There is
considerable concern among recipients of the Rejuvenate hip implant as well as
doctors and orthopedic surgeons who are finding out that the Rejuvenate comes
with its own, very specific, set of potential risks. The Rejuvenate is constructed
much differently than the original metal-on-metal hip implants before it,
therefore doctors may as yet be unaware of the particular issues they should be
looking for in their patients.
The all-metal implants are constructed of a metal ball and a metal acetabular cup; during periods of activity these metal components rub against one another, causing tiny metal ions to shear away and become lodged in surrounding tissues or enter the bloodstream. When the ions imbed themselves into the hip tissue, necrosis can occur and pain is likely.
The
Rejuvenate, however, is constructed of a ceramic ball, therefore it was
originally believed there would be none of these metal toxicity issues. When
Stryker recalled the Rejuvenate in July of 2012, they stated the potential risk
of fretting and corrosion at the neck juncture which in turn could lead to
metal ions being released into the body. Additionally, it was later found that
the metal trundles located on either end of the neck piece could allow body
fluids to become trapped underneath, leading to corrosion and potential ion
release. In the case of the all-metal DePuy ASR or Pinnacle hip implants,
should metal toxicity and pain occur, the surgeon will go in and either remove
and replace the liner in the case of the Pinnacle or remove the acetabular cup
in the case of the ASR. While neither of these surgeries is considered minor,
they offer many fewer potential dangers to the patient.
When the Rejuvenate
must be removed, the stem, implanted deeply into the femoral bone, must
literally be dug out of the bone. In some cases the femur can shatter into
pieces, necessitating a total rebuilding of the bone—when that is even
possible. Because the trundles are not in the same location as the ball and
cup, and because there is much less metal surface to corrode, the patient may
have no significant levels of pain and a blood test for cobalt and chromium may
reveal relatively low levels. Don’t let yourself be lulled by results such as
these. Once cobalt and chromium shards have lodged in your hip tissue, tissue
destruction will begin. This necrosis will never get better, will never
reverse, but will likely only continue to worsen. When the cobalt and chromium
enters your blood stream, even though you may not feel bad at the moment,
again, the results are irreversible and will never improve.
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