Seeking orthopedist experienced with metallosis

Posted by Hurkey @hurkey, Aug 6 9:03am

I have a rising level of cobalt in my blood from right hip total replacement in 2010. I have some time but know that I may need a full revision of the hip and treatment for metallosis one day. Does anyone have knowledge of an ortho in California that has experience in such surgeries involving metallosis? I may end up at AZ Mayo location, which isn’t terribly far. Thank you on advance.

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Check out Mass General in Boston- leading research and evaluation of MoM treatment/surgery.

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@hurkey - if nothing else succeeds, you could try contacting Mass General as @sailaway suggested - not necessarily to go there, but for a recommendation for someone near you.
I had good luck asking a trusted PT who she worked with that had a good track record with complex revisions, and found a great doc. If he was unfamiliar with any part of the process, he found someone to consult with, and did a great job. He is perennially ranked as one of the top-10 orthopedic docs in the Twin Cities in MN

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@sailaway

Check out Mass General in Boston- leading research and evaluation of MoM treatment/surgery.

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I appreciate that very much thank you

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@sueinmn

@hurkey - if nothing else succeeds, you could try contacting Mass General as @sailaway suggested - not necessarily to go there, but for a recommendation for someone near you.
I had good luck asking a trusted PT who she worked with that had a good track record with complex revisions, and found a great doc. If he was unfamiliar with any part of the process, he found someone to consult with, and did a great job. He is perennially ranked as one of the top-10 orthopedic docs in the Twin Cities in MN

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Very much appreciated, thanks so much

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@hurkey

I appreciate that very much thank you

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My husband has had rising levels of cobalt and chromium and inflammation of hip joint for the past 4-5 years. (He is now 82). He resisted having the surgical revision and is now living with discomfort, pain, mental cloudiness, as he feels he has aged out of having major surgery. Prayers for you as you make the decision which is right for you!

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What is your cobalt level? I have gone from 6-13 over 5 years, surgeon not concerned at that level but mire my pain etx.. which is somewhat uncomfortable
Done in 2009, diagnosed during shutdown so no operating rooms open and i just did biking, walking etc till I've gotten used to it
Had cardiac, opthalmologist, skin testing etc to make sure it's not damaging me!
Im in Roseville CA tho and many surgeons available to do revision in and around Sacramento! Sadly i need knee replacement too now!

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@sailaway

My husband has had rising levels of cobalt and chromium and inflammation of hip joint for the past 4-5 years. (He is now 82). He resisted having the surgical revision and is now living with discomfort, pain, mental cloudiness, as he feels he has aged out of having major surgery. Prayers for you as you make the decision which is right for you!

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I commented above about this cobalt issue, seems some surgeons not too concerned if levels low.. symptoms of metallosis tho important, heart, retinas, skin, neuro..
What is your husband's level?
I have chromium also but low
I understand why your husband reluctant to do revision, me too, im 76 and kind of think " how many years left?" You know??
Its huge surgery and I've done both hips , need knee soon too.. can't really do hip if knee always locking up, hard for rehab!
Need to think long and hard on this right?
Good luck!!

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Just wondering if any of you had high cobalt and chromium levels. And are aware of the effect that multivitamins have on your blood results. Taken them can apparently make your results higher than they really are. Why I'm not sure.

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@robert3428

Just wondering if any of you had high cobalt and chromium levels. And are aware of the effect that multivitamins have on your blood results. Taken them can apparently make your results higher than they really are. Why I'm not sure.

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My cobalt is rising; but my chromium is normal. However I have not heard of the effect multivitamins can have on blood results; I will check into it. I do not currently take a multivitamin; I do, however, take vitamin D daily.

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@robert3428

Just wondering if any of you had high cobalt and chromium levels. And are aware of the effect that multivitamins have on your blood results. Taken them can apparently make your results higher than they really are. Why I'm not sure.

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I'm sure that in some cases, the minerals in supplements can "move the needle" a little on the levels of certain metals in blood serum.
This discussion is about a slightly different topic - over a period of years metal-on-metal joint implants were used in hips instead of metal-on-ceramic, metal-on-polymer or ceramic-on-polymer. The theory was that the metal joints would be longer lasting and thus a better choice for younger and more active people. It was assumed that the synovial fluid would lubricate and prevent excessive wear.

Unfortunately, over time it was determined not to work for many people (at least half of those with the implants.) Chromium and Cobalt serum levels in the blood and in the tissue surrounding the implants became dangerously high, there were joint failures, tissue death and serious health consequences. The solution was to remove the offending implants, clean up the tissue damage, and replace with safer materials. Over time, once the metal was no longer being shed, the person's chromium and cobalt levels returned to normal - sometimes leaving behind permanent health problems.

We are talking here about metal levels, especially Cobalt, rising from fractions of ppm to the teens, or even high double digits. At that point, the heart, lungs, brain and thyroid can all sustain damage.

Have you had joint replacement surgery?

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