Cobalt poisoning can occur when you are exposed to large amounts of it. In this curious study, the doctors “selected patients with a pre-operative known sensitisation to chromium, cobalt, nickel, or a cement component for a post-operative allergic reaction. Never think about my knee. Some of the metal ions (e.g. The pragmatic approach adopted by most contact dermatologists for patients known to be allergic to nickel, cobalt or chromium and who require joint replacement is to recommend prostheses made of titanium-based alloys. Very small amounts are needed for animals and humans to stay healthy. FINAL DIAGNOSIS. Doctors in Finland have released a new troubling study on the release of metal debris from knee replacement hardware. Epub 2015 Nov 2.[Pubmed]. The most common metal ions found in knee replacement implants that can cause hypersensitivity include nickel, cobalt, and chromium. Cobalt poisoning can result in nervous system disorders beginning with tremors in the hand, ringing in the ears, and eventually dementia. Alpha phase titanium has a hexagonal closed-packed (hcp) crystal structure and exists at room temperature. Within weeks, her skin broke out in boils. Cobalt is a component of vitamin B12, which supports the production of red blood cells. Monday, August 13, 2018 - Cobalt poisoning could result from metal to metal or metal to plastic friction in the DePuy Knee Replacement System. Monday, August 13, 2018 - Cobalt poisoning could result from metal to metal or metal to plastic friction in the DePuy Knee Replacement System. He had a terrible time. Acta Orthop. The devise dislocated at will several times and he developed cobalt poisoning. We do not charge attorney fees unless you receive compensation and you are under no obligation after your initial consultation. Revision surgery was needed in 9.8 % of patients with sensitisation to one of the reviewed components. A good, close friend had hip replacement a few years back. There has been increasing alarm regarding metal-on-metal joint replacements leading to elevated levels of metal ions and adverse patient’s reactions to metal debris. 23 percent of participants who had knee replacement surgery showed large declines in brain connectivity. Cobalt Chromium Metal Poisoning from Hip Replacements. There is no consensus as to which material is better and more suitable. In addition to Cobalt leaching into the bloodstream, thousands of DePuy knee replacement patients have suffered the device deboning at the point where the tibia is inserted into the device's sleeve. "Total Knee Arthroplasty (TKA) and Unicompartmental Knee Replacement are intended to provide increased patient mobility and reduce pain by replacing the damaged knee joint articulation in patients where there is evidence of sufficient sound bone to seat and support the components." Attorneys representing DePuy knee cases expect to consult with more patients that have suffered from the complications due to a DePuy knee replacement surgery. Did it, did the follow up therapy and have been happy ever since. Blood levels. 2.3. Take the Quiz! CONCLUSION: The allergic patient should be thoroughly informed about potential reactions resulting from implant choice, Cobalt and cobalt compounds that release cobalt ions. The friction releases tiny metal particles into your bloodstream that could trigger a hypersensitive immune response in your body. Metal-on-plastic is the least expensive type of implant and has the longest track record for safety and implant life span. Knee Replacement Surgery Carries Incredible Risks | 7/29/2019, Senior Women May Need 25 Percent Fewer Knee Replacement Surgeries If They Take This Drug | 7/22/2019, Cemented Knee Replacement Devices Fail at a Higher Rate in Obese Patients | 7/2/2019, Senior Citizens Can Treat an Arthritic Knee By Eating Properly | 6/10/2019, Too Many Are Opting For Knee Replacements Too Early In Life | 6/4/2019, Knee Replacement Patients Need Honest Objective Advice | 5/28/2019, Knee Replacement Surgery Makes Little Sense | 5/22/2019, Senior Knee Replacement Patients Are Peddling To a Healthier and Longer Life | 5/9/2019, It Is Recommended That Osteoarthritis Patients Try The Mediterranean Diet Before Rushing Into Knee Replacement Surgery | 4/30/2019, DePuy Knee Replacement Doctors May Be Failing To Follow The Written Product Warnings | 4/23/2019, Study Finds Plain Cement As Effective As Antibiotic-loaded in Limiting Knee Replacement Surgeries | 4/16/2019, Several More Lifestyle Changes To Help Alleviate Osteoarthritis Knee Pain | 4/10/2019, Holistic Herbs And Supplements Can Help Reduce Arthritis Knee Pain | 4/1/2019, Cobalt Poisoning From a Hip or Knee Replacement Could Drive One to Suicide | 3/28/2019, Artificial Knee Joint Infections Require Painful and Debilitating Revision Surgery | 3/26/2019, DePuy Knee Replacement Requires Artifical Spacers Packed With Antibiotics | 3/9/2019, Total Knee Replacement Devices May Last But Patients Are Dissatisfied With The Result | 3/5/2019, Stem Cell Recruitment Therapy Offers an Alternative to Knee Replacement Surgery | 3/1/2019, Clinical Trials For Treating Knee Osteoarthritis Are Underway | 2/25/2019, Knee Replacement Patient Dissatisfaction May Be As High as 20% | 2/19/2019, The New and Improved DePuy Revision Knee Replacement Device May Lead to More Bonding Failures and Tibia and Femur Fractures | 2/13/2019, DePuy Knee and Hip Failures Are Similar and Lead to Class Action Lawsuits | 2/8/2019, DePuy Knee Glue Failure Prompts Lawsuits | 2/6/2019, Knee Replacement Failure is Starting To Get The Attention It Deserves | 1/30/2019, Gene Therapy Could Treat Osteoarthritis And Eliminate The Need For Knee Replacement Surgery This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. Potential allergens were strictly avoided in the replaced prosthesis. And the devices may also loosen or develop other problems, causing pain and affecting a person's ability to walk. Dr. Tower returned to Anchorage in 1992. It happens when there’s friction between metal surfaces. If you have an allergy, imagine carrying that around in your knee. This went on for a couple of years. Then with present day technology they do a revision. DISCUSSION. Cobalt is a naturally occurring element in the earth's crust. | 1/28/2019, Orthopedic Surgeons Recommend Knee Replacements When a Little Exercise May Be All That is Needed | 1/22/2019, Artificial Knee Manufacturers Battle With Patient Knee Infections | 1/17/2019, Knee Replacement Infections May Necessitate Amputation | 1/14/2019, Overweight Knee Replacement Candidates Should Consider Other Options | 1/9/2019, The DePuy Revision Knee Can Come Unglued Just as Easily as the Original Device | 1/7/2019, DePuy Knee Replacement Can Be Complicated by Osteoporosis | 1/3/2019, Knee Replacement Patient Should Lower Their Expectations | 12/18/2018, Medical Device Sales Representatives Are Present In Knee Replacement Operating Rooms | 12/13/2018, Knee Pain Patients Are Urged To Investigate Stem Cell Therapy Before Agreeing To Knee Replacement Surgery | 12/10/2018, The Risk of Infection May Outweigh the Benefits of the DePuy Knee Replacement Device | 11/29/2018, The FDA Failed to Adequately Test The DePuy Knee Replacement Device | 11/26/2018, DePuy Knee Patients Should Know When Enough is Enough | 11/9/2018, Senior Citizens Should Seek a Second Opinion for a Doctors Knee Replacement Advice | 11/2/2018, Senior Citizens With Osteoporosis May Want To Avoid Knee Replacement | 10/30/2018, DePuy Synthes Addressed the Failed DePuy Knee Due to Infections | 10/29/2018, Knee Replacement Market Estimated to Reach $10 billion Annually by 2024 | 10/24/2018, DePuy Targets Older Senior Citizens With The Revision Knee | 10/18/2018, Failed Knee Replacements Can Lead to Leg Amputation | 10/12/2018, Arthritis Knee Pain and Total Knee Replacement Surgery | 10/10/2018, Debonding, Infections, and Metal Hyper-Sensitivity Can Require DePuy Knee Replacement Revision Surgery | 10/1/2018, DePuy Blames Glue For Knee Replacement Device Failures | 9/28/2018, Arthritis Sufferers Should Think Twice Before Jumping Into Knee Replacement | 9/27/2018, The Meager Benefits of the DePuy Revision Knee Replacement Device | 9/25/2018, Lawsuit Alleged DePuy Failed to Recall the Knee Replacement Device | 9/22/2018, Alternatives to Knee Replacement Surgery for Senior Citizens | 9/19/2018, Blood Test Results May Be An Early Warning That An Artificial Knee Is About To Fail | 9/17/2018, The New DePuy Revision Knee Replacement System | 9/13/2018, Doctors May Be Overselling The Benefits of Knee Replacement Surgery | 9/10/2018, Total Knee Replacement Questions and Answers | 8/31/2018, Medical Device Studies Are Looking More Like Infomercials | 8/27/2018, Metal Hypersensitivity Can Cause DePuy Knee Failure | 8/24/2018, DePuy Knee Replacement System is sold primarily to senior citizens in spite of the product's age warning | 8/17/2018, Tibial Fractures and Loosening Cause DePuy Knee Failure | 8/15/2018, Report DePuy Knee Replacement Malfunctions Using The FDA's MAUDE System | 8/8/2018, A Physically Active Generation Demands More Knee Replacement Surgeries | 8/6/2018, Senior Citizens Will Require More From The DePuy Knee Replacement Device Than Merely Playing With The Grandkids | 8/2/2018, Setting the DePuy Revision Knee Terminology Straight | 7/30/2018, Senior Citizens Are Urged To Put Off DePuy Knee Surgery Unless Absolutely Necessary Cobalt is a naturally occurring element used to make metal alloys and other metal compounds, such as military and industrial equipment, and rechargeable batteries. Tibial base loosening is the primary reason so many DePuy knee come painfully undone, unstable and twists and turn when one walks. Metal implants are used in a variety of orthopedic surgical settings, including fracture repair and joint replacement surgery. They note: If you are looking to avoid knee surgery, see our main page Prolotherapy for knee pain for an alternative to surgery. Longevity depends on many factors including the implant but also on such things how well it is implanted (go to These are associated with a range of potential health problems including cancer, neurological difficulties and thyroid and heart disease. DePuy Attune knee replacement patients report tibial loosening. Titanium and titanium alloys used in hip and knee replacements. According to Healthline’s analysis of … Infections are rare after knee replacement surgery, but they can occur. There is little information available concerning the prevalence of and risk factors for these adverse reactions in knee replacements as opposed to the widely studied metal-on-metal hip joint replacements. and the rate of revision (repair surgery) due to adverse patient’s reactions to metal debris in patients treated with metal-on-metal hinge total knee arthroplasty. These elevated levels of serum cobalt and chromium are for real, so if you’ve had a joint replacement, getting them checked may be a good idea. The biggest culprit for toxicity seems to be cobalt-chrome but there is no generally accepted threshold beyond which serum or blood concentrations of cobalt and chromium are known to be toxic8. The patient described in the preceding clinical vignette is an excellent example of a concerning medical topic emerging in the current news. They note: There has been increasing alarm regarding metal-on-metal joint replacements leading to elevated levels of metal ions and adverse patient’s reactions to metal debris. 1 Laitinen M, Nieminen J, Reito A, et al. Because the knee is required to bears a person's full weight on every step, the tibial-knee device joint was inadequate causing the glue to debone and causing further painful bone loss. This is a known risk with metal-on-metal implants, but newer data are showing that it is also a risk with metal-on-polyethylene implants. Treatments discussed on this site may or may not work for your specific condition. When should I involve a Prolotherapist in my care? Many metal hip replacements were constructed using a hard metal called cobalt in order to extend the life of the hip replacement. 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