subject: Depuy hip replacement recalls from a social work perspective Lawyers and Social work team up [print this page] Depuy hip replacement recalls from a social work perspective Lawyers and Social work team up
It appears that we have a new potential hip replacement recall. These recalls can be devastsating to seniors. Faulty hip replacements affect seniors at a time in their lives when quality of life and independence are crucial factors .Any surgery takes longer to recover from and having to go thru it twice is very difficult for our seniors.The psychological and physical effects put seniors back months. Having to go through additional pain and surgeries can lead to severe depression and a downhill process. Individuals in retirement have waited their entire working years to enjoy the pleasures of travel, hobbies and leisure social activities. Many enjoy sports, shows and drive. A hip replacement surgery takes many months of rehabilitation.
In the months since a recall of the DePuy ASR XL artificial hip, DePuy might be facing the recall of yet another one of its hip replacements, the Pinnacle Acetabular Component, which has been facing increased scrutiny for its premature failures.
Like the ASR XL, the Depuy Pinnacle is a metal on metal system that was designed to last at least 10-15 years but now, orthopedic surgeons are reporting that these devices have been failing within one to two years of being implanted into their patients.
That's not good news for DePuy, a division of Johnson & Johnson, which has implanted over 150,000 Pinnacle hip replacements into patients since it was put into service in 2001. Its recent recall of the defective ASR metal-on-metal hip implant systems has forced thousands of hip implant patients to have additional, painful and expensive hip revision surgeries. This effects seniors the most. All surgeries at that age are traumatic with extensive recovery time and rehabilitation. After the surgery, the patient, can spend weeks in a rehabilitation facility away from family, friends and routine. This isolation can effect mood. After discharge there is usually weeks of in home rehabilitation. Going through this once, according , is traumatic, Many seniors will not be able to withstand a second procedure both physically and emotionally.We do not know how many seniors can actually go through this twice and regain the pre -surgery level of functioning. This will not only affect an individuals quality of life but perhaps even life span ,depending on age and other health factors. If a senior
has kept going, for instance, by playing golf every day with friends and he or she loses this ,it could be a downhill road. Lets look at some information about the hip replacement.
Although the ASR and Pinnacle are both metal on metal systems, there are significant differences between the two insofar as:
* the ASR is a monoblock design whereas the Pinnacle uses a modular system.
* the ASR cup is made of one solid piece of metal whereas the Pinnacle has an outer shell
* The Pinnacle is designed in such a way that the surgeon has the option to place a metal, ceramic or polyethylene liner inside the metal outer cup
Much of the problem seems to be with the Pinnacle 36 mm Ultamet Metal-on-Metal component which is failing at an unacceptably high rate. One of the theories seeking to determine the cause suggests that a design problem flows from the fact that the device has been created with one of the lowest clearance levels in the industry. The only other implant with a clearance level this low is the DePuy ASR.
Attorneys and experts investigating the basis for the high rate of failure point to the product design and believe that DePuy created a very narrow window for proper placement of the prosthesis and inadequately trained surgeons in the proper implantation technique.
Like, the recalled DePuy ASR system, the Pinnacle was permitted to reach the market under the U.S. Food and Drug Administration's (FDA) controversial 510(k) approval process, which allows a medical device to be placed on the market without being subjected to necessary clinical trials as long as the manufacturer can show that the device is "substantially equivalent" to a device already approved on the market. DePuy's ASR system avoided obligatory clinical trials by showing that it was fundamentally similar to the DePuy Pinnacle hip replacement system, raising some serious issues.
Recently, the FDA has received hundreds of complaints and adverse incident reports against the Pinnacle system, attributed mostly to the Pinnacle's propensity to prematurely separate from the bone. Moreover, like many other metal on metal devices, constant friction in the Pinnacle may cause an increased risk of metallosis, i.e. the release of miniscule metal particles into the surrounding soft tissue or bloodstream.
All of this has resulted in a wave of new lawsuits being filed around the country against DePuy. Just last week, a motion was filed in the United States District Court in California seeking to consolidate all DePuy Pinnacle cases before one judge in what is known as a multi- district litigation, or MDL. The MDL Panel is scheduled to rule on this application in May.
In the interim, the helpline in conjunction with lawyers, continues to investigate claims and counsel individuals on what to do in the event that they need revision surgery. This falls within the social workers training. Social workers are empathic listeners as well as coordinators of services. Callers with a DePuy hip repalcements who are experiencing unusual pain or anything unusual are advised to: See a doctor immediately.
-Do not release any of your confidential medical information to any DePuy representatives before speaking to experienced hip replacement counsel.
-If you are told that you will need hip revision surgery, make sure that the removed component parts are preserved. Your counsel should be familiar with this process and be working with the proper experts to insure that it is done correctly.
Social workers and Lawyers have huge concerns about the number of recalls and thenew replacements that keep getting added to the list. This effects our huge aging population. Individuals over the age of 60,more so, 70 are effected. Individuals with numerous falls and hip fractures are candiates as well. This could effect a huge population by the time all the information comes out. From a social work and legal perspective this is very serious
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