The state of New Jersey is expected to consolidate at least ten StrykerRejuvenate and ABGII hip implant lawsuits before one judge in order to expedite
the handling of these cases. Multi-district and multi-county litigation is
described by Class Action Litigation website as a procedure utilized by federal
and state courts to transfer all pending cases which are very similar in nature
before one judge. This procedure allows lawsuits to move in a more expeditious
manner through the discovery phase while still allowing the injured party to
seek an individual trial and have their settlement adjusted based on the degree
of injury. This is unlike class action lawsuits which dictate that all members
share equally in the settlement even though it is unlikely that all injuries
would be equal. The first ten cases are coming from Florida, Minnesota, New
Jersey and Arizona. Hackensack, NJ was chosen as the consolidation point
because it is close to Stryker headquarters.
The lawsuits followed the recall in July of 2012 for the Rejuvenate and
ABGII. The recall was voluntary on the part of Stryker and cited the risk of
fretting, corrosion and the release of metal ions as the reason for the recall.
Pain, inflammation, necrosis, metallosis and total failure of the hip implant
can all result from the fretting and corrosion of the hip implants. These
implants were originally marketed as a way for younger clients to be able to
continue their levels of activity as they were believed to last from 15-20
years. Stryker’s innovative design offered a variety of necks and stems,
allowing physicians to more closely match the implant to the size and activity
level of the patient. Even though the Rejuvenate and ABGII are not all-metal
(they have a ceramic ball and a plastic cup liner) they have the same potential
for the release of metal ions into the body as the all-metal implants.
The metal neck and stem junction as well as the metal trundles at each end
of the neck piece can rub against one another during periods of activity,
causing corrosion which results in metal debris. Removing these devices can be
extremely difficult and potentially dangerous. The stem of the Rejuvenate and ABGII
are inserted deeply into the femur and can be very difficult to remove without
fracturing the femur. The recovery period for revision surgery from a
Rejuvenate or ABGII is generally much longer than for the original surgery.
While metal toxicity can be very dangerous, many patients are asymptomatic
until there are extremely high levels of metals in the body.
The Future of Stryker
The New York Times states that as many as half a million people were
implanted with the metal-on-metal implants and it is believed that in the three
years since FDA approval at least 20,000 patients received an ABGII or
Rejuvenate implant. It is likely that more lawsuits are yet to come as more and
more recipients of these two Stryker hip implants suffer fretting, corrosion and
metal toxicity. Stryker reported a dip in revenues for their third quarter and
an almost ten percent drop in hip implant sales, likely due in part to the
recall.
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