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U.K. Doctors Warned to Avoid DePuy-Stryker Metal-On-Metal Hip Implant

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U.K. doctors have been warned to avoid s DePuy-Stryker Metal-on-Metal hip implant. The all-metal hip implant device is constructed with parts manufactured by Stryker Corp. and Johnson & Johnson’s DePuy Orthopaedics unit.

The warning is in response to higher-than-expected failure rates, said Law360, explaining that the device is a combination system that consists of components created for use in different combinations to complete either hip resurfacing arthroplasty or total hip replacement. Stryker Orthopaedics makes the Accolade femoral stems and the Mitch TRH cup/heads are manufactured by Finsbury Orthopaedics Ltd., which was purchased by DePuy in 2009. The devices lead to more revision surgeries than other hip implants, said the Medicines and Healthcare Products Regulatory Agency (MHRA).

As a matter-of-fact, the England and Wales National Joint Registry revealed that the DePuy-Stryker all metal implant’s revision rate is 10.7% after four years of implantation. “Analysis has shown that the revision rate for this combination of implant is unacceptably high,” said MHRA Clinical Director Susanne Ludgate in a statement, according to Law360. “This is why we have advised surgeons to stop using this combination and to monitor their patients closely,” Ludgate added.

The MHRA warned that the Mitch TRH acetabular cups/Mitch TRH modular heads in combination with uncemented Accolade femoral stems should not be implanted; that physicians conduct follow-ups on all patients implanted with this device; and that all adverse incidents be reported to it, DePuy, and Stryker Orthopaedics. The agency also urged close monitoring of the 271 patients in England and Wales implanted with the device, noting that the warning does not apply to the MITCH TRH implant in hip resurfacing procedures.

This February, the MHRA advised that patients who received large metal hip implants for total hip replacement, with bearings of 36 mm or above, receive yearly blood tests to check cobalt and chromium levels.. Patients with high metal ion levels should also undergo MRIs, said the MHRA.

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