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Johnson & Johnson, in conjunction with its DePuy Orthopaedics subsidiary,
announced a major recall for hip implants after it was discovered the implants loosened, causing pain and requiring replacement.
At issue is the high rate of repeat total hip replacement (THR) surgeries needed by people who have received the parts. An estimated 93,000 people will be affected by Johnson & Johnsons latest product recall.
Affected hip replacement parts involved in the recall include the DePuy ASR XL Acetabular System, which is the cup portion of a replacement hip joint, and the DePuy ASR Hip Resurfacing System. The high failure rate has been attributed to the design of the hip components. Small pieces of metal are released into surrounding tissue, preventing the device from bonding firmly with natural bone. Individuals with this device still in them will need to be monitored closely and ultimately may need hip revision surgery.
Although this recall is voluntary, DePuy also received a warning letter from the FDA that charges the company is marketing some other joint replacement products without required approval.
Patients who reported problems in the first five years and had revision surgery reported a variety of symptoms, including pain, swelling and problems walking. These symptoms are normal for patients following a hip replacement, but can be a sign that something is wrong if they continue or come back frequently. These symptoms may indicate serious problems, including:
Metal-on-metal modular hip implant devices have the advantage of a lower wear rate and lower chances of dislocation. But, the wear of metal parts against each other, corrosion, generates metallic debris that makes its way into the blood stream and ultimately to muscle, bones and organs. High levels of metals, predominantly cobalt, chromium and molybdenum, can result in metallosis or periprosthetic osteolysis ‘ the degeneration of bone due to infection.
Symptoms can start with hip and joint pain and can include tinnitus, vertigo, deafness, blindness, headaches, peripheral neuropathy and heart and thyroid issues.
The following products are all currently being investigated:
Mr. Pitman is a member of the Nursing Home Litigation Group of the American Association for Justice, the Illinois Trial Lawyers Association, the Iowa Association for Justice and the New Mexico Trial Lawyers Association. Mr. Pitman was President of the Wisconsin Association for Justice in 2013 and is a current member of the National Academy of Elder Law Attorneys (NAELA). He lectures extensively on nursing home abuse and neglect and has authored numerous articles in the area of personal injury litigation.
This page has been written, edited, and reviewed by a team of legal writers following our comprehensive editorial guidelines. This page was approved by attorney Jeffery A. Pitman, who has more than 28 years of legal experience and handled thousands of personal injury cases while obtaining millions of dollars in verdicts and settlements in Wisconsin, Illinois, Iowa and New Mexico.