Slide 1

Dr. R. Coup Whangarei Hospital

Slide 2

Slide 3

Recent Concerns Prevention Approach to Patient

Slide 4

ASR Recall August 2010 Voluntary

Slide 5

Slide 6

British Journal bad results ASR

Slide 7

Already withdrawn in Australia and NZ

Slide 8

Slide 9

Every joint replacement entered in registry. NZ since 1999 Australia 2001

Slide 10

Australian registry

Slide 11

Slide 12

Failure Reaction to metal debris Effects local not systemic

Slide 13

Slide 14

Raised chromium and cobalt levels Soft tissue mass Bone destruction

Slide 15

Slide 16

Most important surgical factor Choice of implant Registry data

Slide 17

General Practice ASR Introduced 2003 Very few in Northland Other designs MoM

Slide 18

Pain continuing after hip replacement Operation note Contact Surgeon Await Clinic Appointment

Slide 19

Infection Peri- prosthetic fracture cRP, X-ray rather than ion levels

Slide 20

Pain persisting No plan 2 nd opinion

Slide 21

Thank you