Product Liability

Who Should Not Get Metal on Metal Hips?

Metal-on-metal hip failure is more likely for some patients than others. According to the U.S. Food and Drug Administration (FDA), doctors should avoid using metal-on-metal hip implants entirely with some patients. With other patients, they should be cautious and monitor the progress of these patients closely. Hip-replacement infections and other health problems may occur.

Contraindications for metal-on-metal hip implants

The FDA has cautioned orthopedic surgeons to avoid using metal-on-metal hip systems entirely with patients who:1

  • Have a known allergy or sensitivity to metals
  • Have suppressed immune systems
  • Are women of childbearing age
  • Have kidney problems
  • Are receiving high doses of corticosteroid medication

If you are in one of these categories and your doctor has recommended a metal-on-metal hip implant, refusing surgery is your best option. You may also wish to contact a personal injury attorney and/or seek out a new physician.

Other patients who may experience adverse reactions

The FDA says you may be at increased risk for adverse local tissue reactions or device wear if you:1

  • Have hip replacements on both sides
  • Have a hip-resurfacing system with a head smaller than 44 mm
  • Are female
  • Have kidney problems
  • Receive high doses of corticosteroids
  • Have a hip replacement device that is misaligned
  • Are severely overweight
  • Are highly active
  • Are sensitive to metals such as cobalt, nickel, or chromium
  • Have an immune system that is suppressed

Some of these categories overlap with those in the first list above. In general, surgeons should avoid using metal-on-metal implants altogether with patients who are in the first list.

If your doctor has not followed these guidelines, you may be interested in seeking advice from a personal injury attorney. You may be able to file a lawsuit for medical malpractice.

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