Elevated Metal Ion Levels Can Be Tolerated by Some Patients

Description

This presentation by Chi Chi Menakaya, a trainee operating from Stanmore, delves into the complex issue of elevated metal ions in patients with metal-on-metal hip replacements, a technology celebrated in the 20th century but later scrutinized due to health concerns. After a critical incident in 2012 that linked these devices to patient poisoning and lawsuits, many metal-on-metal hips were recalled. Despite this, a considerable number of patients still have not undergone revision surgery and some remain asymptomatic, even with elevated metal ion levels. Menakaya emphasizes a lack of correlation between metal ion levels in the blood and the need for revision surgery, and highlights the importance of careful monitoring and assessment of patients who experience moderate pain or have abnormal imaging. The research, which involved a detailed analysis of 707 hips and the assessment of various clinical metrics, concluded that a subgroup of patients with high metal ion levels could be stable and require only monitoring. Menakaya advocates for a multidisciplinary approach to patient management to ensure better outcomes and decision-making.

DOI: 10.1302/3114-230269

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