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Hip revision due to metal on metal ions.

Joint Replacements | Last Active: Jul 28 11:27am | Replies (71)

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@stephanieann

Thank you for this valuable information. I have read some research articles and there is just a couple articles about chelation in relation to removing the cobalt and chromium coming from the MOM implants. I am having trouble finding a toxicology specialist. Does Mayo clinic have one that is familiar with this.? Today I saw my orthopedist and he said it is a more difficult decision to know when to have the revision surgery when you have no symptoms of damage and the only thing to go by are the labs. Am thinking of getting a second opinion which should be fairly easy on zoom. Does Mayo have a specialist in hip replacements/revisions ? Thank you again

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Replies to "Thank you for this valuable information. I have read some research articles and there is just..."

As to whether there are toxicology & hip revision specialists at Mayo, here is the place to initiate contact with Mayo Clinics, where they will ask you a lot of questions to determine where to best refer you within the system: https://www.mayoclinic.org/appointments?mc_id=us&utm_source=connect&utm_medium=l&utm_content=discussion&utm_campaign=mayoclinic&geo=national&placementsite=enterprise&cauid=101653

I can tell you from experience that "wait and see" when your metal levels are already rising didn't work for me. By the time I agreed to the removal, I had numerous medical issues now known to be the result of the high metal levels.

My second ortho was also not convinced of the need to remove and replace - until he opened up my hip and found extensive tissue damage - he likened it to "cleaning out old oatmeal" from around the implant. After the initial replacements of the MoM implants, I needed a third revision on one leg due to dislocation/instability issues - 10 years later I am wondering if "dithering" and waiting that extra year for surgery caused more muscle/ligament weakness & damage that wasn't readily apparent.

What did your ortho suggest as a treatment plan, knowing that the levels are rising and the toxicity of cobalt in particular?
Sue