UK Hospitals Ban Metal-on-Metal Hip Replacements

November 22, 2013 — National Health Service (NHS) hospitals in the United Kingdom will be banned from implanting metal-on-metal hip replacements due to a high rate of failure. A study of 17,000 patients found failure-rates as high as 43% in some patients.

The DePuy ASR implant was associated with a 13% five-year failure rate. After nine years, 43% of patients with the ASR needed revision surgery. The study also found that a similar hip resurfacing implant was associated with a 14% five-year failure-rate and a 36% nine-year failure-rate.

Investigators found that six hip implants had five-year failure-rates above 5%, and some were significantly higher — up to 16%. These implants included:

• Johnson & Johnson Adept
• Corin Cormet 2000
• Zimmer Durom Cup
• Biomet Recap Magnum
• Wright Conserve Plus
• DePuy Corail / Pinnacle total hip replacement (ceramic and metal)

The National Institute for Health and Care Excellence (NICE) has also issued new draft guidance for “acceptable” failure-rate of hip replacements. The previous benchmark allowed hip implants that had a 10% ten-year failure-rate. This will be lowered to only allow a 5% rate of revision surgery within ten years.

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