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You’ve tried the yoga routines, the aquatic therapy, gentle exercise regimens, walking with a cane and massage therapy. You’ve taken NSAIDs and opioids; you’ve received steroid injections and even tried hypnosis. Everything has failed, and you still have crippling pain in your hip.
The last option, says your doctor, is a hip replacement. You never thought that you’d reach this point, but here you are.
You are doing your best to be informed before making a decision – or perhaps you’ve gone through with the surgery and looking at your options for a lawsuit. If you live in Tennessee, here are some basics about hip surgery replacement you’ll want to know.
Many hospitals and medical facilities perform this procedure, with varying degrees of success. When it comes to lawsuits over hip surgery replacements gone wrong, Tennessee lawyers have focused on a number of artificial hip implant manufacturers, most of which have locations within the state and operate on a national level.
DePuy Orthopaedics, Inc., a subsidiary of Johnson and Johnson, recalled its ASR XL Acetabular metal-on-metal implant in August 2010 after the company was informed of a higher-than-average failure rate following surgeries. Tens of thousands of patients received the implant before the recall, which led to the first lawsuit being filed in June 2010. This means countless potential cases that could be consolidated in an MDL.
Smith & Nephew hasn’t had much more luck with their artificial hip surgery implants. A number of their products were recalled, including the R3 Acetabular System in June 2012 and its Birmingham Hip Resurfacing Femoral System in June 2015. Their issues included high failure rates, metallosis, implant disintegration and more. There are currently several dozen lawsuits against the company.
Stryker Trident PSL & Hemispherical Acetabular ceramic implants also faced a high failure rate. Patients noticed squeaking sounds when they walked, and – horrifically – shattering or fracturing of the implant. Stryker made a voluntary recall in January 2008, though not before receiving FDA warnings and numerous complaints.
Wright Medical Technology, Inc. has a lovely hip surgery replacement implant that causes pain along with crunching sounds. Their Conserve hip implant led to a November 2016 case in which they settled more than 1,300 revision claims for $240 million. That wasn’t even the first financial blow, and more cases await the company.
Zimmer’s Biomet Durom Cup implants resulted in many complaints of implant loosening and device failure. The company briefly recalled them in 2008 and removed them from Australia, but only because of the inadequate surgical instructions. It was estimated that up to 30% of patients would experience issues and 5.7% of the implants failed entirely. An MDL was consolidated in 2010, and many claims are going forward.
A hip replacement removes damaged or worn-out bone from your body and replaces it with an artificial ball-in-socket joint. Parts that have been damaged by arthritis, fractures, the aging process and more can make normal activities difficult. Even sleeping can feel impossible.
Hip surgery (replacements) are recommended when lifestyle changes and other intermediaries fail. The following individuals are normally candidates for this type of procedure:
Hip replacements are made of three pieces: the ball, the stem and the cup.
The ball, or the “femoral head component,” replaces the head of the femur. The cup – AKA the “acetabular component” – is implanted into the pelvis, and the stem is inserted into the femur.
Hip surgeries (replacements), in Tennessee and elsewhere, are either performed from an anterior view, which is from the front and considered more invasive, or posterior, which is from the back. Most doctors choose the posterior approach, as it is less invasive and allows the surgeon better visibility, though it does come with a longer period of recovery.
There are three types of procedures:
As for the new hardware in your hip, there are many types. They are made from metal, ceramic, plastic or some combination. Metal-on-metal devices are no longer recommended, as they can lead to metallosis (or a shedding of metal particles within the body).
Types of implants used in Tennessee include the aforementioned metal-on-metal, as well as others:
There are risks involved, just like with other surgeries. As mentioned above, osteolysis is a big fear among patients and occurs more often in revisional surgeries rather than primary procedures. More common risks, however, include:
There are indeed faulty hip surgery replacement models that should be avoided. Models that have been the subject of lawsuits or device failures include:
Metal-on-metal implants have the biggest failure rate, and those have been the subject of many lawsuits against manufacturers. As of late 2017, more than 13,000 cases involving various hip implants are pending across the country.
Multidistrict litigations are pending, which means that a federal legal procedure allows for hundreds or even thousands of similar plaintiffs to consolidate cases and move through the system at a faster pace.
Hip Surgeries, Complications, Recalls