* First Name
* Last Name
-U.S. Virgin Islands-
If yes, date implant replacement surgery occurred:
Please describe any complications or adverse reactions:
Were You Diagnosed With Cobalt Poisoning?YesNo
Did adverse reaction make another implant replacement necessary?YesNo
If yes, date of additional replacement surgery:
If yes, why was another implant replacement surgery necessary?
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DePuy Hip Implant
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