Cobalt-Chromium Toxicity Resource Center


QUESTIONS TO ASK YOUR DOCTOR

Questions to Ask Your Doctor

At Kershaw, Cook & Talley we represent hundreds of individuals with defective hips.  Through the review of thousands of medical records and speaking with numerous orthopedic surgeons throughout the country, we have discovered that there is a huge variation in the way orthopedic surgeons are dealing with patients who have Stryker Rejuvenate or ABGII hips.  Some are aggressive in their treatment while others are not.  It also appears that many surgeons have very little information on the most recent science regarding cobalt and chromium toxicity and the impact these metals can have on your body.

To make sure your doctor is taking the appropriate steps in your treatment and to ensure that you fully understand the basis of his opinions regarding your hip, we have put together a list of questions every Stryker patient should ask their surgeon.  We hope these questions are helpful and if you have any comments or concerns about your doctor’s answers to these questions, please feel free to contact us at the phone number below or by e-mail at [email protected] or [email protected]

QUESTIONS

  1. What is your understanding as to why the Rejuvenate or ABGII was recalled?

 

  1. What types of tests do you believe should be performed to make sure that metal ions from my Stryker are not causing tissue damage in my hip?

 

  1. What types of complications can result from tissue damage?

 

  1. What types of things do you look at when deciding to recommend revision surgery?

 

  1. Should I be getting a blood test to determine the amount of titanium in my blood in addition to blood tests for cobalt and chromium?  Are there any known risks associated with titanium?

 

  1. How much cobalt and chromium in my blood is too much?  Do I have to be worried about any long term health issues such as cancer, thyroid disorders, or heart issues?

 

  1. What do the most recent studies say about the health impacts of having high levels of chromium and cobalt in my body?

 

  1. What is your understanding of the revision rates for the ABG II and Rejuvenate hips?

 

  1. If you think my hip is likely to fail in the future, is there any reason to wait until the metal ions have caused damage to my hip before having surgery?

 

  1. If I don’t have revision surgery, should I be getting my blood tested for cobalt and chromium on a regular basis?  If so, how often?

 

  1. If I don’t have revision surgery, should I be getting MRIs performed on a regular basis?  If so, how often?

 

  1. What are the risks of having revision surgery?

 

  1. What does revision surgery entail?  Will you be removing all the hardware?

 

  1. How many revision surgeries have you personally performed where the stem had to be removed?  What is your complication rate with these surgeries?

 

  1. After revision surgery will the rehab be different what I did during my first operation?

 

  1. Do I need to be more concerned about fracturing my femur during rehab since you are replacing the stem.

 

  1. In what percentage of the revision surgeries performed by you, were you able to remove the stem without fracturing the femur?

 

  1. What type of hip would you use to replace the Rejuvenate or ABG II?

 

  1. How long is the recovery period expected to be after revision surgery?

 



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