAY AND THEIR OVER THE COUNTER PHARMACEUTICALS DIVISION RECALLS. THERE IS TALK THAT J AND J IS IN THE PROCESS OF CENTRALIZING THE COMPANY ORGANIZATION WHICH WILL PROVIDE MORE OVERSIGHT AND ACCOUNTABILITY TO ITS DIVISIONS LIKE DEPUY NOT TO CUT CORNERS. SO STAY INFORMED ON ALL FRONTS.

    THANKS
    JIM MORELAND

  254. AURTHUR

    GO TO HERE THAT YOU ARE 72 AND GOLFING. YOUR COBALT LEVELS ARE HUNDREDS TIME HIGHER THAN THE NORMAL RANGE. GIVEN YOUR ATRIAL FIB, AND KNOWING THAT COBLAT HAS BEEN LINKED TO CARDIAC ARRYTHMIA. CONUSLT YOUR SURGEON ALTHOUGH THEY MAY NOT KNOW ABOUT COBALTISM, BUT TAKE INFORMATION WITH YOU. I WOULD ALSO CONSULT A A TOXICOLOGIST. THERE ARE NO REAL AGREEMENT OR STANDARDS THAT GOVERN WHEN YOU SHOULD REVISE. SOME SAY ANYTHING OVER 7 YOU SHOULD REVISE. SOME SAY ANYTHING OVER .5 IS CONSIDERED TOXIC. I WOULD SAY YOU SHOULD HAVE THE REVISION TO REDUCE THESE LEVELS ALONE AND IF YOU ARE ARE AS IN GOOD HEALTH AS YOU SAY, THEN I WOULD ENCOURAGE TO DO SO, IT WOULD BE ASHAME TO LET TOXIC HIPS SHORTEN YOUR LIFE, WHEN THERE ARE THINGS YOU CAN DO ABOUT IT. SO GOOD LUCK AND KEEP ME POSTED.

    GOOD LUCK

    JIM MORELAND

    DONNA

    I AM VERY FAMILIAR WITH ERHLER-DANLOS SYNDROME. HYPERELASTICITY OF THE JOINTS. I SYMPATHIZE AND MAKES ME APPRECIATE YOUR PROBLEM ON A DEEPER LEVEL. WHILE AT THE UNIVERSITY OF PITTSBURGH I DEALT WITH SEVERAL EDS PATIENTS AND DEALT WITH NUMEROUS JOINT DISLOCATIONS AND DISEASE PROCESSES. I FIND YOUR FOOT TURNING INWARD INTERESTING. IF YOUR FEET ARE SHOWING DEFORMITY THEN IT WILL TRANSFER ALL THE WAY TO THE BACK CAUSING DIFFERENT STRAINS AND STRESS ON JOINTS, MUSCLES AND CONNECTIVE TISSUE RESULTING IN DIFFERENT PATHOLOGY OF DIFFERENT JOINTS. SO HAVE YOUR FEET EVALUATED ESPECCIALLY WITH EDS AS THE PEREONAL AND POSTERIOR TIBIAL TENDONS ARE PRONE TO RUPTURE. SO MAKE SURE YOU ARE WALKING ON A GOOD FOUNDATION. GOOD LUCK DONNA AND KEEP ME POSTED, IT SEEMS TO ME YOU HAVE A GOOD GROUP OF DOCTORS AROUND YOU… AND ONE LAST THOUGHT, PERIPHERAL NEUROPAHTY IS A COMMON FINDING IN AUTOIMMUNE DISORDERS.

    TAKE CARE
    JIM MORELAND

    ROGER

    AS I SAID BEFORE, I THINK YOU WOULD HAVE A GREAT CASE, BUT SEEK THE OPINION OF AN ATTORNEY. YOU WILL FIND OTHER ORTHOS WHO WILL SUPPORT YOUR POSITION.

    GOOD LUCK
    JIM MORELAND

    ROBERT

    IT IS YOU WHO ARE TOUTING THE COMPANY LINE AND HAVE LIED AND COVERED UP THE FLAWS OF THE PINNACLE AND THE ASR. IF YOU READ THE CURRENT OPINIONS OF EXPERTS OUTSIDE YOUR COMPANY THAT THE PINNACLE WHICH HAD APPROVAL IN 2002 WAS DESIGNED WITH SOME THE LOWEST CLEARANCES IN THE INDUSTRY AND FURTHERMORE THAT THE ASR IS VERY SIMILIAR TO THE PINNACLE GIVEN THAT ONE IS MONOBLOCK(ASR) AND THE OTHER MODULAR (PINNACLE). IT IS THE REASON WHY THE ASR ARRIVED ON THE MARKET AS FAST AS IT DID WAS ON THE COAT-TAILS OF THE PINNACLE. YOU AGREE WITH THIS???? TELL ME THE FLAWS IN THE ASR??? WHAT ARE THE CLEARANCES IN BOTH THE ASR AND THE PINNACLE?? WHAT CAUSES THE METALLOSIS IN THESE METAL ON METAL DESIGNS HIPS? IS IT METALS USED? IS IT RELATED TO LOAD BEARING FLAWS CAUSING IMPINGEMENT? WHY DID THE ASR GET RECALLED. WHY ARE MORE THAN 1500 COMPLAINTS TO FDA SURFACED ABOUT THE PINNACLE SINCE THE RECALL OF THE ASR? MY SURGEON WHO IS A DEPUY MAN ALL THE WAY, MANNED UP, AND HE STATES WHAT OTHER EXPERTS STATED THAT THE METAL ON METAL, PINNACLE (ULTAMET) AND ASR DO INDEED SUFFER THE SAME FLAWS AND THAT HE WAS REVISING ME BECAUSE OF THE REASON. I HAD ANTERIOR LOADING WHICH CAUSED EXTENSIVE SCARRING FROM THE SUPERIOR ACETABULUM TO THE RAMUS OF MY PELVEIS, WITH GIANT -CELL REACTION, INDICATING CHRONIC INFLAMMATION AND MUSCLE NECROSIS. INTERESTING HE FINDS THE SAME IN HIS ASR PATIENTS. DOES YOUR INFORMATION COME FROM IN HOUSE OR FROM DOCTORS WHO ARE DEDICATED DEPUY CONSUMERS? OR ARE YOU READING THE FDA COMPLAINTS AND THOSE FROM OTHER ORTHOPEDIC SURGEONS WHO ARE REPORTING EARLY PINNACLE FAILURE RATES ESPECIALLY IN THE 36 MM ULTAMET HIP.

    Defective Products
    Orthopedic Surgeons Say DePuy Pinnacle Hip Implants Failing At High Rates
    Victim of a defective Depuy Hip Implant? Click here for a FREE case evaluation.

    Orthopedic surgeons say that DePuy Pinnacle metal-on-metal hip implant replacement systems are failing at very high rates. That’s not good news for DePuy whose recent recall of its defective ASR metal-on-metal hip implant systems have forced thousands of hip implant patients to have additional, painful and expensive hip replacement surgeries.

    Defective DePuy Pinnacle Hip Replacements

    Orthopedic surgeons say that many of their clients have experienced pain and early failure of their DePuy Pinnacle hip implants  which is a metal on metal bearing surface hip replacement like the DePuy ASR XL Acetabular System and the DePuy ASR Hip Resurfacing System  both of which were subject to the recent DePuy hip recall

    However, there are very distinct differences between the two systems. The Pinnacle:

    * uses a modular system whereas the ASR is a monoblock design.
    * has an outer shell whereas the ASR cup is made of one solid piece of metal.
    * has an optional configuration whereby the surgeon can chose to place a metal liner inside the metal outer cup. In the alternative the surgeon can chose a ceramic inner liner or a polyethylene inner liner.

    One distinct similarity is that these products may all be defective. In fact, there have been reports that articulation with the Pinnacle 36 mm Ultamet Metal-on-Metal is failing at an unacceptably high rate due to a design problem whereby the device has been created with one of the lowest clearance levels in the industry. The only other implant with a clearance level this low is the DePuy ASR.

    DePuy Hip Implant Lawyers Say The Manufacturer Is To Blame

    DePuy hip implant lawyers continue to evaluate the product design and manufacturing concerns, but believe that there may be additional problems with the manufacture of the 36 mm Ultamet metal-on-metal such as its articulation being very sensitive to component position. They say that the majority of US orthopedic surgeons do not place hip implants consistently within the narrow window of angles required for optimal or even adequate performance of this implant.

    However, DePuy hip implant attorneys say that this is not a reflection on surgeons’ abilities because if many or most end user orthopedic surgeons cannot consistently place this particular implant in the positions dictated by DePuy, and apparently required for satisfactory function of the implant, then this points to negligence on the part of DePuy.

    ROBERT, MORE WILL BE REVEALED AND THE INFORMATION I GIVE OUT IS NOT FLAWED, IT IS CURRENT AND THE CURRENT PREVAILING MEDICAL OPINION. STAY CURRENT BECAUSE THIS IS CHANGING RAPIDLY AND YOU MAY NOT KNOW IT NOW, BUT YOU DO HAVE A FLAW IN THE PINNACLE AS WELL AS ASR IN WHICH YOU ADMIT ALREADY. METAL ON METAL PROSTHESIS TIME HAS NOT COME AND DEPUY SHOULD BE REPSONSIBLE FOR MAKING US WHOLE AGAIN AS THEY HAVE MISREPRESENTED THEIR PRODUCT WITH “FLAWED” DATA AND SCIENCE. THIS IS NOT INNOVATION ROBERT, THIS IS A MISTAKE THAT YOU GUYS MADE, MAKE IT RIGHT. ONE LAST THING. I HAD MY RIGHT HIP REVISED 4 TIMES LAST YEAR THE LAST ON SEPT 27, 2010. I WAS REVISED WITH THE SAME ULTAMET HIP. MY SURGEON WHO ALSO FEELS MISLED OR MISINFORMED BY DEPUY FEEL RESPONSIBLE, IT ISN;T HIS FAULT, IT IS YOUR COMPANY’S FAULT AND NOW INDIVIDUALLY YOU, WHO FAIL TO RECOGNIZE THE FAILURE IN THE PINNACLE HIP. THINK FOR YOURSELF, MANY ORTHOPEDIC SURGEONS ARE DOING JUST THAT TODAY AND THEY ARE BEING HONEST ABOUT IT. I WILL SEE HOW THE POLYEHTYLENE LINER DOES, RIGHT NOW I AM HAVING THE SAME ISSUES AS I DID WITH THE ULTAMET………DAMGAE DONE OR IS IT A DESIGN ERROR. IT IS YOUR PRODUCT THAT IS FLAWED AND WE WILL SEE YOU IN COURT. EXPERT AGAINST EXPERT ROBERT, I LOOK FORWARD TO MY DAY IN COURT.

  255. DONNA

    I AM VERY FAMILIAR WITH ERHLER-DANLOS SYNDROME. HYPERELASTICITY OF THE JOINTS. I SYMPATHIZE AND MAKES ME APPRECIATE YOUR PROBLEM ON A DEEPER LEVEL. WHILE AT THE UNIVERSITY OF PITTSBURGH I DEALT WITH SEVERAL EDS PATIENTS AND DEALT WITH NUMEROUS JOINT DISLOCATIONS AND DISEASE PROCESSES. I FIND YOUR FOOT TURNING INWARD INTERESTING. IF YOUR FEET ARE SHOWING DEFORMITY THEN IT WILL TRANSFER ALL THE WAY TO THE BACK CAUSING DIFFERENT STRAINS AND STRESS ON JOINTS, MUSCLES AND CONNECTIVE TISSUE RESULTING IN DIFFERENT PATHOLOGY OF DIFFERENT JOINTS. SO HAVE YOUR FEET EVALUATED ESPECCIALLY WITH EDS AS THE PEREONAL AND POSTERIOR TIBIAL TENDONS ARE PRONE TO RUPTURE. SO MAKE SURE YOU ARE WALKING ON A GOOD FOUNDATION. GOOD LUCK DONNA AND KEEP ME POSTED, IT SEEMS TO ME YOU HAVE A GOOD GROUP OF DOCTORS AROUND YOU… AND ONE LAST THOUGHT, PERIPHERAL NEUROPAHTY IS A COMMON FINDING IN AUTOIMMUNE DISORDERS.

    AURTHUR

    GO TO HERE THAT YOU ARE 72 AND GOLFING. YOUR COBALT LEVELS ARE HUNDREDS TIME HIGHER THAN THE NORMAL RANGE. GIVEN YOUR ATRIAL FIB, AND KNOWING THAT COBLAT HAS BEEN LINKED TO CARDIAC ARRYTHMIA. CONUSLT YOUR SURGEON ALTHOUGH THEY MAY NOT KNOW ABOUT COBALTISM, BUT TAKE INFORMATION WITH YOU. I WOULD ALSO CONSULT A A TOXICOLOGIST. THERE ARE NO REAL AGREEMENT OR STANDARDS THAT GOVERN WHEN YOU SHOULD REVISE. SOME SAY ANYTHING OVER 7 YOU SHOULD REVISE. SOME SAY ANYTHING OVER .5 IS CONSIDERED TOXIC. I WOULD SAY YOU SHOULD HAVE THE REVISION TO REDUCE THESE LEVELS ALONE AND IF YOU ARE ARE AS IN GOOD HEALTH AS YOU SAY, THEN I WOULD ENCOURAGE TO DO SO, IT WOULD BE ASHAME TO LET TOXIC HIPS SHORTEN YOUR LIFE, WHEN THERE ARE THINGS YOU CAN DO ABOUT IT. SO GOOD LUCK AND KEEP ME POSTED.

    GOOD LUCK

    JIM MORELAND

    ROGER

    AS I SAID BEFORE, I THINK YOU WOULD HAVE A GREAT CASE, BUT SEEK THE OPINION OF AN ATTORNEY. YOU WILL FIND OTHER ORTHOS WHO WILL SUPPORT YOUR POSITION.

    GOOD LUCK
    JIM MORELAND

    TAKE CARE
    JIM MORELAND

  256. I had double hip repacement in 2008 wth the de puy recalled hips

    I am having really bad back problems stenosis and sciatica

    I have atrial fib heart goes out of rhythm abd take coumadin

    No real bad groin pain…knee pain

    my cobalt is 31 and my chromium is 11

    a surgeon from NYV hospital for Joint Diseases

    looked at x rays and said left hip should be revised because of the heart danger

    I am 72 a golfer in decent shape..

    what do I do….how bad are these numbers….I read someplace it should

    be 100x the normal thanks for your help arthur

  257. Jim M,
    Thank you for your response, happy to hear your progressing. Last May when I had my THR I lived for the internet. At the time unaware of any Depuy problems.
    Let me start my saying that I’m pretty sure I don’t have Lupus, or Sjogrens, what I believe I have (not diagnosed) is EDS Ehler-Danlos, another connective tissue disorder you may or may not be familiar with. I can tell you that I started breaking bones at 4, dislocating at 18, and have had over 15 surgery’s. Not all Orthopedic but a lot. I was in a serious MVA 25 yrs ago.I was 7mos pregnant, and fx dislocated my right hip along with many other injuries.I lived in a small Pa town, the hospital was not a trauma center, 1st mistake. I had a C-Section which ultimately saved my life due to placenta previa. My beautiful daughter is 25yrs old now :).
    I waited as long as I could to have my THR until I was on pain meds 24-7,
    I have been to numerous Orthopods and started out 6 yrs ago at a rheumatologist.
    He did a dexa scan and blood work, leaving me a voicemail later telling me I didn’t
    have RA or Lupus I had a tumor on my hip, he could not treat me!!!!
    I, in the mean time started dislocating shoulders again and required surgery on those as well. I have anchors in my right shoulder. I finally went to a medical center last January I’ve seen Orthopods and Neurology. I do have DJD, and back problems,Laminectomy as well several yrs ago. I am trying to avoid any more surgery’s due to my underlying condition. I have waited 5 months for my new rheumatolgy appointment, and have tried to make an appointment with an EDS
    specialist. 3 emails, 2 phone calls later no reply. My family Dr has no idea what EDS
    is and I will be anxious to see if the new rheumatologist does.
    My PA did nothing special as far as blood work, just the ANA SED rate, kidney functions, potassium levels, my message, all good except the positive ANA.
    What you say about the contracture makes sense, I have has several PHT
    sessions one very good one which he also touched on that possibility. I have not crossed my legs for 25 yrs since my orig fx. I do have foot pain, which right after
    my THR the top of my foot was so sensitive nothing could touch it. I understand this
    is a back symptom, none the less one I didn’t have before. I do have arthritis in my knee however nothing horrible I’m told. My knee got much worse after my THR. My foot seems to turn inward, and I have a lot of pain other than the cramps, very stiff, and pain at the incision. The incision itself looks good, no redness or swelling.
    My worry is the fitting as you mentioned, and that very loud POP I heard my first day home, as I seemed to improve for a short time but the pain is now increasing to levels, pre-surgery. I am still working but by Thursday am in so much pain I have to take pain meds. And trust me I have a high tolerance for pain.
    Thank you so much for listening and caring, I would be grateful for any suggestions
    you may have, my rheumatolgy appointment is finally this month.
    I hope you continue to progress with your recovery. You have my well wishes.
    I hope your recent surgery brings you relief and mobility.
    Donna

  258. Good morning, I had my revision done 3/25/11.yes it is more painfull than the original in my case they had to take the head and cup out and clean all the bone spurs. Plus I found out my hip they say was put in wrong like 15 degrees off from where it should be. I also had complications when I got home I had to go to emergency because I lost 2 pints of blood due to the swelling that occured deep purple bruises. Now I wonder if I can sue the original Doctor who put it in wrong on 9/9/09 he was a orthapedic surgeon. Are is it impossible to have a lawsuit against a doctor. I’m not giving up cause if anyone had pain and suffering it was me. Now I’m stuck with a neoprene leg brace which is flexable but still they want me to wear it for 4 months. Who do I go after? Please anyone in this prediciment??

  259. Jim,

    Again you are giving false information by saying that the pinnacle cup is difficult position. Inserting a pinnacle cup is just like inserting any other hemispherical monoblock cup on the market. Again I point you to the 10 year data on the pinnacle cup. Again I repeat that the pinnacle cup is the gold standard in the industry and everyone else has copied it. Not sure which surgeon or who you’re getting your info from, but if it is a surgeon then he must have problems doing any total hips. Again all hips perform best if the implants are in optimal position. Intra-op x-rays are a good thing no matter the system used.

    Again you a turning the ASR problem into a problem for the Pinnacle. The ASR cup is sub hemispherical, which makes it harder to position because most, if not all, surgeons are used to using hemispherical cups.

    You are entitled to your opinion and I am entitled to mine. We can agree to disagree, but the data on the pinnacle supports what I have to say. The pinnacle has been implanted in over a million patients worldwide and there has been no statistical data that doesn’t support it’s use. It’s a free country and you have the right to say what you want, as do I, but your opinion about the pinnacle and it’s “flaws” are unfounded.

  260. BELINDA

    I AM GLAD THAT YOU ARE FINDING THE ANSWERS, ALTHOUGH THEY LEAD TO INCREASING ANXIETY ABOUT WHAT IS A HEAD. SOUNDS TO ME THERE IS EVIDENCE OF METALLOSIS OR INFECTION OR BOTH. A REVISION IS PROBABLY FOR YOU. THE GOOD NEWS YOU HAVE IDENTIFIED THE PROBLEM AND THAT SHOULD GIVE YOU SOME RELIEF, IT DID ME. ONCE I KNEW THAT MY HIP PAIN AND OTHER SYMPTOMS WERE NOT IN MY HEAD I COULD THEN BEGIN TO FORMULATE A PLAN TO TAKE CARE OF THE PROBLEM. WHAT KEEPS ME MOVING FORWARD IN ALL OF THIS IS I HAVE HOPE FOR A BETTER DAY, A BETTER QUALITY OF LIFE, AN ENRICHED LIFE. SO I MOVED EXPEDITOUSLY FORWARD TO REVISION. BUT IT WAS THAT HOPE OF A BETTER TOMORROW THAT KEPT ME EMOTIONALLY AND SPIRITUALLY SOUND, ALMOST AS IF I WAS WELCOMING THE SURGERY(I WAS) AND THAT HAS CARRIED OVER IN MY REHAB WHICH I AM IMPROVING DAILY. I FEEL RELIEF SYSTEMICALLY ALREADY, THE RASH ON BOTH MY ARMS HAVE DIMINSHED GREATLY AND MY COGNITION SEEMS TO BE A LITTLE SHARPER AND LASTING FOR LONGER PERIODS. THE REVISION IS NOT THAT BAD. BUT THIS DEPENDS ON HOW MUCH DAMAGE HAS BEEN DONE BY THE METALLOSIS OR COBALTISM. IF YOU DID WELL WITH THE PRIMARY THR THEN YOU SHOULD TOLERATE REVISION OK. RECOVERY IS DIFFERENT THOUGH. A LITTLE MOE PAIN AND I AM STIFFER, BUT THEN AGAIN I AM 7 YEARS OLDER ALSO. I ENCORAGE YOU TO GET IT REVISED SO THAT YOU TOO CAN HAVE HOPE FOR A BETTER TOMORROW, ONLY WE, THE PEOPLE WHO HAVE BEEN AFFECTED BY THIS, TRULY KNOWS HOW OUR QUALITY OF LIFE HAS DEGRADED.

    BEST OF LUCK BELINDA, I AM HERE FOR YOU

    JIM MORELAND

  261. Hi St. Jim ~
    My thoughts and prayers and gratitude.
    For what it is worth, I have just completed 10 sessions of PT to breakdown my hip adhesions. It was absolute torture; however, I am now back to riding my bike, leg squats, and being able to put my shoe and sock on with little discomfort. With the increased physical activity, I am going to have another chromium and cobalt test in a few weeks. Last time [February], the cobalt reading was 7.3. If it has gone up again, then I will do the obvious. For those who may live in the Denver area, I would recommend Tim Runyon PT, DPT. Tel: 303 683 4500. He has helped me a helluva lot.

  262. Well my results from my hip aspiration test came back an the Dr. said it was abnormal so hes sending me to another Dr. who he says knows more about these MOM hip replacements an he thinks its an good idea for me to see him. So Im guessing this is routine?? Jim? Im so really confused with all this. Jim how bad was the revision? Is it as painful an hard as the replacement surgery? I hope your doing good an this is the beginning of a better future for u!!

  263. DONNA

    THANKS FOR THE WELL WISHES AND MY RECOVERY IS PROGRESSING WELL, WELL ENOUGH I FEEL LIKE TRYING GO THROUGH YOUR PROBLEM AND SEE IF WE CAN HELP YOU. I HOPE THIS FINDS YOU DOING ALRIGHT ALSO.

    YOU SAID YOUR INNER THIGH PAIN WAS PRESENT BEFORE YOUR THR. IS THIS RIGHT? THIS IS WHAT I WILL ASSUME.

    WHY DID YOU HAVE YOUR THR? DJD, CONGENITAL DYSPLASIA, AVN???? HOW LONG DID YOU HAVE THIS CONDITION BEFORE SURGERY?

    IF YOU ARE ONE US WHO WAITED TILL WE CAN’T STAND THE PAIN ANY LONGER TO HAVE THR SURGERY THEN YOU MAY HAVE DEVELOPED A CONTRACTURE USUALLY FLEXION CONTRACTURE. AS THE BONE DEGENERATES THE MUSCLES AND SOFT TISSUE ARE AFFECTED. ONCE JOINT INTERGRITY IS COMPROMISED THEN MUSCLE CONTRACT TO STOP THE JOINT FROM MOVING DUE TO PAIN. SO YOU MAY BE DEALING WITH THIS ISSUE. PT WOULD HELP STRETCH THIS OUT OR SURGICAL RELEASE OF THE TENDON WOULD BE WARRANTED.

    INTRA-OP XRAY SHOWED MALALIGNEMENT, I ASSUME THIS WAS CORRECTED? BUT THE ISSUE WITH THE PINNACLE AND THAT GOES FOR METAL, PLASTIC AND CERAMIC, IS A DESIGN FLAW THAT REQUIRES PRECISE PLACEMENT OF THE ACETABULOAR COMPONENT AS ANY MAL-ALIGNMENT CAN CAUSE VARIOUS LOAD BEARING ISSUES THAT CAN CAUSE YOUR MUSCLES NOT TO WORK PROPERLY THUS CAUSING CRAMPING AND STIFFNESS AND OTHER ISSUES. SO PLACEMENT IS KEY IN THESE PINNACLE SYSTEMS. MY SURGEON DID THE SAME THING, AND I WOULD ARGUE PALACEMENT WAS WRONG AND HE WOULD SAY NO, BUT I HAD BOTH HIPS REPLACED AND MALALIGNMENT WAS OBVISOUS. THE PINNACLE HAS NO FORGIVENESS TO SURGEON IF HE IS SLIGHTLY OFF ON HIS POSITIONING.

    HOW ARE YOUR KNEES??? ARE THEY ARTHRITIC??? IF SO THIS COULD BE A CAUSE. HOW ARE YOUR ANKLE AND FEET DOING ALSO???

    ANA???SOMETHING I KNOW A LOT ABOUT. I HAVE LUPUS. ANA COULD INDICATE A RHEUMATOLOGICAL PROBLEM, BUT NOT ALL PEOPLE WITH POSITIVE ANA’S HAVE LUPUS OR RHEUMATOLOGICAL PROBLEM. BUT THIS DOES NEED TO TAKE PRIORITY AND SEE THE RHEUMATOLOGIST AS SOON AS YOU CAN. THERE ARE MRE THAN 80 AUTOIMMUNE DISEASES SO IT IS IMPORTANT. YOU ALSO FIND SJOGRENS SYNDROME ALONG WITH LUPUS AND IN WOMEN PARTICULAR. THE REASON I MENTION SJOGRENS IS THAT IT HAS BEEN KNOW TO CAUSE DEEP HIP PAIN….I HAVE IT DONNA….SO GET THE EVAL AND GET ME MORE INFO ON THIS AND I CAN HELP. ALSO LIST ALL YOUR BLOODWORK AND I CAN MAKE SOME SUGGESTIONS SO YOUR PA CAN ORDER IT BEFORE YOUR RHEUMATOLOGICAL VISIT. RHEUMATOLOGICAL AND AUTOIMMUNE DISEASES CAUSE BIZARRE SYMPTOMS, SO THAT IS WHY I STRONGLY SUGGEST WE FIND OUT MORE ABOUT YOUR ANA….

    FINALLY, THIS MAY BE A BACK PROBLEM INDEED. ESPECIALLY IF YOU CAN ONLY WALK FOR A HALF MILE AND THE SYMPTOMS OF WEAKNESS AND PAIN OCCUR. THIS CONDITION IS CALLED SPINAL STENOSIS. THIS NEEDS TO BE EVALUATED FURTHER. IF YOU FIND YOU ARE PROPPIING YOURSELF UP WITH YOUR ELBOWS WHILE DOING DISHES OR ANYTING THAT REQUIRES PROLONG STANDING OR SITTING. ALSO YOU MUST HAVE YOUR PULSES CHECKED. IF THERE IS ANY ARTERIAL BLOCKAGE THIS CAN CAUSE VASCULAR CLAUDICATION CAUSING SPINAL STENOSIS LIKE SYMPTOMS. THEY NEED TO LOOK AT THE WHOLE SPINE TOO DONNA…

    I HAVE MORE IDEAS BUT THIS IS WHERE I WOULD START WITH YOU AS THERE IS A EXPLANATION. ALSO A B-12 AND THYROID LEVEL IS WARRANTED…BUT LET ME KNOW WHAT LABS YOU HAVE HAD AND I WILL GIVE YOU A LIST OF LABS.

    I HOPE THIS HELPS SOME.

    TAKE CARE
    JIM MORELAMD

  264. Jim M.
    Not sure if you read my post on 4/22/11 but I’d like to ask your opinion on
    a symptom I’ve had. Inner thigh cramps horrible make me scream cramps.
    I had them before my THR, they stopped for a short period afterward but back
    even worse than before. My surgeon offers no opinion on them other than an xray.
    I have had 4 sets of x-rays in my post op visits. My family PA tested my potassium levels which came back ok, but now have a positive ANA, for the first time, ( had this test many times before). The cramps are horrific pain and leave my leg extremely weak. I try to keep myself hydrated, drinking plenty throughout the day.
    I just keep getting worse and worse, I can’t walk a half mile.
    My OP notes mention adjusting the cup slightly based on intraoperative x- Ray.
    I am almost 12 months post op. My last visit to my surgeon he just said see you in a year, that was January. I too have a medical background, as a Surg Tech.
    I left that due to my hip issues, and now work in insurance. So I understand the
    game so to speak, but that has not helped me find a solution to my problem.
    Any information you can offer about these hip cramps? Thank you so much,
    I hope your recovering well, and wish you luck in your battle with J&J.
    Thank you again for any suggestions.
    Donna

  265. JEFF

    WHAT IS NOT INCONCLUSIVE IS YOUR WORSENING PAIN. GOOD NEWS FOR YOU, MY MENTOR HARRY RUBASH IS CHIEF OF ORTHO AT MASS GENERAL. I TALKED WITH HIM AND THEY HAVE ADDED HIP REVVISIONIST SPECIFICALLY FOR THE MOM HIP FAILURES. SO VERY WISE MOVE. I AM SURE THEY WILL BE DEFINITIVE. WHAT THE SURGEONS ARE DOING IS WAITING UNTIL YOU LITERALLY FORCE THEM TO OPERATE. MO SURGEON WANTS TO REVISE IF THE EVIDENCE DOES NOT SHOW FRANK LOOSENING. BUT WITH METALLOSIS IN THE MOM HIPS IT IS AT THE MICROSPCOPOIC LEVELS THAT EFFECT TISSUES AND BONES THAT CAUSE THE PROBLEM CAUSING SEVERE PAIN AND LIMITATIONS WAY BEFORE THERE IS OBJECTIVE EVIDENCE. SO, IF YOU COBALT AND CHROMIUM LEVELS ARE NORMAL AND YOU ARE HAVING NO SIDE EFECTS THEN WAIT AS LONG AS YOU CAN, BUT JEFF, IF YOUR QUALITY OF LIVING IS DRASTICALLY CHANGING THEN GET THE REVISION….IT IS A TOUGH DECISION…I JUST HAD MY FIRST ON THE LEFT AND WILL DO THE RIGHT IN A FEW WEEKS. I MISS NOT PRACTICING MEDICINE JEFF AND I KNOW AS ONE PROFESSIONAL TO ANOTHER, IT IS VERY HARD FINDING ANYTHING THAT CAN EQUATE TO THE PASSION AND ENJOYMENT WE DERIVE FROM PRACTICING OUR TRADES AND ARTS. I AM PRAYING FOR YOU, THAT YOU CAN KEEP YOUR LIVELIHOOD AND HAVE SOMEWHAT A NORMAL LIFE………I AM HERE FOR YOU ANYTIME AS I CAN IDENTIFY WITH YOU ON AMNY LEVELS JEFF. PLEASE LET ME KNOW HOW THINGS GO IN BOSTON. MY BEST ALWAYS JEFF

    JIM MORELAND

  266. Jim- I finally took some advice. I have been getting the run around from all the Doctors. I have now had (2) bone scans and both say words like ‘loosening’ and failed but my doctors are telling me it I inconclusive…to quote the latest “scintigraphic findings suspicious for loosening of the right hip prosthesis, especially at the distal limb compared to prior scan”…. The 2nd bone scan I had done at George Washington Hospital the radiologist told me there was nothing inconclusive about it but he would run the test again…..? and since the 2nd test nada from my doctor and that scan was completed early March.
    I have made an appointment to see Henrik Malchau, MD at Mass General in Boston. I just happen to be going up there next month for work and got in to see him. I am looking forward to seeing him. Does anyone know Dr Malchau?
    I also know my hip continues to get worse and I am fairly certain that it has failed and is having an impact on many things in my life. It hurts daily now, back in October it was frequently but not everyday. I have been keeping a journal of the pain and different symptoms. One of the things I am going through is sharp pain and then a dull but consistent pain. Other times it feels as if it is going to pop out of my backside.
    I have posted on here before so I won’t put my history again but I had my Pinnacle MOM in December of 2007 when I was 37 years old, so I am one of the suckers that was told it was for young people and I would be back on the golf course, etc. The interesting part is I had others doctors telling to continue to wait as long as I could but my doctor convinced me of this new technology, etc……now he won’t return my calls since I last saw him in October. I also found out he was a paid consultant for Johnsons and Johnson.
    The part that is also hard is my work as an architect when I can’t walk a job site (which I still do as it is my livelihood but I pay dearly at night) and my life. My wife and I are in the process of adopting and many countries require physicals and you have to list any ‘potential’ surgeries, that is another story but needless to say it is impacting every part of my life.
    Thanks Jim and everyone for their posts, I am with Jim and I want my life back and I want Johnson to pay!

  267. Bob H,

    The Pinnacle system is a modular system. Modular means that there is a cup with a separate liner whether that liner be poly, metal, or ceramic. Monoblock systems are always metal on metal in the U.S. and it means that the cup and liner are one piece. The component is usually just listed as a cup and there will be no liner component.

  268. VIC

    I KNOW ALL ACROSS THE COUNTRY THEIR IS AN EFFORT UNDERWAY TO GET MULTI-JURISDICTIONAL LAWSUITS SAVING MONEY IN DISCOVERY AND THE HIRING OF EXPENSIVE PROFESSIONAL WITNESS’S. I HAVE NOT HEARD ANYTHING SPECIFIC BUT I DO KNOW THAT THEIR IS A HEARING SCHEDULED HERE IN LOUISVILLE THIS MONTH TO MOVE THAT THE PINNACLE BE JOINED TOT HE ASR SUIT, SO THAT THE CLAIMANTS MAY EXPEDITE THEIR CLAIMS AND GET THE HELP THEY NEED. I WILL KEEP YOU POSTED AS I KNOW SOMETHING.. I HOPE THIS FINDS YOU DOING WELL….JIM

  269. KATHY

    I HEAR YOU AND I AM PRAYING FOR YOUR SISTER AND YOU. YOUR SISTER HAS THE ULTAMET. IT IS THE METAL ON METAL. NOW THE CURRENT THOUGHT IS AND THIS COMES FROM MY SURGEON VIA HIS PROFESSIONAL ORGANIZATION AND THE TALK AMONG DEPUY REPS THAT THE ULTAMET BE TREATED THE SAME AS THE ASR WHEN IT COME TO REVISION PROTOCOLS. IT SOUNDS TO ME KATHY THAT YOUR SISTER NEEDS A REVISION. I FEEL FOR HER, I AM 1 WEEK OUT OF MY FIRST REVISION. IF THERE IS ANYTHING I CAN DO FEEL FREE TO LET ME KNOW. BUT SHE NEEDS THE REVISION,,,,I SYMPATHIZE WITH HER…..THIS PAIN IS UNBEARABLE….

    GOOD LUCK
    JIM

  270. ROBERT WHAT YOU SAY IS TRUE AND FINALLY WE ARE IN AGREEMENT AS FAR AS INNOVATION. NONE OF US WENT INTO THIS THINKING WE WERE GOING TO SUE DEPUY. WE WERE TRUSTING OUR PHYSICIANS AND PROSTHETIC COMPANIES TO DO WHAT IS IN THE BEST INTEREST OF THEIR PATIENTS. I TOOK AN OATH. ABOVE ALL THINGS “DO NO HARM”. DO YOU THINK FOR-PROFIT COMPANIES ARE GOING TO PAY RESTITUTION TO US WHO HAVE BEEN IMPACTED FOR THE REST OF THEIR LIVES? YOU GET A LAWSUIT WHEN DESERVE ONE. IN THIS CASE, DEPUY HAS KNOW FOR YEARS THAT THEY HAVE HAD A PROBLEM WITH THEIR METAL ON METAL THR. IF IT WERE NOT FOR THE UNITED KINGDOM, AUSTRALIA AND CANADA WHERE THEY HAVE A JOINT REGISTRY NONE OF THIS WOULD EVER COME TO LIGHT. BUT THAT IS WHY THE GOVERNMENT EXIST IS TO PROTECT ITS CONSUMERS AND CITIZENS. THESE MEGA-COMPANIES NEED OVERSIGHT AND I THINK YOU WILL BE SURPRISED WHEN THE FACTS DO COME OUT ABOUT HOW DEPUY HANDLED IT. IT IS SAD THAT WE HAVE AN ADVERSARIAL JUDICIAL SYSTEM WHERE CONSUMERS MUST GO TO GET RESTITUTION. SO RIGHT AWAY ONE SIDE IS AGAINST THE OTHER. LAWYERS IS NOT THE FIRST RESORT ROBERT, BUT THE LAST RESORT. YOU SOUND LIKE A GOOD COMPANY MAN AND I RESPECT THAT, SO LET’S PUT THIS TO BED RESPECTING EACH OTHERS VIEWPOINTS.

    JIM

    TAMI

    UNFORTUNATELY TAMI YOUR STORY SOUNDS FAMILIAR. JUST HAD MY FIRST REVISION TO POLYETHYLENE. YOUR SYMPTOMS SOUND MECHANICAL IN NATURE, MEANING THAT THERE COULD BE SOME ISSUES WITH SOFT TISSUES WITH IMPINGEMENT OR MAL ALIGNMENT ISSUES. SOMETIMES IT TAKES A GOOD 12 TO 24 MONTHS FOR A HIP TO SETTLE DOWN AND GO ON TO ASYMPTOMATIC SITUATION. BE PERSISTENT AND MAKE A LIST OF ALL PROBLEMS YOU ARE EXPERIENCING. SOMETIMES A SECOND OPINION IS WARRANTED AND A GOOD QUALIFIED ORTHO WILL HAVE NO PROBLEMS WITH THIS. I BELIEVE THAT THERE IS A DESIGN FLAW IN THE PINNACLE THAT CAUSES VARIOUS LOADINGS CAUSING THE HIP NOT TO WORK PROPERLY RESULTING IN SEVERE HIP AND ANTERIOR THIGH PAIN AND STIFFNESS…..STIFFNESS IS A COMMON COMPLAINT AMONG PINNACLE HIPS METAL, CERAMIC OR POLYETHYLENE. I KNOW THIS DOES NOT HELP MUCH IT TOOK ME 7 YEARS TO OPEN MY SURGEONS EYES AND MIND THAT THE IMPLANTS HAVE FAILED…

    GOOD LUCK

    JIM

  271. Hello Kathy H.

    Thank you for Dr Scott Phillip’s name in Denver. It sounds like he provided you with some comfort.

    Jim B.

  272. Robert
    Can you tell me if my THR is modular or Monoblock? I have a Pinnacle ALTRX and Pinnacle Sector II Acetabular Cup with Summit Femoral Stem and Biolox Delta TS REV Articul/eze ceramic femoral head.
    I had mine installed Nov 2009 and have aggrevating pain in the hip and thigh but no evidence of problems from 2 different reputable surgeons including the Cleveland Clinic who did not do the surgery.

  273. My name is Tami, I had a right THR replaced in March 2010 with the Pinnacle and Polyethylene liner and continue to have pain with i in the groin and the hip area.. I have the burning sensation at the surgical sight and down the right thigh (as though it is extremely bruised-though not black and blue) and the hip still grinds and pops at times. I have been told by my surgeon that, and he says this is normal that its the tendons and ligaments and nothing to worry about and the burning is bursitis. I had an injection for the”bursitis” a few months ago but the burning continues. It also feels as though it locks up at times. I can only sit about 1/2 hour or so before getting stiff and have to wait a minute to start walking once I stand up. I also cannot walk more than about half a mile before starting to limp again. This is so frustrating. I am a Medical Assistant which means I have to walk all day rooming my patients. This has jeopordized my job not being able to be on my feet like I need to be. I am curious to know if these are signs of needing a revision? I have had my cobalt and chromium levels done.Doc says these are normal. I have developed Tinnitus a few months back and it is extremely annoying hearing crickets constantly. I have had my hearing checked. I have little loss of hearing and have had an MRI done of my brain to see if any abnormalities could be hidden. Came back negative. ENT not sure whats going on. States it could be my medication but I have been on these for quite sometime now. Any advise would be greatly appreciated. Thanks . TAMI

  274. Hi all, I’ve been following the postings and seems that many depuy products
    are a problem, mine began 11 months ago with my long awaited THR,
    the Summit hip system, ceramic head, ultrex liner and pinnacle 100 acetabular
    component. First day home from the hospital I sat down and heard a very loud POP
    I knew I hadn’t dislocated when in was able to move but the sound was similar to
    that of a joint dislocating or breaking. I called my dr who advised me I probably popped a stitched tendon, nothing to worry about, some surgeons don’t even stitch
    it. Next was my 1 st coarse of pht after a couple of weeks my knee blew up and
    unbelievable pain, back to the Dr, his dx.. Arthritis stop pht for now. Next appoint more x-rays, while I’m not happy with my pain level, ands limitations by surgeon
    assures me my hip looks fine on the x-rays. At 3mos post op I’m sent back to work
    while still having significant pain and limitations. Back to the Dr 6wks, this time I see the PA who orders more x-rays and confers with the surgeon, he tells me, I have trochanter bursitis telling me it was necessary to widen my hip during surgery in doing so, caused this bursitis, the PA who gave me the injection told me if no improvement they may aspirate fluid to see if there is any infection. After my steroid injection I suffered extreme inner thigh cramps which I have periodically, the pain, horrific I returned to my surgeon in another 6 weeks the end of January 2011. I see the surgeon this time more x-rays and he tells me he did his work correctly, it my body, that’swrong referring me to rheumatology. The also told me at one appointmen
    that it was by back. When I asked my surgeon if he had experienced any other problems with this hip system he said, no not at all! Any thoughts folks? I’m 53 moving like I’m 80.

  275. Jim,

    Again, I’m not saying anyone on here is a hypochondriac or crazy or anything like that. I sympathize with everyone. My point is that not all pinnacle hips are metal on metal. Not all trident hips are ceramic on ceramic. Most current systems have a modular cup which means that the liner component can vary between poly, metal or ceramic with metal or ceramic heads. Modular cups do not have alarming revision rates. Monoblock cups, meaning the cup and liner are one piece and allow for larger head components, have very high revision rates across the board. Metallosis has been a problem since the original hip replacements and the materials have been improved without a doubt. That being said, as you discuss clearances, every company claims to have the best everything. The truth may come out, but as I said, it will not be in the near future with the pinnacle when the 10 year data looks as good as it does with any head and liner combo.

    Poly liners fail and cause severe problems and so can metal. It’s a risk either way.
    Patients just need to be informed when lawyers are involved. ASR is the product at fault; not pinnacle. All companies have revisions and it’s unfortunate for those who have to endure it but there are other factors besides just implants that are at fault. Knee replacements fail too. It’s a bad deal when you have a joint replaced and expect it to last you 20+ years and a year later it has to be revised. More often than not, that revision is not because of the implant itself but how it was implanted.

    One last thing, without ideas and innovation we settle for something that is good enough, but has problems of it’s own. Poly has come a long way in a short amount of time. DePuy made the first poly that does NOT oxidize, or breakdown in the presence of oxygen over time and that revolutionized poly as the industry knows it. That was over 10 years ago and improvements have been made upon that poly by DePuy, Zimmer, Smith & Nephew and other companies. However, it still has not been perfected and other companies refuse to follow that model and look for the “next big thing” unsuccessfully and continue to have poly fail due to oxidation. Engineers and companies make mistakes just like you and I and just like surgeons. It’s just sad that lawyers are able to take advantage of human nature and frame it as helping others out. So be informed before you start “looking for help.”

  276. To Belinda:

    I have had two aspirations over the last year for infection, nothing to them. Actually the first one was kind of fun, the radiologist hit a nerve with the anesthesia and it deadened my leg for a couple of hours, the first relief I had since the ASR was put in. Have scheduled mine taken out the end of May, it’s the last thing I want to do but you can only put up with the pain and burning for so long, might not help but will never know unless I try.

  277. TO ALL OF YOU THANKS FOR THE WELL WISHES. I HAD MY FIRST REVSION ON THE LEFT HIP THINGS WENT WELL. I WILL TRY TO REPSOND IN A FEW DAYS. THE BEST THING WE CAN OFFER EACH OTHER IS SUPPORT, BECAUSE UNLESS YOU ARE TRULY AFFECTED BY THESE FAULTY HIP REPLACEMENTS, YOU CAN NOT COMPLETELY EMPATHIZE WITH OUR STRUGGLES.

    ROBERT, I AM NOT RUNNING FROM YOUR QUESTIONS AT ALL. YOU MAKE MY POINT WITH YOUR DISCUSSION. THE PINNACLE IS THE HALLMARK OF THE METAL ON METAL HIP AND OTHER MODULAR SYSTEMS. WELL AS YOU POINTED OUT THERE ARE OTHER HIP SYSTEMS THAT ARE FAILING AT ALARMING RATES ALL BECAUSE THE PINNACLE DESIGN AND METAL ON METAL HIPS ARE FAULTY. GET THIS, METAL ON METAL, IT’S TIME HAS NOT COME. DO YOU THINK ALL US ON THIS SITE ARE HYPOCHONDRIACS OR LETIGIOUS IN NATURE. I OWNED 2 2MEDICAL CLINICS STRONG 6 DIGIT SALARY ALONE, DO YOU THINK THAT I OR WE WANT TO BE IN THIS POSITION. LET’S HAVE THIS DEBATE ABOUT ACETABULAT ALIGNMENT AND LANDMARKS……..MEDICINE….EACH INDIVIDUAL IS UNIQUE ROBERT AND LANDMARKS ARE JUST THAT, LANDMARKS, BUT EACH MEASUREMENT IS DIFFERENT AND EACH COMPONENT FITS DIFFERENTALLY……YOUR CLEARANCES ON THE PINNACLE ARE WAY TOO LOW, YOU KNOW THIS, IN TIME DEPUY WILL HAVE TO SHARE THE FACTS……..THE PROBLEM WITH YOUR DEPUY PINNACLE ULTAMET IS THAT YOU ADVERTISED IT AS THE HIP OF THE YOUNG THINKING YOU WOULD CLAIM A NEW MARKET AND TAP INTO THAT MARKET OF YOUNG ARHTROPLASTY PATIENTS THAT USUALLY WERE LEFT IN A HOLDONG PATTERN BECAUSE THEY WERE TOO YOUNG……IN MY CASE ROBERT, I WILL NEVER WALL AGAIN AND IT IS BECAUSE THE ENGINEERING AND THE SCIENCE DOESN’T BACK UP YOUR CLAIMS,,,WE KNEW IN THE 60 70’S THAT METAL HIPS WERE PRONE TO METALLOSIS….BUT YOU TOUTED NEW INNOVATED DESIGNING AND TECHNOLOGIES THAT MADE THIS POSSIBLE…..YOUR COMPANY NEEDS TO BE RESPONSIBLE ROBERT AND THEY ARE AND THEY WILL WITH THE PINNACLE ALSO…..THIS IS FAR FROM OVER……JIM…I WILL HAVE THAT DEBATE WITH YOU ANYTIME ROBERT ON ALIGNMENT AND PLACEMENT…

  278. to jim’
    there was an april 5th meeting with the lead judge in florida and i can’t seem to finf out what it was about and what was the out come. does anyone know what happened it concerns all who are sueing

  279. Well Thursday 3/14/11 I had a hip Aspiration Test done which I thought hurt, But its over now an Im waiting on the results to come by. Has anyone ever had one of these test done? An if so what color was your fluid pulled from your hip?

  280. To EVERYONE out there to be careful about wanting to get the metal and plastic. my husband has that one and he has had trouble ever since.

  281. To Ron Brown:
    My husband had his hip done in 2007 and has had problems ever since. but they say is his is not the bad on , but his has pennicule acetabular shell with the polythirine ( which is a plastic ) so i w9ould really be careful and do research on the metal/plastic. i wish you all the best

  282. Hi Jim,

    Sorry it has taken me so long to respond to your request about the type of HR my sister has. I checked out the website you linked me to, and it appears my sister has a combination system. Specifically, the person she spoke with said she has a “Summit stem with a Pinnacle cup, non-cemented metal-on-metal.” I guess this translates to a Summit Femoral Stem and a Pinnacle Acetabular Cup System. I’m not sure which Liner she has, but I suspect it’s the Ultramet XL Large Diameter Metal as she was told her HR is “metal-on-metal.”

    Not much came out of her appointment two weeks ago. The ortho surgeon took fluid from her hip region, and the blood count came back as abnormal. He also took a culture, but she didn’t get any info from him about that. (My sister is very hesitant to ask questions of her doctor, partly because I think she’s afraid of the answers, which is why I’m trying to help her get the answers she needs to make proper decisions.)

    The bottom line is the orthopedic surgeon said he needs to “open her up” to see if there’s an infection at the HR site and to replace the metal-on-metal with either a ceramic or a plastic cup. I believe this qualifies as revision surgery.

    Unfortunately, her COBRA expired April 15, and she hasn’t yet been approved by Anthem Blue Cross’ HIPAA plan (though she applied last month). Meanwhile, she is taking one Oxycontin and four Norco daily, though the pain is now way beyond what the prescribed meds can filter.

    My question to you is whether my sister can qualify as part of the recall and get the appropriate revision surgery. She doesn’t want to continue on the Oxycontin/Norco endlessly, which is what the OS says she’ll have to do until she gets her insurance approved. Of course, she could also be denied coverage, which would be another stressor.

    Thanks for all your help and the time and attention you devote to this very helpful, useful site, Jim. I feel as if somebody out there is hearing my tiny voice and trying to help.

    Best regards,
    Kathy Skaggs

  283. RTHR, September 9th, 2009 (9/9/9 should have been an oman), spinal block, when I came out, felt like my hip, foot and leg were on fire, has not let up since. Found out later I was one of the lucky ones with a Depuy ASR, have had all the tests, all negative. Just for fun, had a widow maker on Thankgiving of 09, Plavix has kept the revision possibilities limited since. Have talked to the OS many times, says if I want a revision, that’s my choice, have scheduled it for late May, plans on using the Pinnacle metal on plastic since the stem can be saved with that method. Pain specialist said it was my back, had a back surgery six weeks ago, nothing. Any similar experiences or words of wisdom would be appreciated. Meanwhile, the other hip just keeps getting worse and worse by the day. Is there a light at the end of this tunnel?

  284. jim, i had revision dec 8th 2010 went thru re-hab went to florida and did more re-hab. leg feels 100% and no pain in hip or between hip and knee, i’m actually pain free, first time in three years, but every once in a while if i bend over my quad muscle locks up and i have to wait a minute to move and then it moves freely. is that scare tissue or what? i’m lost and don’t know how to explain it to surgeon.

  285. Jim, thank u for always responding to all of us! An I sure hope your revisions goes well on the 18th!! I will be thinking of u! An I’m sure as soon as u heal u can let us know how it went an how your doing. I dont know how you’ve handled all those surgeries I honestly thought it was awfully painful an depressing all the healing time. But I made it thru it an now four yrs later here I go again I cant believe it, because my hip was so good for a few yrs then I noticed all the popping an clicking an that burning feeling. An right away I knew it had changed inside there. Well tomorrow I go for an ultra sound an a test called a aspiration ( spelling not sure of sorry) Then hopefully Ill know more of whats wrong inside there. An Im thinking my revision will be the 26th. Oh well weve got to do what we have to do to stay healthy, because I just dont feel good right now! Please take care of urself an we hope to hear from u soon!!

  286. Hi Jim M,

    Thanks for the seconding of my choice of Docs on this issue! I will see what they say next tuesday. I have gotten lots of great information from many sources about this metal-on-metal and Pinnacle problem, and this site is one of them. There are also some great surgeons at NY Hosp for Special Surgery, the Mayo Clinic and New England Baptist Hosp as well. If I see Dr. Rubash, I’ll say hello!

    Best wishes,
    Kathy H

  287. Hi Jim B,

    Jim B, the toxicologist I spoke to (via email) is Dr. Scott Phillips in Denver and he does work through the U, I believe, but I’m not sure. He is very good. I agree with Jim M, the toxicologists do not seem to be very alarmed about these high metal levels. But, in thinking this over and talking to many Dr’s (both surgeons and Toxicologists), I have come to the conclusion that the toxicologists are very familiar with the toxins initiating from external sources, not internal sources. But I did find comfort from this Dr. , as I felt I could take the time I needed to look into this matter and find the doctor I wanted to go to, without having to react to this problem before
    I understood it a bit better. Not that I’m not afraid of it, just sort off reduced the panic of it.

    Kathy H.

  288. Jim,

    Again your advice about products is alarming. The pinnacle has a great track record and every company has copied that product. It is the gold standard of ace tabular components. My company copied it very closely with the difference being the locking mechanism for the liner. If the Pinnacle is so hard to implant then every other company who has a hemispherical modular cup must be difficult to implant also. Research published papers on hemispherical modular cups and you will find the Pinnacle is tops (because it was the original) and other companies have followed that mold. You should be able to find 10 year data.

    Monobloc cups on the other hand are where the problems are. Zimmer has recalled the Durom. DePuy has recalled the ASR. There are rumblings that Wright Medical will soon be recalling theirs and Smith & Nephew and Biomet are seeing their fair share of problems. Biomet has no one to report to because they are a private company. Therefore they will never recall the Magnum. See what kind of data you can find on the Magnum monoblock cup system. You will find no published data. Why would a company publish data on other products but not that particular one which seems to be under so much scrutiny? Smith & Nephew’s only monoblock cup is used with the Birmingham resurfacing system which has it’s own problems.

    The bottom line is that your advice about hemispherical modular cups (Pinnacle) is completely unfounded. It is not hard to implant IF a surgeon is a sound technician who knows his anatomical landmarks and probably most importantly takes x-rays intraoperatively. Taking 5 minutes to take an intra-op x-ray can be the difference in a hip replacement that lasts a lifetime and one that gets revised in a few years. You should know this.

    I know that this is something that should not be taken lightly, but before you start throwing out all of this advice with the statement ” consult your lawyer” attached, please do your research and save these patients some money.

    LAWYERS ARE WHAT IS WRONG WITH THE MEDICAL INDUSTRY TODAY. They are the reason medical costs are completely out of hand.

    By the way you never responded to my last post about cup position and combined anteversion

  289. ROGER PIETZ

    SO SORRY TO HER OF THE POST-OP COMPLICATIONS. ROGER, DEEP THIGH CRAMPING ALWAYS ALARMS ME. MAKE SURE YOU DISCUSS THIS WITH YOUR DOCTOR AS IT COULD REPRESENT A BLOOD CLOT, SO TAKE THIS SERIOUS. AS FAR AS WHO TO SUE IN THESE CASES. MY SURGEON DID THE SAME TO ME. BUT I HOLD DEPUY FULLY RESPONSIBLE BECAUSE THEY DESIGNED A HIP THAT HAD TO BE PRECISELY PLACED WITH VERY LITTLE LEEWAY, MAKING THE SURGEONS JOB ALMOST IMPOSSIBLE. EACH INDIVIDUAL IS DIFFERENT AND WHAT I WOULD ADVISE IS TO CONSULT YOUR ATTORNEY. WHAT KIND OF HIP DID YOU HAVE ORIGINALLY? LET ME KNOW, THAT WOULD MAKE A DIFFERENCE OF WHETHER YOU SHOULD GO AFTER YOUR SURGEON, BUT IF IT IS A DEPUY PINNACLE, I BELIEVE YOU WOULD HAVE BETTER SUCCESS AT SUING DEPUY/JANDJ. NOW THAT IS JUST MY OPINION. CONSULT YOUR ATTORNEY.

    GOOD LUCK
    JIM MORELAND

    JIM B

    HEY JIM, TRY CALLING THE UNIVERSITY, UNIVERSITY OF DENVER? I BELIEVE. THEY ARE USUALLY A GOOD REFERENCE. YOU ARE RIGHT, THESE DOCTORS NO NOTHING ABOUT THE SIDE EFFECTS OF COBALTISM. IT IS VERY FRUSTRATING, AS THEY ARE NO REAL HELP. I CONSULTED WITH THE TOXICOLOGIST AT UNIVERSITY OF KY. HERE IS WHAT THEY SAID TO ME. THERE ARE NO REAL STANDARDS OR RECOMMENDATIONS AS TO WHAT THE COBALT LEVELS MEAN. BUT IF ANYONE IS SYMPTOMATIC THEN A REVISION IS ADVISED. SO THERE IS NO CLEAR CUT RANGES OR RECOMMENDATIONS, BUT I TOO HAVE SUFFERED MANY SIDE-EFFECTS AND MONDAY THEY BOTH ARE COMING OUT. GOOGLE INDEPENDENT MEDICAL EXAMINATION BY TOXICOLOGIST DENVER AREA.

    GOOD LUCK
    JIM MORELAND

    KATHY

    IT SURE IS A SMALL WORLD. HARRY RUBASH AND I SPENT YEARS TOGETHER AND HE IS A BRILLIANT SURGEON AND EVEN MORE, A GREAT HUMAN BEING. I SURE HOPE THINGS GO WELL FOR YOU AND ALL I CAN SAY IS THAT YOU ARE IN THE BEST PLACE FOR ORTHOPEDIC CARE. DO LET ME KNOW HOW THINGS GO FOR YOU.

    BEST OF LUCK
    JIM MORELAND

  290. Hello Kathy H,

    I am trying to find a doctor in the Denver area to help me with my high cobalt level,
    3.5ug/L. I have developed peripheral neuropathy and tinnitus over the past year. My implant of years is the DEpuy S-Rom, Pinnacle Sector II acetabular cup with the Ultamet liner. I have been to an ortho doctor, a spine doctor, an audiologist, hemotologist and neurologist. None of these doctors are familiar with MoM hip implants and cobaltism. Could you please give me the name of your toxocologist in Denver?

    Thanks,

    Jim B

  291. Hi Jim,

    Good to hear from you and thank you for the “things to be forwarned about list”, it will be very helpful to me.

    Interesting, I am going to see the team doctors I believe you are thinking of, a Dr. H. Malchau and Dr. Y.M. Kwon, I discovered them by speaking to Dr. Harry Rubash’s office and through speaking to as many Dr.’s that I could either reach, or research. I’ve been in touch with a good toxocologist in Denver as well, he has allowed me to step back a bit and look into this without undo panic, for which I am very grateful.

    I plan to go with what ever these guys advise, I’ll let you know how it goes. How are you doing?

    Thank you and best wishes,
    Kathy H

  292. Well I had to take off my teds the white stockings that protect against blood clots. I started getting cramps in the right thigh so bad that I had to get to bed lie down put a hot rice bag on it. Now I see the DR tuesday to get the staples out. I sure hope I get compensated for this. They told me my Depuy Pinnacle was ok that it was put in wrong. So do I file a claim against the orthapedic surgeon who put it in about 10 degrees off. Also had to have a whole bunch of bone spurs which created edema dark purple bruise which made me loose 3 liters of blood so I ended up in Critical care. Even if they say the depuy part is not faulty should’t I be compensated for all the extra pain I went trough? This is my 5th hip replacement 3 on left 2nd on right this was by far the most dangerous and painfull I have gone through. I am on 60.

  293. KATHY H

    GOOD TO HEAR YOU ARE TAKING THE BLL BY THE HORNS. BOTH OF MY MENTORS FROM THE UNIVERSITY OF PITTSBURGH ARE IN BOSTON. HARRY RUBASH IS HEAD OF ORTHOPEDICS AT MASS GENERAL AND JAMES HERNDON IS THE CHIEF OF ORTHOPEDICS AT HARVARD. I AM FORTUNATE TO HAVE LEARNED THE TRADE UNDER THESE GREAT ORTHO SURGEONS AND THEY ARE THE BEST OF THE BEST. I CONSULTED DR. RUBASH AND I KNOW THEY HAVE PUT A FULL TIME SURGEON ON THEIR STAFF TO DEAL WITH THESE METAL ON METAL REVISIONS, I DON’T REMEBER HIS NAME BUT I THINK IT WAS DR. LI????? LET ME KNOW PLEASE HOW YOU MAKE OUT. GREAT DECISION KATHY.

    KIDNEYS……KIDNEY FUNCTION AS COBALT IS EXCRETED BY THE KIDNEYS SO THAT IS THE FIRST PLACE TO LOOK AND THAT IS GUAGED BY KIDNEY FUNCTION THROUGH BLOOD WORK AND 24 HOUR URINES. LIVER…..THE LIVER DETOXIFIES EVERTHING IN THE BODY THAT IS NOT NORMAL TO THE BODY….CARDIAC,,,,,NEED TO HAVE YOUR HEART FUNCTION EVALUATED…….YOU ARE NOT SYMPTOMATIC BUT OTHER SYSTEMS ARE NEUROLOGICAL, ENDOCRINE, DERMATOLOGICAL, IMMUNOLIOGICAL, BLOOD (B-12 LEVELS AND MORPHOLOGY). THERE IS VERY LITTLE RESEARCH OUT THERE ON COBALT TOXICITY OUT THERE, BUT THERE IS A LOT OF RESEARCH INTO HEAVY METALS WHICH COBALT IS LISTED AMONG THEM, SO YOU CAN EXTRAPOLATE INFO. FINALLY CANCER IS OF GREAT CONCERN HERE KATHY….

    KEEP ME POSTED I WANT TO HERE ABOUT YOUR VISIT AND LET ME KNOW THE DOCTORS NAMES IF YOU DON’T MIND.

    TAKE CARE
    JIM MORELAND

  294. Hi Jim and fellow unfortunates,

    I am going consult with 2 doctors in Boston in 2 weeks time, they are both well-versed in the metal-on-metal issues. After talking to many people about this and finding that my metal levels are indeed very high, I suspect they will want to revise both of my hips. I am still asymptomatic, but don’t know if these metals are causing any long term organ damage. I guess I’ll see what these docs in Boston think and probably go through testing there.

    Has anyone gone through testing of organ damage from high levels of cobalt and chromium? If so, can you let me know what organs I should get tested and what these test might entail? I’d appreciate any insight that anyone in this forum might be able to offer. Good luck to you all!

    Kathy H.

  295. ROGER

    I HAVE THE SAME ISSUE. I HAVE ALWAYS ARGUED THAT MY PROSTHESIS WERE MALALIGNED. WELL THAT WAS CONFIRMED DURING MY FIRST REVISION. THERE IS NO TRUE WAY OF TELLING ONCE IT IS IN, BUT ONLY THROUGH EXPERIENCE CAN YOU SEE THIS ROGER ON A PLAIN XRAY. THE PROBLEM WITH THESE PINNACLE SYSTEMS IS THAT IT CALLS FOR PRECISE PLACEMENT, THIS IS NOT ALWAYS ACHIVEABLE, EVEN WITH THE BEST OF SURGEONS. IN EARLIER POST A REP ARGUED FOR THE COMPANY PERSPECTIVE AND TRIED TO BLAME THE SURGEONS….I SEE HIS POINT, BUT AFTER READING THE RESEARCH, THE SURGEON WAS AND IS THE FALL GUY HERE, AS THE ANGLES ARE TOO NARRROW AND IMPINGEMENT WILL OCCUR, ANOTHER WORDS IT IS A DESIGN ERROR. I FEEL THE SAME WAY ABOUT MY PREVIOUS SURGEON WHO I RESPECTED, BUT HAS FAILED TO RETURN MY CALLS, BECAUSE ALL THESE YEARS WE ARGUED HE WAS WRONG….HE IS YOUNG AND HAS TO LEARN THESE THINGS, BUT I DON’T HOLD HIM RESPONSIBLE. ALTHOUGH IN A COURT OF LAW YOU MAY HAVE A CASE. IT WOULD ONLY TAKE THE PROOF IN COURT THAT DEPUY SYSTEM IS FLAWED AND THAT IF THE SURGEON PLACEMENT IS SO FAR OUT OF WHAT IS NORMAL AND ACCEPTED MEDICAL PRACTICE THEN YOU HAVE A CASE. I NEVER THOUGHT I WOULD BE A LETIGOUS PERSON I OWNED TWO MEDICAL CLINICS AND WAS DOING VERY WELL FOR MYSELF AT THE AGE OF 44, AND FINANCIALLY OFF, BUT MY LIVELIHOOD HAS BEEN TAKEN FROM ME. THIS IS AN INVIDUAL DECISION, BUT I WILL TELL YOU THERE ARE ORTHOPEADIC DOCTORS WHO WOULD ARGUE FOR YOU IN THIS CASE…ASK YOUR ATTORNEY. I HOPE THIS HELPS

    GOOD LUCK
    JIM MORELAND

  296. LISA

    RIGHT NOW EVERY RECALL HAS TO DO WITH METAL ON METAL HIP. THE PINNACLE HAS THE ABILITY TO USE 3 DIFFERENT TYPES OF INSERTS. ONE IS METAL ON PLASTIC (POLYETHYLENE), THEN THERE IS CERAMIC AND FINALLY METAL ON METAL.

    BUT THAT DOES NOT MEAN YOU ARE NOT WITH RECOURSE. IF YOUR HUSBAND HAS HAD A RECENT DEPUY HIP PINNACLE HIP THEN YOU NEED TO GO AND HAVE THE ORTHO OR YOUR FAMILY DOCOTR TO ORDER THE COBALT AND CHROMIUM JUST TO CHECK FOR METALLOSIS. THE FEMORAL BALL IS MADE OF CHROMIUM AND COBALT AND ALSO DEPENDING ON THE FEMORAL COMPONENT YOU MAY HAVE ALSO TITANIUM IN THE MIX. SO YOU FIRST NEED TO GET THE COBALT, CHROMIUM, AND TITANIUM. IF YOUR PROSTHESIS WAS MALALIGNED THEN IMPINGEMENT CAN OCCUR CAUSING DEBILITATING PAIN AND ALSO METALLOSIS. SO THE FIRST THING IS TO FIND OUT WHY YOUR HUSBAND HAS THE HIP PAIN. IF YOU FIND THAT METALLOSIS OR COBALTISM OR OTHER METALS ARE TOXIC THEN YOU MAY HAVE A CASE AS THEY ARE EVALUATING THE PINNACLE HIP DESIGN TO DETERMINE IF IT IS FLAWED,,,,,,THIS MEANS THAT THE SYSTEM MAY BE DEFECTIVE OVERALL NO MATTER THE INSERT…….ALL OF THIS IS TO BE DETERMINED, BUT THE FIRST THING IS TO HELP YOUR HUSBAND AND DETERMINE THE CAUSE OF HIS HIP PAIN AND GET HIM RELIEF. I HOPE THIS HELPS. IF I CAN BE OF ANY SERVICE TO YOU LET ME KNOW.

    GOOD LUCK
    JIM MORELAND

    BELINDA

    YOU ARE NOT CRAZY. YOU HAVE A RIGHT TO BE FRIGHTENED. COBALT AND CHROMIUM HAVE KNOWN TO BE NEUROTOXIC AND CAN CAUSE AN ARRAY OF SYMPTOMS, FROM HEADACHES TO PARESTHESIA TO SEIZURES. I SUFFER SEVERE HEADACHES LIKE YOU, I HAVE NUMBNESS TO BOTH FEET AND HANDS, I ASLO SUFFER FROM MYOCLONAL SEIZURES. I AM FRITHENED LIKE YOU AND AT TIMES SUFFER ANXIETY, SOMETHING I HAVE NEVER HAD IN MY LIFE. THE BOTTOM LINE BELINDA, NO ONE KNOWS THE TRUE EFFECTS OF COBLAT TOXICITY. MY REVISION IS SCHEDULE ON THE 18 TH AND AFTER THAT THE OTHER HIP HAS TO BE REVISED AND MY PRAYER IS THAT ALL SYMPTOMS I SUFFER FROM WILL SUBSIDE. THE LITERATURE REPORTS DROPS IN THE COBALT /CHROMIUM LEVELS ALMOST IMMEDIATELY LIKE 6 TO 12 MONTHS OR EVEN A LITTLE LONGER. I SYMPATHIZE WITH YOU AND I ENCOURAGE YOU TO GET THIS REVISED AND ALSO YOU MAY WANT TO HAVE YOU DOCTOR TO ADDRESS THE LEG LENGTH DIFFERENCE DURING THE REVISION IF HE THINK IT CAN, BUT YOU SHOULD ASK HIM THAT…IT SOUNDS TO ME LIKE YOU HAVE A GREAT DOCTOR AND HE IS ON TOP OF THINGS FOR YOU.

    GOOD LUCK

    JIM MORELAND PA-C

  297. we received in the mail today from our lawyer for us to sign for medical release papers and to get a Chromium and Cobalt test done, well we found out it was gonna cost $402.00 or more so we contacted the lawyers office and she said oh you don’t have the bad hip and we have closed your case out, well it’s funny how they just typed the papers up on April 1st. and it is only April 4th. something dont seem right to me. My Husband had a hip replaced in Jan. 2007 and from the first visit there was something wrong but the doctor would always say his worked looked good and never bothered to find out what the problem was. In his records from the hospital it states that a 58mm Pennicale Acetabular Shell which comes under the Depuy. can anyone tell me what this one is made of cause the Lawyer said this one was made of plastic. PLEASE HELP ME!!!!

  298. Well its been awhile since Ive written anything on here, but Ive read every comment that’s came thru my email. And its amazing that so many people are having all these issues as I do. I have the pinnacle MOM it was put in 6-26-07 an the first 3 yrs I only had a few issues, like my thigh will hurt alot right above my knee, an my back hurts all the time, an after my surgery my leg on the replaced side was alot longer than the other leg like 1″1/4 so in the hospital they made me a hand made lift for my shoe so I could walk better I was so off i couldnt put my heel on the floor. But I was so hurt I had such a limp I know the dr said I could probably have a small one afterwards the surery but this was more than a little. So they call the dr in an he said wed do xrays of my legs an it turned out that my femur is longer than the other femur in the other leg so thats what caused my limp afer the surgery being so bad, so he sent me to a shoe repair shop an they made me some lifts until I found one Im was satisfied with with its a 3/4″ lift. An we are guessing why my femur is longer is because as a child I had several hip surgeries due to I was born with a dislocated hip an at 6 mths my moma noticed one of my legs was longer than the other, so they ran tested an found it. So not til I was 3 did they do reconstruction surgery which took several surgeries for them to get it right an I stayed in traction off an on for 14 mths in the hospital so we figure that during that time I was 3 an growing an the traction made one femur longer. But Ive tried to get over my limp an move forward ,Because my hip its self felt really secure in there an I was so out of all that awful hip pain. So as time goes on I noticed litle things like when I sleep on my new hip it gets really red an hot an my whole leg goes to sleep. Then if I put my feet on the coffee table while sitting on the couch after a little bit it gets really cold an tingly like its loosing circulation in it an to the touch its cold. But I think to myself gosh at least Im out of pain in my hip, until my foots asleep because of my lifts so high in my shoe that I cant feel my foot an I have to hurry an get my shoe off, gosh that drives me crazy. I cant even drive with my shoe on because every time that happens to my foot, But again I try to be positive about it all. An then about a year ago I started getting these horrible head aches that come on very slowly an then all of a sudden Im seeing spots an these prism like things an I sometimes throw up with them an also Im having to hold my head with my hands until I get in bed an cover up my head with a pillow to just relieve the pressure I swear it feels like my brains are coming out an before this year Ive never had headaches except before Id caught a cold Id get a small achey one from the head cold but never ever have I had something like this happen to me an once I get to sleep after the headache Ill sleep for hours an hours like Im so exhausted for some reason. Well after about 3 headaches like this I looked it up online an it says its a migraine so I just thought well its my age Im turning 44 soon. Well after the fifth on I got scared an really started worrying an I started reading my emails an noticed I wasnt the only one having these. So About 5 mths ago My hip started popping an clicking inside for no reason an after it clicks or pops it gets this tingly burning sensation inside I swear the first few times I thought people standing around me could hear it cause I felt it so strong I guess I was hearing it in my head cause I asked the friend with me did she hear that an she said no, So right away I knew my hip had changed inside so I went to the dr an he said everything looked fine so I asked to be sent for a blood test to see if I have those metals in my blood as I was reading on here, so he sent me an sure enough both r positive cobalt an chromium so he said hes going to do some research an see whats our next steps but he knows for sure we need to go back in an put a liner in it so we can get away from this MOM hip. An hes wanting to send me for some types of scans of my hip for metal particles around my hip inside an check my fluids in there!! WELL with all that said Im getting scared an not sure whats happening an scared of when this next headache coming on those things really scare me they r so bad! An right now Im just waiting for these test to be set up an trying to decide do I want to go thru another surgery!! But after reading up on this MOM Im scared not too…. Then about a month ago now every afternoon after I get settled down for the day my whole body feels as if the skins crawling an I itch all over my nose, an scalp, just every where I itch until I go to sleep, an my crazy mind starts thinking is this just another symptom this MOM is causing me to go thru, If anyone has any information or any these symptoms please [reply here]. Thanks for listening Belinda

  299. What if the orthopedic surgeon puts the hip in the wrong way like the wrong angle can we get compensated for his mistake. This really did happen to me.

  300. Here is a new situation for evryone. I got home yesterday and guess what?My hipts are not bad the DR, who put it in put it in on the wrong angle. I was on the table so my new doctor a revision specialists could take out the Depuy part and clean up bone spurs. Now can I go after thr orthopedic surgeon who put this in about 10 degrees off?

  301. JEFF

    I AM SO SORRY I OVERLOOKED YOUR POST. YOU ARE NOT CRAZY. MOST ORTHOPEDIC SURGEONS ARE BEHIND THE EIGHT BALL ON THIS. THEY ARE NOT REALLY UP OR EVEN AWARE IN SOME CASES OF THE METALLOSIS THAT EXIST IN THE METAL ON METAL HIPS. YOUR HISTORY IS SO MUCH LIKE MY OWN. MY SYMPTOMS GOT TO THE POINT WHERE MY HIP PAIN WAS SO SEVERE I COULD NOT SLEEP AT NIGHT. IT WASN’T UNTIL MY 4 TH REVISION LAST YEAR THAT I BEGAN TO DO THE RESEARCH AND FOUND THAT THE PINNACLE ULTAMET SYSTEMS FAILED DUE TO METALLOSIS. MY PRESENTED AFTER THE FIRST REVISION AS AN ACUTE INFLAMED SCENARIO, THAT DEVELOPED INTO A BACTERIAL INFECTION. MY DOCTORS COULDN’T AGREE WHETHER IT WAS AN INFLAMMATORY OR INFECTIVE PROCESS. WELL IT WAS BOTH.

    HEY KATHY,

    CAN YOU GET ME THE SPECIFICS ON YOUR SISTERS HIP SYSTEM. DEPUY SUMMIT IS THE FEMORAL PROSTHESIS USED IN THE PINNACLE SYSTEMS. SO FIND OUT THE TYPE OF SYSTEM AND I WOULD LOVE TO HELP YOU. YOUR SISTER DOES NOT NEED TO SUFFER LIKE THIS. I HOPE YOUR APPOINTMENT GOES WELL AND SHE FINDS OUT THE ANSWERS AND YOU ARE SO RIGHT, WE ALL NEED TO BAND TOGETHER NO MATTER THE SYSTEMS, SO THAT NO ONE ELSE HAS TO SUFFER AND TO MAKE THESE COMPANIES ACCOUNTABLE FOR THEIR WRECKLESS BEHAVIOR. IF THERE IS ANYTHING I CAN DO, LET ME KNOW.
    GOOD LUCK TO YOU AND YOUR SISTER

    JIM
    YOUR BODY IS FIGHTING THE GOOD FIGHT AND IT PROBABLY IS WINNING IN REGARDS TO LOW BLOOD LEVELS OF COBALT AND CHROMIUM. PLEASE POST YOUR NUMBERS IF YOU WOULD FOR ME. THERE IS NO LABORATORY CONSENSUS ON WHAT ABNORMAL VALUES MEAN. SOME HAVE VERY HIGH LEVELS AND ARE ASYMPTOMATIC AND THOSE WITH LOW LEVELS WHO ARE VERY SYMPTOMATIC, SO AGAIN, NUMBERS REALLY DO NOT TELL THE WHOLE STORY. ARE YOU HAVING ANY OTHER SYMPTOMS THAN HIP PAIN?

    YOU PROBABLY HAVE A GOOD CASE OF METALLOSIS. THIS WHERE SMALL PARTICLES OF COBALT, CHROMIUM OR TITANIUM DEPENDING ON WHAT YOUR STEM IS MADE OF. BONE SCANS ARE EXCELLENT FOR DETERMINING BONE INVOLVEMENT LIKE LOOSENING OR TUMORS..ETC…YOU MIGHT SUGGEST THAT THEY DO A SCINTIGRAPHY TO RULE OUT INFECTION AND THESE STUDIES WILL ALSO PICK UP ON SOFT TISSUE INVOLVEMENT AND THIS IS WHERE YOU WILL FIND THE PARTICLES INTERACTING WITH THE TISSUE. THEY WILL SHOW UP AS A LARGE FLUID COLLECTED AREA AROUND THE HIP. YOU MIGHT WANT TO GET AN MRI AS THEY ARE MORE SPECIFIC FOR IDENTIFYING METAL PARTICLES AROUND THE HIP. CT SCAN CAN ALSO BE OF BENEFIT BUT IT IS MORE SPECIFIC FOR BONE ALONE.

    YOUR BODY IS TELLING YOU SOMETHING IS WRONG AND DO NOT BUY INTO OTHERS LACK TO DIAGNOSIS AS BEING SOMETHING WRONG WITH YOU. I KNOW THEY TRIED THAT WITH ME, BUT IT ALWAYS ENDED UP IN AN ARGUMENT, SO STAY TRUE TO YOURSELF AND IF YOU CAN’T FIND THE ANSWERS, THERE ARE ORTHO SURGEONS WHO STAY CURRENT AND WHO DO NOT HAVE ALLEGIANCES TO ANY COMPANY’S.

    THE FACT THAT YOU ARE AN ACCOMPLISH ATHLETE YOU WILL WORK THROUGH THIS AND HAVE BEEN DOING SO, BUT NO IT HAS BECOME UNBEARABLE AND WITHOUT EXAMINING YOU I CAN TELL YOU NEED MEDICAL INTERVENTION REGARDLESS OF YOUR AGE. LOOK AT THIS WAY, I HAD MINE AT 42, DID THEY THINK WE WERE TOO YOUNG FOR THE HIP THEN, NO IS THE ANSWER, BECAUSE THEY THOUGHT THAT THESE METAL ON METAL HIPS WOULD GIVE US YOUNG PATIENTS A NEW LEASE ON LIFE. NOW THAT THEY HAVE FAILED, THEY WANT TO DO REVERSE REASONING AND SAY YOU ARE TOO YOUNG FOR A REVISION……THIS IS FLAWED REASONING AND REALLY IS WRONG FROM A MEDICAL STAND POINT. IF YOU FEEL LIKE YOU ARE NOT BEING HEARD THEN DO SOME RESEARCH IN YOUR AREA FOR ORTHO SURGEONS WHO WILL LISTEN AND STAND BESIDE YOU. THE LAST THING YOU NEED IN THIS CASE IS TO HAVE TO FIGHT WITH YOUR PHYSICIAN FOR HELP, WHEN IF HE WOULD READ, HE WOULD FIND AN ANSWER THAT MAY FIT AND THAT WOULD BE METALLOSIS AND PROBABLE COBALT, CHROMIUM TOXICITY. BE AGGRESSIVE WITH YOUR HEALTH AS YOU WERE AS AN ATHLETE…GO THE DISTANCE JEFF…IF YOU DON’T THEN WHO WILL….NO ONE….I AM HERE IF I CAN BE OF ANY FURTHER HELP JEFF, I AM SCHEDULE FOR SURGERY ON APRIL 18 TH TO TAKE THE OTHER HIP OUT AND THEN TAKE THE HIP OUT THEY PUT IN IN OCT. THE MEDICAL COMMUNITY IS WAY BEHIND ON THIS SUBJECT…TAKE TIME TO COPY THE ARTICLES AND DO THE RESEARCH…I AM DOING IT HERE IN LEXINGTON, KY.

    AGAIN, GIVE ME YOUR NUMBERS AND THE RANGES FROM THE LAB YOU WENT TO. YOU MAY HAVE ELEVATED NUMBERS AS THEY MAYBE INTERRUPTING THEM WRONGLY .

    BEST OF LUCK BROTHER
    JIM

  302. I am 48, 5’2 – 135 lbs. Diagnosis 7/05/2010, congenital, shallow socket condition – bone on bone – goodness sakes – childbirth was a breeze to this.

    8/3/2010 THR of right hip. Surgeon intended metal on metal; however, had to abandon due to fracture sustained during surgery of the greater trochanter. I have a metal and plastic combo accompained with one 18 gauge twist tie cable to enable healing of fracture.

    I could flip off the rope into the creek with my old hip; and this new one, I can barely get to the mail box. The surgeon is not sure what is the problem. I had the injection in the bursa of the new hip – no relief. Progressive x-rays show only a little cacification. The surgeon advised me to see nerve specialist – possible sciatic – my right foot – toes and top of foot – always cold. I use a hand warmer piece used for hunting to keep circulation going. I had the nerve block needle injection and no change. Pain and cold.

    My troubles – since surgery – incision healed; however, it is always “hot” to touch and painful when brushing against anything. My incision is unsightly. The area around the incision is indented inward and then up. When I walk, I hold my hip as I fell like it could pop out. Over exert and I get mid-thigh pain coupled with more pain if the load on the right is too much.

    To add more fun to this .. I am unemployed. My surgery was covered under insurance as I maintained the Cobra insurance. (Blessing) The insurance ran out 09/20/2010 and everything is out of pocket now. Note: Pre-existing condition, conversion coverage insurance 60/40 at $1400 month – I could not afford.

    I do not feel confident in my surgeon. I have an appointment with another doctor – April 19. I have not seen this guy, but he has had me get blood work – CBC, SED, and injection bone scan. I am waiting for the results.

    A couple of things – I am concerned about the plastic component – I have a latex allergy. Is this an issue?

    Also, I am suspect, but I may have a nickel allergy. Recently, I have been working with old nickels. After a few hours of experienced a somewhat weird sensation and it felt as if needed to itch under my skin. I found it to be odd and took a Benedryl and symptoms went away by next day.

    What do you think?

    Lorraine

  303. Well I go in tomorrow for my hip revision sure hope all goes the way it is supposed to. Done all the physical therepy I could do. Hope they check for everything that they suppose to do on this Depuy Pinnacle hip. Funny they asked me for a referencwe number I do not have one why because the pinnacle is not being recalled as of yet. But my cup is bad so its coming out tomorrow. Hope my attorney does his homework I have Weitz and Luxenburg from New York they are really great . Well good luck to all and I will be reposting when I get out and home to let you know what is happening. Remember stay strong and stay united sure Johnson and Johnson are big but they screwed up. Count on me to hang in their to the end and support jIM mORELAND THE GUY IS HELPING ALL OF US OUT. gOD bLESS YOU ALL.

  304. This comment is to Will, who wrote back in Sept 2010. My sister also has a Dupuy Summit HR, and she began experiencing the same excruciating hip and groin pain that is described by others who had the recalled products. Her pains began in Sept 2010 and have grown progressively worse to the point that she is today on a painkiller cocktail of Oxycontin, Norco and ibuprofen just so she can walk. She has had numerous x-rays and MRIs in an attempt to discover the cause of the pain, but the docs can’t see anything because the metal HR is in the way. She sees her second specialist this week.

    If you’re still experiencing problems with your Summit HR, let us know. We need to be proactive about this situation; the doctors have done nothing to help her in 7 months of excruciating pain–except increase the type and dosage of painkillers so she can function each day.

  305. LINDA

    PATELLAR CHONDROMALACIA FOR 25 YEARS USUALLY ENDS UP WITH SECOND OR THIRD DEGREE DEGENERATIVE CHANGES. YOUR HISTORY IS CONSISTENT WITH PAIN AFTER PROLONG SITTING AND STAIRMASTER WITH PROGRESSIVE CHONDROMALACIA. SOMETIMES LINDA, KNEE REPLACEMENTS ARE USUALLY DONE FOR SEVERE DJD OF THE PATELLA. I HOPE THIS HAS NOT ADVANCED. MAKE SURE THAT THIS GETS ADDRESSED AS IT MAY HAMPER YOUR RECOVERY IF YOU NEED HIP REVISION. AND AVOID ANYTHING THAT CAUSES THE KNEE TO MID-ARC, LIKE CLIMBING HILLSIDES, STAIRS, BIKES, ANYTHING THAT CAUSES THE KNEE TO FLEX AND EXTEND REPETITIVELY WILL CAUSE PAIN.

    HOW ARE YOU MAKING OUT ON THE HIP LINDA, LET ME KNOW.

    THANKS FOR YOUR CONCERN, IT IS GREATLY APPRECIATED

    TAKE CARE
    JIM MORELAND

    KATHY H.

    HI HOW ARE YOU? GOOD TO HAVE YOU ON THE SITE. SORRY FOR ALL THE HIP TROUBLE. YOUR CHROMIUM AND COBALT LEVELS ARE SOME OF THE HIGHEST I HAVE ENCOUNTERED. I HOPE YOU ARE GETTING MONITORED AS THESE ARE DANGEROUSLY HIGH.

    THE LATEST IS THAT THE FDA AND JOHNSON AND JOHNSON ARE STUDYING THE SITUATION ESPECIALLY WITH THE PINNACLE ULTAMET METAL ON METAL HIP AND THE RECALL IS GAINING A LOT OF MOMENTUM. THE PINNACLE ALSO HAS A POLYETHYLENE CUP AND CERAMIC. THERE ARE REPORTED FAILURES IN THESE ALSO BUT THE ONE THAT REALLY IS GETTING THERE ATTENTION IS THE METAL ON METAL.

    ANYTHING WE CAN DO FOR YOU HERE JUST LET US KNOW.

    WELCOME AGAIN

    JIM MORELAND

  306. SORRY GUYS FOR THE ABSENT BUT I HAVE BEEN HAVING MYOCLONAL SEIZURES AND I AM IN THE MIDDLE OF GETTING THE SURGERIES MOVED UP. LINDA, THANKS FOR YOUR COMMENT I APPRECIATE IT AND I WILL GET BACK TO YOU TONIGHT.

    TAKE CARE
    JIM MORELAND

  307. Jim-

    I mentioned a couple things on my case here before. I wanted to update everyone- see if there are some common results.

    I am 40 years old and had the pinnacle all MOM THR 2007, since …had the psaos tendon released, pain injections- etc, a general nightmare. I charted my doctors visits and every 6 months since 2007 I visited my doctor complaining of pain, and recently much more visits to numerous doctors. I own a small business and as an Architect need to walk job site and I work long work weeks- this is becoming nearly impossible.

    My issue is this- my blood levels are only slightly elevated. I had a bone scan in October 2010 and the radiologist suspected loosening of the stem, two doctors however are saying it is inconclusive. I got for another Bone scan tomorrow. I am seemingly at a standstill and after about 15 doctor’s appointments I am getting a familiar look from all the doctors. One even admitted at my age he didn’t want to do anything until there was 100% proof.

    I told my wife and I am sure many here can also agree with, I don’t need a doctor to tell me something is wrong—something is very wrong!! and is getting much worse each month, I am even convinced it is just going to collapse one day….in October I was taking 3-4 pain pills a week. I carry 2 per day now and try my best not to take them but the pain can be acute and sharp and nothing really helps. I woke up last weekend at 4am and couldn’t go back to sleep because of the pain and beside happy hour I had done no activity the day before. I then go see a doctor and they shrug their shoulders and point to ‘slightly’ elevated blood levels. I ased about the recent bone scan and both doctors have said it is inconclusive even thought it says ‘suspicious for loosening of the right hip prosthesis, especially at the distal limb’ .

    I am becoming paranoid that all the doctors are in on it- whatever it is…?. I would say that each month it is worsening and seemingly at an exponential rate, by the time my blood levels catch up with what is actually happening I am going to be in deep trouble. If that is even possible.

    Jim- my question is this- can your blood levels not show up while other symptoms continue? I was an endurance athlete for many years and was wondering- can my body be fighting it, or something? I am at the point where I want something positive just so I can get someone focused. The pain is getting unbearable.

    Thanks Jim- as many have said your thoughts and ideas do offer confidence …..that I am not nuts. One thing to be in pain but another to be in pain and have no solace.

  308. You nead to get the nursing introp record to see what was used .For some resone the operative report says summit i do not think the summit stem was used with the dupuy asr xl acetabular cup.If it was you still have a recalled cup and you should check with a attorney

  309. Hi fellow unfortunates,

    I am 54 years old and osteo-arthritis of the hips runs in my family. In 2009 I had both hips replaced with DePuy Pinnacle metal-on-metal prosthesis’. In Jan. I went for my first check-up. The ex-rays looked good but I requested a blood test which my doctor thought was a good idea. I am not feeling pain (unless I sit for too long), but there are lots of clicks and grinding going on. My cobalt and chromium levels are both very high. I have had 3 blood tests done, each a month apart now. I have also had my kidneys tested and have had an MRI. My kidney function is
    normal. My doctor sees a little bit of fluid on one hip joint.

    I have done quite a lot of research on this, talking to both a very reputable toxicologist and several very reputable orthopedic surgeons. The toxicologist and one surgeon seems to think the cobalt and chromium levels are OK, but most of the orthopedic surgeons say to get them out, citing that the unknown risks are more dangerous than the known risks of revision surgery. I have made a consultation appointment at a well-known hospital with 2 doctors, both well-versed in this M-O-M issue. I have pretty much decided to go with what they tell me to do.

    In reading through this, and knowing quite a few people that have had the pinnacles put in (that have also had problems), I was wondering if anyone has heard any more about a possible recall of the pinnacles?

    I have had these hips in for just over a year and there is a very good chance that I have to revise them both. So much for touting they’d last longer than ceramic or plastic, and I’d still be able to ski and hike! I do feel very badly the surgeons that put these in (in good faith, who were not “on the take”), that now have to replace all of these. But I truly feel worse for all of us that have had to give up years of our active lives because of shoddy testing practices!

    I skied a few times this winter, and I did walk a lot, but now I am afraid to do anything except hold deep knee-bends several times a day—just to keep the muscles as strong as I can for the probable revision surgery. I am now afraid to cause friction in the hip joints. The 2nd blood test I had when I was still active showed my cobalt level at 512. Without being active it is now dropped to 369, but my chromium has remained at 50.

    I assume I will have to put in the plastic cup liners now, but was wondering if ceramic might be an option… does anyone know about using ceramic with metal? It sounds a bit risky to me…

    I appreciate this forum, I have never really been on one before, but find it more helpful (by far) than the countless attorney ads which I have avoided, mostly because they are too scary and not helpful.

    I wish you all good luck and I wish none of us had to be here, but I do appreciate the camaraderie!

    Best regards,
    Kathy H

  310. Hi Jim: All the information you have given me has been a tremendous help and I appreciate it. Regarding my knee, I was not having any problems with it until I fell really hard on it, even though it was on carpeting. I tripped on a carpeted 4″ step I didnt’ see and it threw me forward and slammed me to the floor. I was afraid of hurting my hip so I landed on the opposite knee which took the brunt of the fall. I gave it some time before going to the doctor and they did an xray and it showed nothing. After about 8 months they did an MRI and this is what he wrote in his notes. Review of the MRI scan is consistent with chondromalacia patella. There is a small degenerative tear involving the posterior horn of the medial meniscus which is of no clinical significance. It only hurts if I sit for a long period of time or if I do the stairmaster. I did injure this knee about 25 years ago and had a tear on the meniscus for which they did arthroscopic surgery and repaired the tear and cleaned up the back of the knee cap. I am perplexed that it takes them so long to diagnose something. Like my hip, he kept telling me it was arthritis and to exercise it. Turned out it was bone on bone and no cartiledge.

    You have been helping so many I just thought it would be nice to ask you how you are doing? You seem to have gone through quite a bit also.

    Again, thanks so much.
    Linda

  311. LINDA

    YOU ARE VERY WELCOME I HOPE THE INFO AND ADVICE HELPS.

    YOU HAVE AN ULTAMET THAT MEANS YOU HAVE A METAL ON METAL HIP. I AM NOT FAMILIAR WITH THE STEM BUT I WILL RESEARCH IT FOR YOU. YES IT WILL BE INTERESTING TO SEE IF YOU OS ORDERS THE COMPLETE TEAT. MAKE SURE YOU DO A SED RATE AND CRP, CBC WITH DIFFERENTIAL. TITANIUM AND COBALT REACT WHEN THEY COME IN CONTACT WITH EACH OTHER. I WAS DOING RESEARCH AND UNCOVERED A LOT OF RESEARCH WHERE THE TITANIUM FEMORAL NECK IMPINGED ON THE ACETABULAR CUP CAUSING THE PARTICLES TO INTERACT WITH EACH OTHER AND IT RESULT IN A NASTY REACTION CAUSING SYNOVITIS AND SCARRING IN THE HIP JOINT.

    I HOPE YOU DO NOT HAVE TO HAVE IT EITHER LINDA. I HAD 3 REVISIONS ON MY LAST HIP AND IT IS NO BETTER IN FACT WORSE AS I HAVE A GREAT DEAL OF WEAKNESS AND LAXIETY IN THE JOINT. NOW I HAVE BOTH HIPS TAKEN OUT DUE TO METALLOSIS AND COBALTISM.

    YOUR KNEE, HAVE YOU HAD A MRI DONE ON IT. MAY WANT TO DISCUSS THIS AFTER YOUR HIP IS TAKEN CARE OF. MRI RULES OUT INTERNAL DERANGEMENT, IT SOUNDS LIKE A MENISCEAL TEAR OR LIGAMENT INVOLVEMENT.

    GOOD LUCK AND KEEP ME POSTED.

    TAKE CARE
    JIM MORELAND

  312. Hi Jim:

    Here is what my THR consisted of: DePuy Pinnacle Acetabular Cup 52 SZ MM, REPLICA Hip Stem W Porocoat 12.0 Dia MM Lg Stature Right 12/14 Taper, Ultamet Mtl Ins Neut 36MM 52D, Articul/eze M metal on metal Femoral Head 12/14 Cone and the note “Press Fit”.

    I have an appointment with my OS 3/23 to discuss my concerns and to have him re-write an order for labworkup for the metals you mentioned instead of just the chromium. I was trying to get the labs first so when I see him he would have them but I think for insurance purposes I should see him first then have him order the labs.

    I just hope and pray that I don’t have to have another replacement, everyone that has had one know exactly how much it is to go through. The allergic reactions to latex, elastic, plastic buttons, nylons that is a mystery I would love to solve and hope it too doesn’t have anything to do with my replacement.

    Thanks Jim, your help is greatly appreciated. So far back and knees are fine. Well one knee the other I fell on and it has been bothering me for 1-1/2 years and they say nothing is wrong with it. But that is another story and I will deal with it once I have figured out my hip situation.

    Linda

  313. HEY LINDA

    THE BALL IS MADE OF CHROMIUM COBALT. THE FEMUR PROSTHESIS IF A SUMMIT IS TITANIUM.

    SO, YOU NEED THE FOLLOWING: COBALT, CHROMIUM, TITANIUM, CBC WITH DIFFERENTIAL, SED RATE, CRP. FOR STARTERS.

    POLYETHYLENE LINERS CAN WEAR AND THROUGH LITTLE PARTICLES INTO THE JOINT CAUSING AN INFLAMMATORY RESPONSE AND USUALLY THE BEST WAY TO DIAGNOSIS THIS IS TO PUT THE SPECIMEN UNDER THE MICROSCOPE AND THAT CAN ONLY BE GOTTEN AT THE TIME OF SURGERY.

    GOOD LUCK
    JIM MORELAND

  314. Hi Jim:

    One more question, my OS gave me an order to have my blood drawn for Chromium. Should they have also put down cobalt? or will the one suffice. I believe my THR was titanium and polyethylene cup. Thanks for all your help.

    Linda

  315. LINDA

    GO TO YOUR PRIMARY CARE DOCTORS AND DISCUSS THE BLOODWORK AND POSSIBLE LATEX ALLERGIES??

    JIM

  316. LINDA

    YES YOU CAN HAVE A LATEX ALLERGY. THEY CAN OCCUR AT ANY TIME AND MOST SURGEONS USE LATEX GLOVES. SO ASK YOUR SURGEON ABOUT HIS GLOVES AND THE OTHERS WHO HAD GLOVES ON DURING THE CASE. SO YOU NEED TO FIND OUT IF INDEED YOU HAVE A LATEX ALLERGY, GO TO AN ALLERGIST AND ALSO GET A METAL TESTING DONE ALSO, ALL HEAVY METALS.

    I HAD MY HIPS DONE IN 2003 AND 2004. MY HIP IS THE PINNACLE ULTAMET, METAL ON METAL HIP. THERE HAVE BEEN REPORTED FAILURES IN THE PINNACLE POLYETHYLENE, BUT NOT AS MUCH AS THE METAL ON METAL. BUT HERE IS WHERE ALL PINNACLES ARE THE SAME AND THAT HAS DO WITH THE PLACEMENT OF THE METAL CUP..(TITANIUM). IF NOT PLACED RIGHT IT WILL CAUSE ALL THE SYMPTOMS YOU HAVE, I HAD THEM AS MATTER OF FACT I HAD PAIN WHEN I WOKE UP IN POST-OP RECOVERY.

    YOUR ALLERGY FEELING OR REACTION IS INTERESTING. IT IS THE SAME WAY MY HIP DID AFTER MY FIRST REVISION. MY ORTHO SAID IT WAS INFLAMMATORY MY RHEUMATOLOGIST THOUGHT IT WAS INFECTIVE…THEY BOTH WERE RIGHT. BUT THERE IS A LOCALIZED ALLERGIC REACTION THAT DOES GO ON IN THE BODY WITH THESE HIP REPLACEMENTS, ALL HIP REPLACEMENTS, BECAUSE YOU ARE ALLERGIC TO THE METAL.

    I WOULD GET AN MRI ON THE RIGHT HIP AND HIP ASPIRATION TO MAKE SURE THERE IS NOT INFECTION, IF THERE IS GET A AN INDIUM SCAN SCINTIGRAHPY……RULE OUT OSTEOMYELITIS AND SOFT TISSUE REACTION
    AND DEFINITELY YOU WANT COBALT, CHROMIUM, TITANIUM LEVELS, SED RATE AND CRP AND CBC WITH DIFFERENTIAL LOOKING AT THE EOSINOPHILS AND LYMPHOCYTES IN YOUR BLOOD.

    YOUR HIP COMPLAINTS ARE SO SIMILAR TO MINE. HANG IN THERE LINDA I WILL FIND THE ANSWER FOR YOU. HOW IS YOUR BACK AND KNEES?

    TAKE CARE
    JIM MORELAND

  317. BILL

    YOU SURE HAVE BEEN THROUGH A LOT. YOU HAVE A COMPLICATED MEDICAL HISTORY, BUT ONE THAT I LOVE. SORRY FOR WHAT YOU HAVE BEEN THROUGH.

    GET THE BLOOD WORK DONE RIGHT AWAY, NO MATTER WHAT THE LAB DOES, YOU NEED TO BE DIAGNOSED PROPERLY. MAKE SURE THAT HE GET A COBALT, CHROMIUM, TITANIUM, SED RATE, CRP, CBC WITH DIFFERENTIAL INCLUDING AN ABSOLUTE EOSINOPHIL AND LYMPHOCYTE COUNT WITH THE CBC.

    IF THE STIMULATOR IS NOT HELPING HAVE IT REMOVED. GET THE MRI ON THE HIP AND BOTH KNEES. KNEE PROSTHESIS HAVE ALSO BEEN KNOW TO FAIL. THE FACT THAT YOU NEVER GOT TO 90 DEGREES YOU WORRY ABOUT INFECTION OR A WRONGLY PLACED PROSTHESIS.

    GET YOU INFORMATION ON THE TYPE OF PINNACLE SYSTEM THAT WAS USED. IT IS A MODULAR AND HAS A PLASTIC AND CERAMIC OPTIONS. ASK FOR A COPY OF YOUR MEDICAL AND HOSPITAL RECORDS FROM YOUR ORTHO DOC. THIS WILL TELL YOU WHAT KIND OF SYSTEM WAS USED. AT YOUR AGE IF THEY PLACED A METAL ON METAL I WOULD BE HIGHLY SUSPECT OF THE ORTHO DOC HIMSELF, THE METAL ON METAL HIPS WERE DESIGNED FOR YOUNGER PEOPLE, BUT AGE IS MEANS NOTHING, YOUR STATE OF HEALTH DOES. I HAVE TAKEN CARE OF 70 YEAR OLDS THAT WERE ACTUALLY IN THE HEALTH OF A LATE 40’S TO EARLY 50’S, SO YOUR STATE OF HEALTH WOULD DETERMINE THAT NOT YOUR AGE, AND GIVEN WHAT YOU HAVE BEEN THROUGH AND BEING HERE ONLINE DIGGING FOR ANSWERS TELLS ME YOU ARE A FIGHTER AND MUCH YOUNGER THAN YOUR STATED AGE.

    START HERE, WRITE ME BACK WITH MORE DETAILS. TODAY IS A VERY ROUGH DAY FOR ME, BOTH OF MY HIPS HAVE TO COME OUT THIS YEAR AND LAST YEAR I HAD 4 HIP OPERATIONS FOR FAULTY PINNACLE MISDIAGNOSED AND REPLANT WITH A PINNACLE, NOW THEY BOTH MUST COME OUT. SO TODAY IS NOT VERY GOOD FOR ME. IT IS COLD AND RAINING IN KY.

    JUST GET YOUR BLOOD DONE NOW AS SOON AS POSSIBLE AND LET’S FIND OUT WHAT GOES HERE, THE MAYO IS NOT AWARE OF METALLOSIS. IT IS SO RARE THAT IT IS NOT ON THERE RADAR. SO, BE BOLD AND FIND OUT WHAT IS GOING ON. I WILL HELP.

    LOOK FORWARD TO HEARING MORE FROM YOU BILL

    JIM MORELAND

    ROBERT

    I AM NOT OFFENDED AS I AM SURPRISED THAT YOU ARE SO NAIVE ABOUT THE ROLES COMPANIES PLAY. THEY WOULD BLAME EVERYTHING ON THE SURGEON IF THEY COULD AND HAVE TRIED THIS. READ THE HISTORY OF THE ASR ALONE. IF YOUR COMPANY IS DESIGNING A HIP LIKE THE PINNACLE AND IN PARTICULAR THE METAL ON METAL ULTAMET. YOU MIGHT WANT TO DO THEM A FAVOR AND READ WHO DEPUY DID NOT GET FDA APPROVAL AND READ THE STUDIES CONDUCTED ON THE PINNACLE, THEY ARE SO OUT OF ALIGN, THERE IS NO WAY THAT ANY MEDICAL PRODUCT WORKS NEAR PERFECT IN EVERY HUMAN. FALSIFIED

    MY CREDENTIALS SPEAK FOR THEMSELVES, TRAINED BY HARRY RUBASH AT UNIVERSITY OF PITTSBURGH AND JIM HERNDON, BOTH ARE CHIEF OF ORTHO AT MASS GENERAL AND HARVARD RESPECTIVELY. I WAS OFFERED MONEY TO SPEAK BY THESE COMPANIES AND WINED AND DINED A FEW TIMES, BUT TRULY I DID NOT FEEL GOOD ABOUT BEING A PROSTITUTE AND SELLING MY SOUL OVER THE PATIENTS CARE, BECAUSE IF YOU FIND SOMETHING WRONG WITH THEIR PROSTHESIS AND ARE VOCAL THEY TURN ON YOU IN A MINUTE OR SHUT YOU UP,,,AT THE UNIVERSITY OF PITTSBURGH THERE WAS A POLICY THAT PREVENTED THESE PROPLE FROM HAVING ACCESS……THEY HAVE BEEN FOUND TO DO UNDERHANDED DEALS PUTTING THE UNIVERSITY IN A BAD LIGHT. NOW SURELY IF YOU ARE A REP, YOU HAVE NTO HEARD OF THESE THINGS OR EVEN DONE THESE THINGS, THEN ADMIT TO YOURSELF THAT IT WAS THE SURGEONS FAVOR YOU SOUGHT EVEN THOUGH IT MIGHT BE AN INFERIOR PRODUCT.

    DEPUY IS A VERY WELL ESTABLISHED COMPANY AS YOU MAY KNOW OR EVEN WORK FOR I DO NOT KNOW. READ THERE FINANCIAL POSITION.

    I GOT UPSET AT YOUR NAIVETY TO THINGS OF THE WORLD AND HOW DEPUY HAS DONE UN-ETHICAL THINGS TO SUPPRESS AND FIND LOOPHOLES AS TO AVOID PROSECUTION ..THAT IS WHY THE PRESIDENT OF DEPUY JOINT DIVISION RESIGNED THIS WEEK END. NOW YOU FIGURE IT OUT. PHYSICIANS DO HAVE A ROLE NEVER DENIED THAT, I MY CASE HE HAS A ROLE, BUT SO DOES DEPUY WHO MADE SUCH A DESIGN THAT CAUSED THE ACETABULAR CUP TO BE SO PRECISELY PLACED.

    THERE ARE PEOPLE HERE THAT I HAVE ALREADY HELP. SO I THINK MY EXPERIENCE IS WAY BEYOND SOME OF YOU HAVE NOT BEEN ON THE OTHER SIDE, IT IS MY EXPERIENCE THAT ALLOWS ME TO STAND AGAINST ANYONE IN THIS PROFESSION NO MATTER WHAT SIDE YOU CHOOSE,

    MY ACTIONS WILL SPEAK FOR THEMSELVES, AND DO CHECK IN ON US TIME TO TIME AND MAYBE YOU WILL CHANGE YOUR VIEWS AS YOU SEE THE GOOD WORK THAT IS HAPPENING HERE.

    JIM MORELAND

  318. Sue and all other doubters please don’t harass this man he is doing nothing but helping us. If you log on to the wrong site get it fixed. This site has been great. I have had a total of 12 surgeries and find the input from Jim and others to be nothing but helpful. Please think about things before you point the plastic finger.

  319. Hi everyone, I asked Mr family Doctor to set me up with that blood test that you have mentioned they called me back and said my surgeon should request it. So I will contact my surgeon and ask for him to get a metalosis test for colbalt and chronium. I don’t know why they don’t want to do this. Should the patient have to request this for possibly lawsuit purposes down the road?

  320. Funny how the two post I had made are now gone. After people get on the forum website for support and SCARE a lot of people with false facts. I post on here, truthfully and now these posts are gone.
    Certainly adds up in my mind that there is shilling for lawyers going one here.

  321. Hi Jim: I am now 70 and the last ten years have been full of knee and/or hip pain. I had bilateral knee replacements in November 2004, and failed to achieve more than 90 degrees of rotation( now down to 65) with the left knee.

    In January 2006, a Cavernous Malformation in the thoracic cord (T9-T11) filled with blood products and left me paralyzed from the waist down for a few days. Once feeling returned and I learned to walk again hip pain started anew.

    In December 2006, Ieft hip replaced with DePuy Pinnacle hardware. The surgeon’s notes don’t mention a liner.

    Pain returned about 60 days later. Next, I was sent to pain management, which after 18 months and a recommendation from the Mayo in Jacksonville, resulted in a peripheral stimulator being embedded with leads to the left SI joint and another set to the left trochanter area, with no relief in hip pain, but now can’t do an MRI.

    The information posted here has been most helpful. My GP is willing to write the order billing for the blood tests, however, he is hesitant to do so without the billing codes, fearing that I could be liable for mega$$ that neither Medicare or UnitedHealthCare would not help with. Can anyone help with billing codes?

    Bill in Daytona

  322. Hi Jim, I am a very active 58 year old who had a DePuy hip replacement on my right hip in March of 2003 at the age of 50. Within a couple days after surgery I seemed to become allergic to elastic, rubber and latex. My orthopedic surgeon could not explain why and said he didn’t think it had anything to do with my hip replacement. To date I am still having the allergic problems. I called DePuy regarding the recall and they told me they recalled the DePuy hips as of July 2003 and that mine was not included since it was in March. Upon reading everyones problems it shed some light on what I thought was normal issues after a hip replacement to actually maybe having something going on. I have always complained about pain in my thigh after walking or twisting movements of my leg and sometimes after bending down to tie my shoes. I also have the pain in my groin and butt after sitting for periods of time to the point it hurts and I walk with a limp. This doesn’t happen all the time it just seems when I have overdone it. Yard work is just about unbearable afterwards.

    I called my Orthopedic surgeons office to ask for an order so I can have the blood work up for metals and so far I have not heard back from them.

    Do you think it is possible to have a defective hip from March of 2003 since it isn’t in the recall. I had the DePuy metal on metal with the polyethylene cup. I went to the hospital yesterday and got a copy of surgical report with the exact lot numbers on the hip replacement parts.

    I have made an appointment this month for a checkup and to discuss this with my surgeon.

    Thanks for helping others, I know it has given them some peace of mind and wonderful knowledge.

    Thanks again, Linda

  323. Jim,

    No offense, but if you believe that surgeons do not play a role then you are naive. I am not completely blaming surgeons but any journal literature will tell you that a cup should be implanted at an inclination of 45-55 degrees and anteverted 15-25 degrees. The combined anteversion of the stem and the cup should be no greater then 40 degrees. Agree? Who controls those numbers? Surgeons.

    Also, let’s not forget the ASR is the product at fault here. The company I work for recently launched a product that mimics the Pinnacle system. Our designers stated that the pinnacle system was the “gold standard” in acetabular systems and has been for 10 years. It has a poly liner and a metal liner just like pinnacle.

    A similar product from another company called the Durom was also recalled. It is well known within the industry that one of the ” big 5″ companies is having a major problem with their version of the ASR, but since they are a private company and have no stock holders to report to, they will not recall it. They have no reason to, which makes your point about companies just wanting to make money valid. If they are aware of this problem then why aren’t they doing something about it? That’s the point I was trying to make. Not feeling sorry for the companies.

    Did you know surgeons have the authority to use something that is not FDA approved if they feel strongly enough that it is the best for the patient?

    Ceramic on ceramic hips squeak. Metal on metal can cause metallosis. Poly can cause osteolysis. They all have pros and they all have cons.

    Not sure how long ago you were an orthopedic PA, but we no longer live in the era where all surgeons get paid by these companies. There are consultants who do get paid but the general “community” orthopedists get nothing. Most, and I repeat most, of thes surgeons use what they believe to be the best implant option for their patients. I would say that as educated as doctors are, they should be qualified to make that decision.

    And since I am so ignorant, I guess nothing I said in this post is true either. But if you have seen so many joint replacements you may recognize some of those numbers and you may also recall the terms leg length and offset. All of these play a role in THR. Am I wrong?

    I have not experienced your pain or suffering, but I just want everyone on here to do their research and draw their conclusions with all of the info that is necessary to do so. I never said I sympathized with these companies and they should be held liable but only to a certain extent. If you find a good surgeon that knows his anatomy and landmarks to use intra-operatively to aid in prothesis placement you will do fine no matter the implant company.

    Sorry if I offended you in any way and I’m sure some on here appreciate your advice.

  324. Hi Jim and the rest of us poor souls. Yes the guy must be working for depuy to make those kind of statements. Anyway, I wanted to let you know that I am scheduled for a new cup to be put in my depuy pinnacle hip. I have asked my personal Doctor to set me up a labwork for testing on the colbalt and chromium with a quest lab AS YOU STATED TO jUDY.I have my surgery on the 29th of this month and would like my results ready to hand to my surgeon before surgery. He has already told me the possible risks of infection happening. So that sent up a red flag to have a test before I go into surgery.He didn’t seem to think he needed to give me this test and he seems like a real good doctor. Should I be aware of something else, he sure isn’t on the side of Depuy I know that cause he is ready to get this pinnacle cup out of me.

  325. HEY LARRY

    INFECTION CAN INVADE BONE, FLUIDS, BLOOD AND SURROUNDING TISSUES IN AND AROUND THE HIP. IN MY CASE, I HAD A SEVERE INFLAMMATORY RESPONSE TO METALLOSIS. I HAD THE HIP ASPIRATION, BLOOD CULTURES, AND A SCINTIGRAPHY WHICH DIAGNOSED MY CASE OF OSTEOMYELITIS( THAT IS INFECTION IN THE BONE). SEPTICEMIA IS (INFECTION IN THE BLOOD). THEN YOU CAN HAVE INFECTION IN THE JOINT CAPSULE, JOINT FLUID, SYNOVIUM AND OTHER CONNECTIVE TISSUE. WHAT THEY WILL DO LARRY IS TAKE THE CULTURES AND PERFORM A CULTURE AND SENSITIVITY, THIS JUST MEANS THAT THEY TAKE THE SPECIMEN PLANT IT ON AN AUGER PLATE THAT IS THE CULTURING PART, THEN THEY PLANT ANTIBIOTICS TO IDENTIFY WHAT ANTIBIOTIC IS THE BEST TO FIGHT THE INFECTION IDENTIFIED. ANY BACTERIA, FUNGUS, AND TUBERCULIN CAN CAUSE THE INFECTION. INFECTION CAN CAUSE LOOSENING AND LIKEWISE WITH THE METAL ON PLASTIC THAT SHE HAS; SHE STILL CAN BE REACTING TO METAL AND PLASTIC FROM THE POLYURETHANE. SCINTIGRAPHY INDIUM SCAN CAN IDENTIFY BONE INFECTION(OSTEOMYELITIS).

    GOOD THE HERE FROM YOU LARRY AND GOOD LUCK TO YOUR MOTHER AND YOU. I HOPE THIS ANSWERS YOUR QUESTION.

    TAKE CARE
    JIM MORELAND

  326. Jim, please see post of March 1st. Another question for you. If infection is present, what are we looking at? Osteomyelitis?, Staph, Strep? Which antibiotics would you use to treat these infections.

    Thanks, Larry C

  327. ROBERT, YOU CAN’T BE SERIOUS, YOU MUST WORK FOR DEPUY, OR YOU MUST BE AN ATTORNEY WHO IS TRYING SOME SPIN AND MISINFORMATION AND SPREADING THE BLAME TO THE ORTHOPEDIC PHYSICIANS WHO THEMSELVES HAVE BEEN KEPT IN THE DARK ABOUT YOUR FAULTY ENGINEERED PROSTHESIS. YOU CAN NOT FOOL AN OLD PA WHO HAS LOGGED THOUSANDS OF TOTAL ARTHROPLASTY SURGERIES. YOUR PINNACLE PROSTHESIS BY DESIGN CALL FOR A PRECISE PLACEMENT OF THE PINNACLE ACETABULAR THAT IT IS BEYOND HUMANS TO REPLICATE. THE BLAME IS TOTALLY ON DEPUY AND NOT THE SURGEONS AND I HOPE THERE ARE A FEW WHO WILL STAND UP FOR THEMSELVES. IF NOT I WILL, I HAVE MY EXPLANTS. I HAVE STUDIED IT AND RESEARCHED IT AND THE FLAW IS EVIDENT TO ME AS IT WAS ON THE XRAY AS I HAVE ARGUED WITH DIE-HARD ORTHOPEDIC SURGEONS WHO SWEAR BY THE DEPUY PRODUCT. WELL THEY HAVE SINCE RECANTED THEIR STATEMENTS. THEY NO LONGER IMPLANT THE METAL ON METAL. THERE ARE SO MANY POINTS TO MAKE HERE, BUT THE BOTTOM LINE HERE IS THAT YOU ARE TRULY UNBELIEVABLE IN YOUR STATEMENT.

    LET’S GET OFF OF MEDICINE AND GO TO THE HEART OF YOUR SO CALLED “UTOPIA” VIEW THAT IF IT WERE NOT FOR THE RESEARCH AND DEVELOPMENT OF THESE LARGE COMPANIES THAT WE WOULD NOT HAVE THESE WONDERFUL ADVANCES IN ORTHOPEDIC DEVICES. HOW FOOLISH, COMPANIES EXIST FOR ONE REASON ONLY, “PROFITS”. YOU CAN NOT BE THAT NAIVE. THEY HAVE DONE COST AND BENEFIT ANALYSIS AND FIGURED IN THE RISK COST AND HAVE FOUND THAT THEY STILL MAKE AN EXORBITANT AMOUNT OF MONEY. THEY ALREADY KNOW WHAT IT IS GOING TO COST TO SETTLE THESE CASES. THAT IS WHY THEY CAME FORWARD TO RECALL THEM, TO SETTLE AND SAVE THE NAME OF JOHNSON AND JOHNSON AND DEPUY. I HAVE A DEGREE IN ECONOMICS AND MAJOR COMPANIES DO NOT DO ANYTHING UNLESS THERE IS BIG PROFITS IN IT FOR THEM…….YOU ARE UNBELIEVABLE IN YOUR ATTEMPT TO APPEAL TO US TO HAVE MERCY ON THESE COMPANIES, TRULY YOU ARE NOT ONE OF US WHOSE LIVES HAVE BEEN RUINED AND I MEAN RUINED,,,,YOU MINIMIZE EVERYONE ONES PAIN AND SUFFERING ON THIS BLOG AND LIKE THE GOOD REPRESENTATIVE OF DEPUY YOU EVEN TRIVIALIZE OUR CLAIMS. YOU ARE MOTIVATED BY YOUR OWN GREED AND THAT IS TO SPEAK WITHOUT KNOWING THE MEDICAL FACTS. I AM DONE WASTING MY TIME ON SUCH AN IGNORANT STATEMENT THAT YOU HAVE JUST POSTED…YOU ARE NOT WORTH MY TIME AND THERE ARE OTHERS WHO NEED ANSWERS AND BY GOD THEY WILL GET FROM ME…THE TRUTH….YOU ARE WITH A CONSCIOUS AND SPEAK OUT OF YOUR OWN IGNORANCE OR YOU ARE JUST AN APATHETIC PERSON WHO IS UNABLE TO FEEL ANOTHERS PAIN. YOU NEED TO TAKE YOUR SHOW TO ANOTHER SITE.

    JIM MORELAND PA-C, MHS

  328. Working in the device industry, many of you need to do your homework before you waste your money talking to lawyers. All companies have problems with implants in patients. Sounds like the surgeons have been given a free pass on here. They are human and so are the designers of these products. Products are tested in “perfect conditions” in the lab for optimal results. Products most often are not implanted perfectly. Be glad that large companies like J&J have the money to fund and support research and development and design products. Be glad they fund studies to follow up on patients. There are other companies who have recalled their versions of the ASR. There are also other big companies who are not following patients and doing studies on their metal on metal after it has been implanted. That’s even scarier. What if you didn’t even know that company was having problems with theirs and it was completely out of hand and to the point of toxicity before you knew? There are still surgeons actively implanting similar devices even though all of the info post op says metal on metal is not the way to go. Their company of choice tells them that their product is immune to all this “recall stuff” but that is far from the truth and I guarantee there will be more recalls of similar devices in the near future if the companies “do the right thing.” Some companies admit their mistakes and others don’t.

    Metallosis is only a product of a metal on metal construct. Polyethylene wears out too and also can cause severe problems. It happens in both materials. Metallosis is worse for the body as a whole because of the toxicity possibility (although it is rare). Polyethylene can be destructive in the way that it causes osteolysis. Meaning the body attacks the plastic debris and the tissues (usually bone) around the devices.

    Also keep in mind that nothing will feel as good as your natural pre-arthritic joints, whether it’s hips or knees or even shoulders. That is just fact. Dislocations are not the companies fault. It has nothing to do with ineffective components, but everything to do with how they were “installed.” Pain can also be caused from the muscles and tendons around the hip joint if they are stretched too tight. These are reasons many orthopedic surgeons do not do THR surgery. Joint surgeons will always say the back is the problem and spine surgeons will always say the joint is the problem.

    Just trying to give you guys another perspective. I understand your concerns as I have them for my own metal on metal hip. Not only is the implant company important, but the surgeon is also an important decision. Go with someone who has a good reputation or someone a friend has gone to. It is a combined effort of the implant company and the surgeon that make a good result.

    Hope this helps.

  329. WELL JUDY, A PLEASURE TO MET WITH YOU, AND IT IS SAD THAT WE ALL HAVE TO MEET UNDER SUCH CIRCUMSTANCES.

    A DOCTOR WHO PUT ANOTHER DOCTOR DOWN IN MY BOOK IS LACKING SOMETHING.

    FIRST OF ALL, THE PINNACLE METAL ON METAL HIPS ARE FAILING AT TREMENDOUS RATES AND WILL BE THE NEXT HIP RECALLED FROM DEPUY. HAVE YOUR ORTHOPEDIST TO READ THE CURRENT LITERATURE AND NOT LISTEN TO WHAT THE DEPUY REPRESENTATIVES ARE TELLING HIM. IT SOUNDS LIKE YOUR LOCAL ORTHO MAY HAVE PICKED UP ON SOMETHING FOR YOU. WHAT HE MAY BE SEEING IS METALLOSIS, THAT IS WEAR TINY METAL PARTICLES ARE RELEASED AROUND THE JOINT AND IF YOU HAVE ENOUGH OF THIS PARTICLES THEN THEY CAN BE SEEN ON ROUTINE XRAYS. YOU HAVE TO HAVE A TRAINED EYE TO PAY CLOSE ATTENTION AND YOU CAN SEE THEM. THE FACT THAT HE SEES SOMETHING IN YOUR HIP JOINT AT ACETABULAR JOINT IS TELLING, BECAUSE THIS IS THE AREA IN WHICH FAILS, IT IS KNOWN AS THE ACETABULAR AND THE METAL PROSTHESIS FIT INTO THE BONE AND THEN TE METAL ARTICULATES ON THE METAL CUP.

    YOU NEED TO OBTAIN A COBALT AND CHROMIUM LEVEL. HAVE YOUR FAMILY DOCTOR DO THIS. JUST TELL HIM YOU HAVE A RECALLED HIP AND YOU WERE SUGGESTED BY THE ARTICLES ON LINE TO DO SO. THIS WAY THE INFORMATION IS ONLY BETWEEN YOU AND YOUR FAMILY DOCTOR. IF YOUR BLOOD LEVELS COME BACK ELEVATED, WELL YOU HAVE YOUR ANSWER. YOUR IMPLANTS ARE FAILING CAUSING METALLOSIS RESULTING IN COBALTISM. CHECK THE SIGNS AND SYMPTOMS OF COBALTISM AND SEE IF YOU MAY INDEED HAVE THEM.

    YOUR ORTHO WHO PUT YOUR JOINTS IN SHOULD HAVE NEVER PUT YOU IN A POSITION TO CHOOSE, BUT JUST BY HEARING THE TONE OF THE EMAIL, YOU HAVE YOUR DOUBTS ABOUT HIM. TRUST YOUR INSTINCTS ON THIS. SOME OF THESE DOCS HAVE BEEN PAID HANDSOMELY TO IMPLANT THESE DEFECTIVE PROSTHESIS. AND THEY JUST MAY BE DEPUY LOYALIST. THE MONEY IS GOOD.

    THE BIGGEST THING HERE IS TO MAKE SURE THAT YOU HAVE NO INFECTION SECONDARY TO THE METALLOSIS. GET SOME BLOOD WORK A CBC WITH DIFFERENTIAL AND SED RATE AND CRP. THIS ARE INDICATORS OF INFECTION/INFLAMMATION. DIFFERENT VALUES TELL YOU WHAT IS MOST LIKELY AN INFECTION OR AN INFLAMMATORY PROCESS.

    FINALLY I WOULD GET AN MRI OF THE HIP JOINT TO SEE IF THOSE ARE PARTICLES OF METAL. THIS IS EVIDENTUARY FOR YOUR LAWSUIT AGAINST DEPUY, IT SEEMS TO ME THAT YOU HAVE A FAILED PINNACLE HIP, IS IT A METAL ON METAL ON HIP. TELL ME MORE ABOUT YOUR PAIN ALSO. BUT THESE ARE THE STEPS I ADVISE YOU TO TAKE. I HAVE BILATERAL HIPS AND THEY ARE BOTH COMING OUT AS MY COBALT LEVELS ARE VERY HIGH. DON’T WAIT UNTIL MARCH. I WOULD GET A SECOND OPINION ON YOUR CASE AND YOU ARE ENTITLED TO IT AND IF THE ORIGINAL ORTHO DOC GET MAD, THEN I WOULD WALK AWAY FROM THIS CHARACTER. I CALL A SPADE A SPADE. WHEN DOCTORS DO THIS THEY ARE INCOMPETENT OR HAVE SOMETHING TO HIDE. USE YOUR OWN JUDGMENT JUDY, IT IS YOUR BODY AND DO NOT WORRY ABOUT HURTING ANYONE’S FEELINGS. GET IT DONE AS SOON AS POSSIBLE, YOU WILL NOT REST UNTIL YOU KNOW.

    I AM HERE IF YOU NEED ANYTHING AT ALL.

    TAKE CARE
    JIM MORELAND

  330. JIM,
    WHOEVER YOU ARE, AND ALL THE REST…I HAD A DEPUY PIINNACLE IMPLANT April 30, 2007. In 2008 I had both knees replaced by the same doctor. After the knees, the hip just ‘never felt right’. I fell this winter and went to a local orthopeadic doctor in my hometown. HE spotted some spots at the outer top of my femur and also at the inner space where the head goes into my pelvic bone. He suggested I see another doctor immediately. When I went to my surgeon, he put down the local doctor. I will see the ortho. dr.again the last week in March. What are your feelings on this? The dr. told us that he designs for Depuy, but thinks the Pinnacle is good. I do not want to wait until it is too late to have a revision, if it comes to that. I have another appointment with a different doctor, will he be truthful with me or are they ‘all in this’ together? I have time to cancel and choose to see anyone/anywhere. Help, advice, please.

  331. To: Jim Moreland
    Hi Jim, thanks so much for responding to my post. You said you weren’t familiar with the Pinnacle series of parts my mom received so I called up DePuy and found out the hole eliminator is titanium alloy as is the acetabular cup. The acetabular liner is polyethylene, and the AML part and femoral head are cobalt chrome alloy. I am making an appt with another ortho for evaluation and will have them order the tests you mentioned. We need to rule out infection and make sure she is not being affected by metallosis. She has an appt with her PCP on Monday and I will address with him as well.

    Thank you for your help.

    Larry C

  332. MEARAL

    IT SOUNDS AS IF YOUR HIP IS FAILING. GO GET THIS EVALUATED SO NO FURTHER DAMAGE TO THE SURROUNDING TISSUE AND BONE OCCUR.

    IF YOU HAVE THE ASR OR PINNACLE BY DEPUY, REQUEST THAT YOUR COBALT AND CHROMIUM LEVELS ARE TAKEN.

    STAY IN TOUCH AND KEEP US POSTED.

    GOOD LUCK!
    JIM MORELAND

  333. I had a hip replacement 4-7-2005 for four years after no problem what soever,
    now for the pass year and half i cannot walk 300 yards with out severe hip pains
    when i go grocery shopping i have to find some place to sit and rest my hip.

  334. METALLOSIS AND COBALTISM “THE BEST KEPT MEDICAL SECRET IN AMERICA TODAY”. THAT IS MY CONCLUSION AFTER TALKING TO ALL OF MY PHYSICIANS AND THEY ARE SOME OF THE BEST IN THEIR FIELD. I SURMISE THAT DEPUY HAS DONE A GOOD JOB PUBLICLY SUPPRESSING THE NEWS ON THEIR HIP FAILURES.

    TODAY I SEEN MY RHEUMATOLOGIST AND YESTERDAY MY FAMILY DOCTOR. BOTH OF THEM I HAVE HIGH RESPECT FOR THEY ARE CURRENT AND ARE PASSIONATE ABOUT CARING FOR THEIR PATIENTS. BOTH TRIED TO RESEARCH THE TOPICS OF METALLOSIS AND COBALTISM AND THEY DISCOVERED NOT MUCH OUT THERE AS FAR AS EMPIRICAL MEDICAL RESEARCH. THE FOUND OUT WHAT WE KNOW. NOT MUCH INFORMATION TO GUIDE US ON OUR JOURNEY OF THIS MEDICAL DEBACLE.

    TONIGHT I WRITE TO ENCOURAGE ALL OF YOU, THAT LISTEN TO YOUR BODIES AND MOST OF ALL TRUST YOUR INSTINCTS. WE, THE PATIENTS, ARE GOING TO HAVE TO EDUCATE OUR PHYSICIANS ABOUT OUR HEALTH. THAT MEANS DO THE RESEARCH AND SHARE IT WITH THEM.

    MOST OF ALL, THERE ARE NO GUIDELINES HERE. THE BOTTOM LINE IF IT WERE NOT FOR ENGLAND, WE WOULD HAVE NO INFORMATION. THEY EVEN ADMIT THERE SHORTCOMINGS, BUT AT LEAST THEY HAVE BEGUN TO RESEARCH AND PROVIDE SOME BASIS AS TO TREATMENT. BUT THEY ARE NOT CONCRETE, THEY ARE MERELY A MEDICAL JUDGMENT. I MUST SAY THEY HAVE SOUND MEDICAL REASONING AND I CHOOSE TO FOLLOW THEM, BUT IN ONE AREA I DISAGREE AND THAT IS THE INTERPRETATION OF THE LAB RESULT AND WHAT THEY IMPLY MEDICALLY WHAT SHOULD BE DONE.

    THE FOLLOWING IS FROM WEBSITE THAT REFERENCES COBALT AND CHROMIUM RANGES AND WHAT RANGES ARE CONSIDERED TOXIC AND AT WHAT LEVEL YOU SHOULD DO THE REVISION.. PLEASE TAKE TIME TO READ THIS CLOSELY.

    “If you go to a doctor and get a blood test, the amount of metal (including cobalt) in your bloodstream will be calculated in micrograms per deciliter. A healthy person has approximately 0.019 micrograms per deciliter – about one microgram for their entire body. The metal in your bloodstream only presents in very, very small amounts; someone with normal cobalt levels could gather all the cobalt in their system together and come up with an amount smaller than a grain of sand.

    Even at highly toxic levels, the actual amount of cobalt looks very, very tiny. 0.5 micrograms per deciliter of cobalt is considered toxic. That’s about five grains of sand in a giant bucket of water. Seems small – but those tiny grains of metal can throw the entire chemistry of your body wildly out of order.

    In Britain, there are regulations for keeping close observations on patients who have metal-on-metal bearings in any hip implants, including the ASR hip implants. At cobalt levels of 0.7 micrograms per deciliter, patients must be kept under observations. Symptoms at those levels include hip pain, dying tissue, and pseudotumors – masses under the skin. Generally doctors recommend revision if a patient with a hip implant has a cobalt concentration of 1.9 micrograms/deciliter or above.

    Revision isn’t suggested until cobalt concentrations are one hundred times the mean average – even though levels are considered toxic at twenty-five times the average.

    One patient with severe cobalt poisoning had levels of 6.6 micrograms/deciliter. That’s nearly three hundred and fifty times the mean average. The dangers of cobalt levels so high were quite apparent: in addition to hip pain, the patient showed declining cognitive function, was losing control of his senses like hearing and sight, suffered from seizures, heart failure, and multiple other problems.”

    FIRST NOTICE THE NORMAL LEVEL OF COBALT FOUND IN THE BODY.(0.019). I WILL LEAVE OFF THE MEASUREMENTS AS NOT TO DISTRACT FROM THE MATH.

    .500 IS CONSIDERED TOXIC: STOP HERE……..TOXIC…….. DO I NEED TO ELABORATE? NO. TOXIC IS TOXIC. NOW IF YOU HAVE A LEVEL OF .500 OR GREATER AND YOU ARE SYMPTOMATIC, YOU NEED TO HAVE THESE PROSTHESIS TAKEN OUT. NO IF’S, BUTS, OR AND’S. YOUR DECISION IS MADE FOR YOU. THE NUMBER WILL ONLY RISE AS THE THE METAL ON METAL PUT MORE IN THE BODY. EVEN IF THEY DO NOT RISE FOR SOME REASON…TOXIC IS TOXIC….

    THEY RECOMMEND THAT NOTHING BE DONE UNTIL YOU HAVE MORE THAN 100 TIMES THE NORMAL LEVEL. THIS DOESN’T EVEN SOUND REAL. IS ANYTHING 100 TIMES WHAT IS NORMAL HEALTHY FOR YOU????? I AM NOT TRYING TO BE CUTE HERE, WHAT I AM TRYING TO APPEAL TO IS COMMON SENSE. IS 57 TIMES NORMAL HEALTHY FOR YOU?….I SAY NO. NOT ONLY AS A PROFESSIONAL, BUT AS A PATIENT. MY RHEUMATOLOGIST TODAY REAFFIRMED WHAT I ALREADY KNEW, THESE METALS ARE KILLING YOU. THEY MUST COME OUT.

    HERE IS WHAT WE KNOW ABOUT LOW DOSE EXPOSURE FROM LEAD AND MERCURY. AT LOW DOES THE IMMUNE, NEUROLOGICAL, ENDOCRINE AND CIRCULATORY(HEART) SYSTEMS ARE AFFECTED. SO I SAY THAT IF WE KNOW THIS ABOUT OTHER HEAVY METALS, IT IS HERE WE SHOULD START AND LOW LEVELS DO PRODUCE SIDE EFFECTS. TAKE THE 6,6 PATIENT MENTION ABOVE, WHO PRESENTED WITH SEIZURES AND HEART FAILURE: SHOULD WE WAIT UNTIL WE HAVE IRREVERSIBLE DAMAGE? NO..SO TONIGHT REMEMBER…TOXIC IS TOXIC…..LOW LEVEL TOXICITY CAN HAVE DETERMINTAL EFFECTS ON THE BODY SYSTEMS…..DO NOT LET THE ORTHOPEDIST ONLY LOOK AT THE NUMBERS TO GAUGE WHETHER A REVISION IS WARRANTED, THEY MUST LOOK AT IT FROM A SYSTEMATICAL POINT OF VIEW(IE….SIGNS AND SYMPTOMS OF COBALT TOXICITY), IT IS THE PATIENT AND THEIR SIGNS AND SYMPTOMS THAT SHOULD HAVE PREFERENCE OVER SOME NUMBER SYSTEM THAT IS SKEWED IN FAVOR OF OTHER INTEREST. PATIENTS HEALTH SHOULD OVER RIDE ANY NUMERICAL VALUE ASSIGNED. SO DO NOT LET DOCTORS MERELY EVALUATE YOU BY THE NUMBERS, IF YOU HAVE SIGNS AND SYMPTOMS OF COBALTISM, THIS SHOULD OVER RIDE ANY NUMBER VALUE. THE LITERATURE AND ONLINE ADVICE FAIL TO STRESS THE PATIENTS POINT OF VIEW. TONIGHT I JUST HAD TO SAY THIS TO YOU GUYS. EMPOWER YOURSELVES, FOR IF YOU DO NOT FIGHT FOR YOUR OWN HEALTH IN THIS MATTER, THEN NO ONE ELSE WILL, SIMPLY BECAUSE THERE IS NO REAL AUTHORITY OUT THERE GUIDING US. OF COURSE JOHNSON AND JOHNSON AND DEPUY WILL TELL YOU WHAT YOU NEED TO DO AND I THINK I KNOW WHAT EVERYONE OF YOU THINK OF THAT.

    BLESSINGS TO ALL
    JIM MORELAND

  335. LARRY C

    THANKS FOR THE COMPLIMENT, THE THING HERE IS THAT I AM TREATING EACH CASE AS IF YOU WERE MY PATIENT AND THAT IS THE WAY I HAVE ALWAYS HANDLED PRACTICING MEDICINE, SO THANKS AGAIN

    WELL THE BONE SCAN PROVE LOOSENING.

    HERE SYMPTOMATOLOGY INDICATES LOOSENING.

    BECAUSE SHE HAS A PINNACLE, SHE NEEDS THE HIP ASPIRATION TO RULE OUT ANY INFECTION AS THAT IS THE LEADING CAUSE OF LOOSENING IN THE ELDERLY AS WELL AS OSTEOPOROSIS. SECONDLY, SHE NEEDS COBALT AND CHROMIUM LEVELS TO RULE OUT METALLOSIS AND COBALTISM. IF THESE LEVELS ARE ELEVATED, HAVE AN MRI WITH THE FILTER CAN ZERO IN ON SOFT TISSUES, THIS IS WHERE YOU WILL FIND SIGNS OF METALLOSIS. I AM NOT FAMILIAR WITH THIS PINNACLE SERIES THIS MIGHT HAVE THE PLASTIC LINER. STILL GIVEN WHAT EVERYONE IS EXPERIENCING WITH PINNACLE SERIES, HAVE ALL OF THIS DONE.

    HER AGE PUTS HER AT HIGHER RISK FOR SURGICAL COMPLICATIONS. IF SHE IS IN GOOD HEALTH AND HER DOCTORS THINKS SHE CAN MAKE IT, A REVISION WOULD ALLOW HER RELIEF FROM THE LOOSE PROSTHESIS THAT IS SO SYMPTOMATIC NOW. BUT YOU WILL HAVE TO WAY THE BENEFITS AND RISKS AS THEY ARE INDIVIDUAL BASED. IF I CAN BE OF ANY HELP LET ME KNOW.
    GOOD TO HEAR FROM YOU BROTHER.

    JIM MORELAND

  336. To Jim Moreland: Just discovered this site and you have already helped so many people here. Thanks for utilizing your education in such a positive way. You have made a difference in the lives of many. Two things:

    You mentioned a group of lawyers in the St Louis area who are actively taking cases of Depuy Pinnacle failures. Can you tell me who they are?

    Secondly, my mom had a THR in Feb 2008. It wasn’t long after that she started experiencing groin and thigh pain. At times the pain is severe and affects her walking. There is also times where there is a sharp grabbing pain that almost makes her go down. (She is currently 83) She went back to her ortho and he tried to blame it on her back. She does not have back problems. He ordered an MRI of the spine which which didn’t help. A bone scan was ordered by her PC doc and show this statement: There is a subtle focus of increased activity overlapping the tip of the femoral component of the right hip prosthesis, thus in the proximal right femoral midshaft, pssibly due to loosening versus, less likely, infection. Here is what they used in the surgery: Depuy APEX hole eliminator-PS, Depuy Pinnacle 300 acetabular cup, Depuy Pinnacle Marathon acetabular liner-lipped, Depuy AML small stature, Articul/eze femoral head. Your thoughts on what might be going on here? Thank you

    Larry C

  337. FAYE

    WELCOME TO YOU. YES WE ALL ARE SUFFERING FROM THESE DREADED FAILED SYSTEMS.

    GLAD YOU ARE GETTING ARTHROCENTISIS DONE TO RULE OUT INFECTION. I WOULD SUGGEST YOUR DOCTOR GET A COBALT AND CHROMIUM LEVEL ON YOU TO RULE OUT COBALTISM DUE TO METALLOSIS. AND AN INDIUM SCINTIGRAPHY AS THEY CAN ILLUMINATE SOFT TISSUE SWELLING OF METALLOSIS.

    GOOD LUCK
    JIM MORELAND

    JIM B

    SORRY TO HEAR YOU ARE HAVING SYMPTOMS OF COBALTISM. YOUR SIGNS AND SYMPTOMS ARE CONSISTENT WITH COBALTISM SECONDARILY TO METALLOSIS. YOU ARE NOT HAVING ANY HIP THOUGH? WELL THAT IS GREAT BUT YOUR LEVELS ARE INDICATION YOU ARE TOXIC FROM COBALT AND ARE HAVING SYMPTOMS. THIS IS A TOUGH DECISION IN LIEU NO HIP PAIN. BUT, YOU ARE HAVING COBALT TOXICITY SYMPTOMS AND HIGH LEVELS ON COBALTISM IS DETRIMENTAL TO THE HEART AND NEUROLOGICAL SYSTEMS AND HAS BEEN REPORTED TO CAUSE CANCER.

    I WOULD HAVE THEM OUT. I AM HAVING THE SAME SYMPTOMS AND HAD A REVISION 5 MONTHS AGO AND THEY STILL PERSIST ALTHOUGH MY COBALT LEVEL IS MODERATELY ELEVATED. I HAVE NO CHOICE. I HAVE LUPUS AND THEY MUST COME OUT AND IF I WERE YOUR HEALTHCARE PROVIDER I WOULD ADVISE THE SAME FOR YOU DUE TO YOUR SIGNS AND SYMPTOMS OF COBALTISM, BETTER OUT THAN SUFFER IRREVERSIBLE CARDIAC OR NEUROLOGICAL EVENTS.

    THESE DECISIONS ARE SERIOUS IN NATURE. THAT IS WHY DEPUY SHOULD PAY HEAVENLY FOR THEIR MISDEEDS.

    GOD LUCK JIM

  338. Well I see I am not alone, I had a total hip replacement on Oct. 2004. I have been living in pain for almost seven years. I have been throught alot of test and MRI’s and they can not tell me why I am in so much pain. All they say is the replacement is not out of place. I findly found a doctor that is going to do a hip aspiration March 1st. I have a DePuy Pinnacle replacement. I kept telling the doctors the pain was getting worst but they didn’t know why. Been on pain pills going on seven years. I just want them to find out what the pain is coming from and fix it. Found this site and I see other people are in the same boat as I am. Believe me I know how you feel!!

  339. Jim,

    I had an S-Rom implant 5 years ago, 2-22-06. Surgery and rehab went great and have had no pain and have been able to hike. I have developed peripheral neuropathy and tinnitus over past year. Last week I got my cobalt, 3.5 ug/L and
    chromium, 2.1 ug/L results. Should I have my molybdenum level checked? I have a 36 mm Ultamet insert and a 58 mm Pinnacle Sector II acetabular cup. I have an appt. with a Hematolist and Audiologist this week. I see a new ortho doctor in a couple of weeks. Thank you for your comments.

    Jim B.

  340. These rotten bastards should pay us all big time!..Three years ago I had this piece of Manchurian Pig Slag Iron placen in my right hip.Since day one it has been a total and complete failure and the poisening to my body has been horrific!…Anyone else have the Depuy products call me right away collect if need be!..They have ruined our lives while they wined and dined on the proceeds of our very lives!

    HANS VONBISCHEL

  341. Jim ~
    I appear to have, amongst other things, hip adhesions – being unable to put my shoe and sock on or reach down and dry between my toes; along with reduced hip flexion. You wrote that revision surgery did not improve the situation for you. I am meeting with my surgeon on March 15 to discuss revision surgery. Would you suggest I have it or go the cortisone route first? If so, where would I get the injection placed? My cobalt, serum is 7.3 ng/ml from Quest and 6.5 ppbl with LabCorp. Should these results indicate that I get the hip replaced?

    Thank you for helping us.
    Michael

  342. Jim,
    Yes my wife’s Dr. is Louis Scheker from the Klienert and Kutz Hand Clinic.
    I have a follow up appt with my Hip Doc next month to see what he recommends. Due to your help and others on this blog I will have questions for my Doctor.
    Bob H

  343. CAROLYN

    I TOO AM 54, SO SORRY TO HEAR ABOUT OUR TRAGIC STORY. I AM IN THE SAME BOAT. AS YOU CAN SEE YOU ARE NOT ALONE. WHAT ARE YOUR COBALT AND CHROMIUM LEVELS? WHAT KIND OF PROSTHESIS DO YOU HAVE NOW? ARE YOU PURSUING A LEGAL CASE?

    AGAIN I AM SO SORRY FOR ALL THE PINNACLE PATIENTS OUT THERE AND THERE ARE MANY, I HOPE YOU ARE LISTENING JOHNSON AND JOHNSON, QUIT DRAGGING YOUR FEET AND HELP US WHO HAVE SUFFERED FROM YOUR DEFECTIVE DESIGN. STEP UP AND DO THE RIGHT THING. SORRY ABOUT THAT, WE ARE ALL ANGRY.

    GOOD LUCK TO YOU,

    WE ARE HERE IF YOU NEED US.

    JIM MORELAND

  344. JIM,I HAVE THE COMPLETE TRANS SCRIPT FROM MY RIVISION IT IS 7 PAGES. HERE IS WHAT THEY PUT IN. IT WAS A PINNACLE CUP WITH POLYETHYLENE LINER DISCRIBED AS NORMAL. MY COLBALLT LEVEL WAS 4.3 CHROMIUM WAS 2.2. THERE WAS 7 PAGES AND A LOT I DON’T UNDERSTAND, HOW DO I GET THESE TO YOU

  345. I am from New Zealand and am 54 years old. My first THR was in Oct 2005 when arthritis had set in after a fall. After surgery in more pain than before and after a whole year of pain got second opinion – hip on wrong angle no external rotation – a revision had to be done. Dec 05 with threee Orthopaedic surgeons present a pinnacle metal on metal replacement was put in. Never recovered from the 4 hour surgery and spent next 6 months in severe pain, surgeons did debridement, steroid shots but to no avail. Kept saying xrays looked fine!!! Sent to a Reconstructive Surgeon in Auckland NZ who took one look at Xrays and exclained ‘Oh My God’ with his hand on his head – Prosthesis showed 100% lucency, either massive rejection or infection. Endured 3rd TRHR May 07 – surgeon stated massive rejection had been cause of all problems since 2nd TRHR. Just found out last week that there had been a problem with the DuPay system of Pinnacle Metal on Metal. I am still suffering effects of metal and have permanent disability – in fact I have the same symtoms I had before very first replacement – groin pain, trochanter pain, can only sleep with pillow between legs and on strong medication to cope with the chronic pain. Nothing more can be done so am getting on with life as best I can with limitations. I am quite shocked at the fact that I had no idea there were many others suffering the same thing.

  346. BOB

    THE WORD I MEANT, IS ADHESING. ADHESION IN AN ACUTE INFLAMMATORY REACTION IS SIGNIFICANT, CAUSING TIGHTNESS, STIFFNESS, AND PAIN. I HAVE THE EXACT FEELING IN MY HIP. THE REVISION FEELS THE SAME. I CAN NOT TIE MY SHOES IN THE MORNING AND THAT IS DUE TO STIFFNESS FROM THE ADHESIONS. WHEN THEY BECOME STRETCHED THEY LOOSEN SOME, BUT THE HIP REMAIN STIFF. THERE IS DECREASED RANGE OF MOTION.

    THAT WAS AN EXTENSIVE METAL TEST YOU HAVE, MILDLY REACTIVE TO NICKEL IS SOMETHING YOU MAY WANT TO REMEMBER AS THIS WAS USED IN IN SOME PROSTHESIS.

    THANKS FOR THE PROSTHESIS INFORMATION. I WILL DO RESEARCH AND GET BACK TO YOU.

    MAN, LEAVING ON SPARE PARTS…II SURE KNOW THE FEELING. AT THE UNIVERSITY OF PITTSBURGH WE DEALT WITH OLD WRIST REPLACEMENTS. THEY INEVITABLY LOOSEN OVER TIME. SYNOVIAL CHONDROMATOSIS, RECURRING IS A SIGN THAT A POSSIBLE FAILURE EXISTS. YOU ARE IN GOOD HANDS.IN LOUISVILLE WITH THE KUTZ AND KLINNERT HAND GROUP IF THAT IS WHO YOU ARE WITH, IF NOT LOUISVILLE BECAUSE OF THE KUTZ AND KLINNERT CENTER BREED GREAT HAND SURGEONS. KEEP ME POSTED ON THAT AND I WILL PRAY FOR HER AND YOU.

    ANY CHANGES IN YOUR HIP?????

    GOD BLESS YOU BOB AND YOUR WIFE

    JIM MORELAND….

  347. MICHAEL G.

    MICHAEL, WITH THOSE LEVELS AND CONTINUED HIP AND BACK PAIN, YES A REVISION IS INDICATED.

    I WOULD ASK WHAT KIND OF PROSTHESIS IS HE GOING TO USE? DEFINITELY NOT METAL ON METAL

    MY LAST THOUGHTS ARE TO RULE OUT INFECTION. HIP ASPIRATION AND CULTURES WOULD BE INDICATED. INFECTION CAN CAUSE PAIN AND LOOSENING NOT EVIDENT ON X-RAY, YOUR SURGEON WILL TAKE CULTURES AND HE SHOULD TAKE TISSUE SAMPLES. THESE SAMPLES SHOULD INDICATE SOME FORM OF METALLOSIS. COBALT LEVELS SHOULD REDUCE ONCE THE METAL ON METAL HIP IS OUT, BUT IT WOULD REQUIRE MONITORING OVER A THE NEXT FEW YEARS UNTIL A NORMAL LEVELS IS ACHIEVED.

    GOOD LUCK
    JIM MORELAND

  348. Jim ~
    I now have my chromium and cobalt results back from Quest and Labcorp.
    My cobalt, serum is 7.3 ng/ml with one and 6.5 ppbl with the other. Above the norm of < 1.0 ng/ml. It is my understanding that ppbl and ng/ml are the same.

    In light of cobalt level and sustained groin, hip and back pain, my surgeon is recommending changing the liner out. Your thoughts please? Should I get any other specific test? Are there questions I should ask?

    Does anyone else have a similar problem in that they cannot put their shoe and sock on in the morning?

    Thank you sincerely.

  349. Jim, I had to gather my info but first I do not understand what you ment “YOU ARE ESSENTIALLY ARE ADHERING THE AREA DUE TO SEVERE SCARRING “?
    The hardware used in my hip: Pinnacle Sector II Acetabular Cup, Pinnacle ALTRX cup liner, Pinnacle Cancellous Bones Screws, Biolox Delta TS REV Articul/EZE ceramic femoral head and Sunnit Femoral Stem tapered w/POROCOAT.
    My blood was sent to Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612-3833.
    Index: 2-4 = Mildly Reactive, 4-8 = Reactive, above 8 = Highly reactive
    PHA (Positive control) = 382 Normal Function Validated
    Aluminum .01 mM = 1.3
    Aluminum .1 mM = 1.6
    Cobalt .01 mM = .6
    Cobalt .1 mM = .6
    Chromium .01 mM = 1.1
    Chromium .1 mM = 1.9
    Molybdenum .01 mM = 15.7 Highly reactive
    Molybdenum .1 mM = 13.6 Highly reactive
    Nickel .01 mM = 2.0 Mildly reactive
    Nickel .1 mM = 3.1 Mildly Reactive
    Vanadium .01 mM = .7
    Vanadium .1 = .7
    Zirconium .01 mM = 1.4
    Zirconium .1 mM = 1.4
    Iron .01 mM = 6.0 Reactive
    Iron .1 mM = 2.6 Mildly Reactive
    Thanks for your help and hope your health improves. As I used to hear my parents and grandparents say “if you don’t have your health you have nothing at all.
    This might be of some interest to you. My wife had Synovial Chondromatosis on her right ulna wrist jt. and had the jt. removed and a Scheker DRUJ prosthesis put in 2007. It’s possible the Synovial Chodromatosis is back and she is scheduled for an exploratory surgery in April at the Jewish Hospital in Louisville KY. Our family is running on spare parts.
    Bob H.

  350. Roger ~
    I now have my chromium and cobalt results back from Quest and Labcorp.
    My cobalt, serum is 7.3 ng/ml with one and 6.5 ppbl with the other. Above the norm of < 1.0 ng/ml. It is my understanding that ppbl and ng/ml are the same.

    In light of cobalt level and sustained groin, hip and back pain, my surgeon is recommending changing the liner out. Your thoughts please? Should I get any other specific test? Are there questions I should ask?

    Does anyone else have a similar problem in that they cannot put their shoe and sock on in the morning?

    Thank you sincerely.

  351. SHARYN

    LET ME ASK YOU A FEW THINGS FIRST. YOU SAY WHEN YOU SIT FOR A LONG PERIOD OF TIME IT IS HARD GETTING TO A STANDING POSITION. IS THIS BECAUSE OF BACK PAIN OR STIFFNESS AROUND THE HIP? IT IS HARD TO DETERMINE HIP FROM BACK AT TIMES. WHAT ARE YOU BACK ISSUES AT THIS TIME? IS DISK, BONE, STENOSIS….GIVE ME A BRIEF HISTORY. USUALLY ANYTHING THAT GOES BELOW THE KNEE IS CONSIDERED BACK. THERE ARE RARE OCCASIONS THOUGH AS THE HIP CAN CAUSE SCIATICA PAIN WHICH CAN GO TO THE FOOT.

    HAVE YOU NOTICED ANY PAIN IN THE GROIN AREA? IS THERE INCREASED HIP/GROIN PAIN WHEN YOU WALK? WHEN YOU WALK .HOW FAR CAN YOU WALK? DO YOU STOP BECAUSE OF WEAKNESS OR PAIN? CAN YOU RESUME WALKING AFTER 10 MINUTES OF REST. DO YOU HAVE PAIN AND STIFFNESS SITTING ON HARD CHAIRS? IS YOU PAIN AND STIFFNESS GETTING WORSE WITH TIME? ARE YOU WARM TO THE TOUCH OVER YOUR HIP? DO YOU HAVE ANY NOISE IN THE HIP? ARE YOU HAVE NIGHT PAIN THAT AWAKENS YOU? HAS YOUR QUALITY OF LIVING IMPROVED OR WORSENED SINCE THE HIP SURGERY ? HAVE YOU HAD ANY SYMPTOMS LIKE RINGING IN THE EARS, NUMBNESS AND TINGLING IN FEET AND HANDS? MEMORY LOSS, INABILITY TO CONCENTRATE, UNABLE TO DO SIMPLE MATH PROBLEMS? HOW IS YOUR BALANCE? HAVE YOU HAD ANY SHORTNESS OF BREATH OR CHEST PAIN? ANY DECREASED HEARING, TASTING OR VISUAL PROBLEMS?

    PLEASE SHARYN TAKE A FEW MINUTES AND ANSWER THESE QUESTIONS. IT SOUND LIKE YOU HAVE A HIP PROBLEM. HAVING DIFFICULTY GETTING UP FROM A SEATED POSITION IS A COMMON COMPLAINT WITH THE PINNACLE HIP. BUT BACK PROBLEM. SPECIIFICALLY SPINAL STENOSIS CAN CAUSE THE SAME SYMPTOMS. SO PLEASE ANSWER THE QUESTIONS AND GIVE ME MORE HISTORY AND I WILL TELL YOU WHAT I THINK.

    IT SOUNDS LIKE HIP AND BACK, YOU WILL WANT TO GO AND GET A COBALT AND CHROMIUM LEVEL DONE TO RULE OUT METALLOSIS. WHEN YOU HAVE OVERLAPPING ORTHOPEDIC ISSUES, YOU HAVE TO DO A CAREFUL HISTORY AND ORDER THE RIGHT TEST TO FIND WHICH PATHOLOGY IS PRESENTING ITSELF. SO GIVE ME A GOOD HISTORY OF HOW LIFE HAS BEEN SINCE YOUR HIP REPLACEMENT AND ESPECIALLY QUALITY OF LIFE ISSUES, GOING OUT, SHOPPING SEEING FRIENDS ….ETC.

    MAKE SURE THAT THESE ATTORNEYS ARE NOT REPRESENTING DEPUY SHARYN.

    I LOOK FORWARD IN HELPING YOU
    JIM MORELAND

  352. I had a depuy pinnacle total hip replacement in april 2009.Was back to the doctor once due to back discomfort . He did an X-ray and I was told everything looks fine, pain is coming from my back. I do have back issues, also. Lately I noticed I cannot lay flat in bed without discomfort down my leg. I also use a pillow between my legs when I lay on my right side. When I sit to long I have a slight problem standing and also have pain. There is tingling and some numbness down my leg also. I’ve dismissed this thinking it is related to my back problem but since reading these comments now have second thoughts. I didn’t realize the depuy pinnacle was part of the recall. I checked into certain web sites asking for more info and right was contacted by law firms. Was sent papers to sign and send back, however, not completely sure if this is the right thing or right firm. I would just like to be sure what is going on with my hip and what to do! I’m just like others and do not feel confidant with my surgeon or the medical field now. Soon I will not have a job as my place of work will be closing, meaning my medical insurance will stop after a few months. If anyone has any insight , please write. I would be very apprecative. Thank you.

  353. ROGER

    YOU ARE VERY WELCOMED MY FRIEND AND I DO NOT MIND IF YOU USE WHAT I HAVE SAID HERE. I WRITE TO INFORM YOU GUYS, SO YOU CAN ASK THE RIGHT QUESTIONS. MAKE SURE YOU WRITE DOWN HIS ANSWERS

    IT SOUNDS LIKE YOU HAVE THE RIGHT DOCTOR TO ME. IF HE IS CALLING ENGLAND THEN THIS IS THE DOC FOR YOU. HE CARES AND HE KNOWS HE WILL SEE THIS AGAIN. HE WILL BE THE TYPE OF DOCTOR WHO WILL ANSWER ALL OF YOUR QUESTIONS. UNDERSTAND THAT THIS A RARITY AND NOT ALL ORTHO DOCS HAVE SEEN THIS. THIS IS GOING TO BE A BIG PROBLEM BECAUSE OF ALL THE REVISIONS THAT WILL BE DONE AND THE FOLLOW UP CARE IN THE BEGINNING WILL BE A LEARNING EVENT FOR MEDICINE, BUT HAVE FAITH, THERE ARE EXCELLENT DOCTORS OUT THERE AND THEY WILL FIGURE THIS OUT.

    GOOD LUCK ON YOU UPCOMING APPOINTMENT AND PLEASE LET ME KNOW WHAT YOU FOUND OUT. I WILL BE INTERESTED IN WHAT THE DOCTORS FROM ENGLAND HAVE TO SAY. THEY HAVE BEEN DEALING WITH THIS AGGRESSIVELY AND THEY HAVE A JOINT REGISTRY THAT ALLOWED THEM TO SEE IMMEDIATELY THE NUMBER OF FAILURES AND I WOULD GIVE THEM THE MOST CREDIT ON GETTING THE ASR RECALLED AND THE PINNACLE I THINK WILL BE LARGER THAN THE ASR.

    KEEP TOUCH FRIEND
    JIM MORELAND

  354. BOB

    YOU ARE RIGHT, THIS IS NOT A BACK PROBLEM, THIS IS A SEVERE INFLAMMATORY RESPONSE TO THE METALS. MOLYBDENUM IS USED IN THE PINNACLE, THEY TESTED YOU FOR THE METALS USED IN THEIR PROSTHESIS AND THAT IN IT SELF TELL YOU THAT DEPUY PUT OUT AN ALERT TO ALL DOCTORS TO TEST THEIR PATIENT FOR MOLYBDENUM, COBALT AND CHROMIUM. CAN YOU GET A HOLD OF THE ALLERGY TESTING I WOULD BE INTERESTED FOR MY EDIFICATION. THEY KNEW THEN THAT THEY HAD A PROBLEM WITH THEIR HIPS. BUT IF THEY TESTED YOU, AND THEN, GAVE YOU A PROSTHESIS THAT CONTAINED MOLYBDENUM, THEN THAT IS MAL-PRACTICE.

    BOB, YOUR SYMPTOMS ARE JUST LIKE MINE TO THE TEE. I GOT BEYOND THE SEVERE REACTION THEN MY HIP BECAME PAINFUL, STIFF AND UNSTABLE. I AM GETTING MY BLOOD WORK AS WE SPEAK AND IF THE COBALT OR CHROMIUM LEVELS ARE HIGH THEN I HAVE TO HAVE THEM OUT, I HAVE LUPUS AND AUTOIMMUNE AND THIS WOULD ENDANGER MY LIFE IN THE LONG RUN. BUT I FEAR, THAT THERE ARE GOING TO BE MORE HEALTH ISSUES WITH THESE FAILURES AND CANCER WOULD BE ONE OF THEM.

    BOB, I NEED TO KNOW WHAT YOU HAD PUT IN EXACTLY, BECAUSE IF THEY IMPLANTED THE PROSTHESIS CONTAINING MOLYBDENUM THEN YOU ARE TALKING MALPRACTICE. YOU ARE ESSENTIALLY ARE ADHERING THE AREA DUE TO SEVERE SCARRING AND THAT HIP WILL NEVER BE RIGHT AS LONG AS YOU MAY BE REACTING TO IT. SO IN YOUR CASE WE HAVE TO MAKE SURE THAT THEY DID NOT OVERLOOK YOUR ALLERGY AND IMPLANTED YOU WITH THE WRONG PROSTHESIS. GET THE INFO AND COME BACK AND LET US TALK MORE. GOD LUCK BROTHER.

    JIM MORELAND

  355. VIC

    NOW THAT IS THE SPIRIT, I AM STILL LAUGHING, THAT IS A GOOD ATTITUDE TO HAVE GIVEN ALL OF THIS CRAP. YOU GET ME THOSE OP REPORTS AND WE WILL SEE WHAT THEY SAY. TOYOTA..LOL…FDA……YOU CAN NOT MAKE THIS STUFF UP AND IT REALLY DIMINISH TRUST IN OUR HEALTHCARE SYSTEM. IT SEEMS LIKE NO ONE IS ACCOUNTABLE FOR ANYTHING TODAY.

    LEVEL OF 2.2 IS ELEVATED. IT NEEDS TO BE WATCHED CLOSELY. IF YOUR SYMPTOMS DO NOT IMPROVE BY MAY LIKE YOU SAID, THEN A WORK-UP FOR METALLOSIS AND COBALTISM MUST BE DONE. THESE FAILURES CAUSE SO MUCH SCARRING AND EACH TIME THEY HAVE TO GO IN MUSCLE BECOME SHREDDED AND LOSE THERE FUNCTION. I HAD 3 OPERATIONS THIS YEAR AND I AM WEAKENED AND NOW WALK WITH A LIMP. THIS IS FOR THE REST OF MY LIFE.

    MY WIFE AND I ARE LOOKING FOR A FLORIDA HOME AROUND SPRING HILL MAYBE US TWO GIMPS CAN PLAY A ROUND OF GOLF….IT SOUNDS LIKE YOU AND I WOULD MAKE A PAIR ON THE LINKS.

    VIC KEEP IN TOUCH LET ME KNOW WHAT YOU FIND OUT ON THE OP AND PATHOLOGY REPORTS.

    TAKE CARE FRIEND
    JIM MORELAND.

  356. LET ME TRY THIS AGAIN

    http://www.hipresurfacingsite.com/Metal-Ions/Metal-Ions/menu-id-77.html

    LabCorp – click on this to go directly to LabCorp’s site

    Chromium, Serum Test Number: 071522 CPT Code: 82495

    Chromium, Urine Test Number: 071530 CPT Code: 82495; 82570

    Test includes: Chromium, urine; creatinine, urine; chromium:creatinine ratio

    Cobalt, Plasma Test Number: 071506 CPT Code: 83018

    Cobalt, Urine Test Number: 071514 CPT Code: 82570; 83018

    Quest Diagnostics – click on links below to go directly to the Quest site for the codes

    Chromum, Serum [5248X] 142373 – CPT Code(s): 82495 – Link to TEST code

    Chromium Random Urine [11278X] 13787 – CPT Code(s): 82495, 82570- Link to TEST Code

    Cobalt, S/P Serum [345X] 6519 CPT Code(s): 83018 – Link to TEST code

    Cobalt, Urine [37513X] 37513 CPT Code(s): 83018 – Link to TEST code

  357. to jim;
    you asked if the lab work was from lab corp. funny thing the first tests i had were at acm lab but after two weeks and no results i had a doctors appointment and was expecting to get the results and when i was getting examined he asked me if i had the blood tests done because he didn’t have the results. i told him i had them taken 2 weeks ago, he then left the room and came back with a sheet of paper i was assuming fro acm lab and said they didn’t do them right and i had them taken again at lab corp and that’s when the p.a. told me they were normal. she said the colbalt level was slightly elevated 2.2 and 2.0 was normal so nothing to worry about. said chromium was normal. i have to call and the tran scripts of the opp to find out what they put in as replacement parts. i figure as long as they weren’t made by toyota they were approved by the fda, but who knows. all i do know is all this bull(%$#>%) is driving me crazy i just want to walk normal and be able to torture myself and play golf, something i haven’t been able to do without pain in two years. but i’ve been using the hip as an excuse for the bad golf