Musculoskeletal Care of the Mature Patient

I am receiving daily email blasts in addition to being subjected to a continuum of advertisements from plaintiff attorneys in the media concerning hip and knee replacement recalls. You know how it works; “call us to see if you are a victim of—–, you may be entitled to compensation”. My major interest in stem cell treatment of arthritis is the potential to avoid a joint replacement. On the other hand, I have performed over 20,000 total hips and total knees in my professional lifetime and there is a time and place for a joint replacement. While it is true that about five percent of hip and knee replacements in men and 15% in women are not satisfactory for multiple possible reasons, product liability is way down on the list. The only two recalls of prostheses of which I am aware are the ACS metal on metal hip series manufactured by J&J/Depuy and the Stryker Trident series of acetabular cups manufactured in Cork, Ireland. In spite of the attorney claims, there are no knee prosthetic recalls. I receive inquiries several times a week from patients concerning whether they are entitled to compensation even if there isn’t a problem.

The plaintiff attorney advertisements, for the most part, misrepresent the safety and performance of a joint replacement. As a result Zimmer recently filed a lawsuit to put and end to the inaccurate and misleading statements, for the first time challenging the attorneys’allegations. Surgeons are guided by scientific outcomes; patients should be guided by facts. I have been a clinical investigator of new generations of hip and knee implants and continue to follow many of my patients where possible; both as a standard of my practice and as part of several post FDA approval studies. Reader, be aware, contrary to the statements being made in some advertisements, the Zimmer NexGen knee prosthesis is not and has never been subject to an FDA recall. “Click here, you may be eligible for compensation” When I fish, I practice catch and release. The message in this Blog, don’t get caught and kept, maybe even eaten.

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