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DePuy Hip Implant

DePuy Defective Hip Replacement, Revision Surgery, Medical Device

DePuy Hip Implant Side Effects May Be Linked To Revision Surgery Lawsuits

DePuy Hip Implant, Ultima Hip, Ultima Cup | Lawsuits, Lawyers | Side Effects: Osteolysis, Osteomylitis, Revision Surgery, Hip Pain, Thigh Pain, Groin Pain | Metal-On-Metal Implant, Defective Implant, Premature Failure, Osteolysis Hip

Are you a victim of the DePuy ASR hip implant recall? Thousands of people across the U.S. were implanted with DePuy Orthopaedic's defective ASR hip replacement system between 2005 and 2010, when it was finally recalled. Many of those patients experienced the premature failure of their DePuy ASR hip implant within just few years of their surgery. Even those patients who haven't yet experienced problems with their DePuy ASR hip implant face an uncertain future.

Failed total hip replacement with revision.

1. Patient with a failed total hip replacement with considerable proximal femoral bone loss, proximal migration of the greater trochanter and breakage of multiple screws distally from the previous interlocking device.

2. Surgeons revised the hip implant with a constrained acetabular component and cemented a proximal femoral replacement into the distal femur.

Failed total hip replacement with revision.

Attorneys at Parker, Waichman, LLP involved in the DePuy ASR hip implant case are offering a free lawsuit consultation to anyone injured by this defective medical device. If you underwent hip replacement surgery since 2005, and have suffered from unexplained hip, thigh or groin pain, pain with walking, pain rising from a seated position, or pain with weight bearing, you may be the victim of a failed DePuy ASR hip implant. We urge you to contact one of our DePuy ASR hip implant lawyers today to protect your legal rights.

Wear of hip implant with pieces of broken material in tissue.

Broken head of hip implant (upper left) and pieces of broken ceramic material embedded into tissue (lower right) due to wearing of hip implant which may lead to Osteolysis and bone breakage.

Wear of hip implant with pieces of broken material in tissue.

The DePuy ASR Hip Implant Recall

The DePuy ASR Acetabular Cup System first came on the market in 2005. It was cleared by the U.S. Food & Drug Administration (FDA) via a process known as 510(k) approval. This process allows a manufacturer to obtain market approval with very little clinical testing of the device - including no human testing - if a manufacturer can prove it is "substantially similar" to another product already on the market. In 2010, an internal FDA review - ironically released shortly after the DePuy ASR hip implant recall was issued - found numerous flaws with the 510(k) process, prompting the agency to consider changing it.

The ways in which the DePuy ASR hip implant can fail include: Loosening of the various components in the implant;

  • Necrosis (premature death of body tissue) or soft tissue damage due to exposure to metal particles due to wear of the implant;
  • Elevated cobalt and chromium levels in the blood due to wear of the implant.
Symptoms suffered by patients who have been implanted with the DePuy ASR hip implant were outlined to include:
  • Severe pain in implant, radiating into the groin and/or back
  • Radiographic changes including loosening and lysis (dissolution or destruction of cells) or osteolysis
  • Fluid collections and cystic or solid masses around the joint

In 2009, DePuy had already announced it would be phasing out the ASR hip implant, ostensibly because of low sales. But by 2008, the FDA had received more than 300 reports of problems with the hip implant, most involving premature failure that required revision surgery. A hip implant should last for roughly 15 years, but many DePuy ASR hip implant recipients were undergoing new surgeries just a few years after implantation.

Then in a letter dated March 6, 2010, DePuy warned doctors that recently analyzed data from Australia suggested that the ASR had a higher-than-expected failure rate when used in traditional hip replacement on certain types of patient. According to the letter, patients of small stature, a group that typically includes women and patients with weak bones, faced the highest risk.

Wear of the acetabular liner of hip implant.

1. A radiograph of the pelvis demonstrates area of wear of the acetabular liner, with superolateral displacement of the femoral head (red arrow). Large radiolucent area superior to the acetabular companent (yellow arrow), and bony resorption of the proximal medial femur adjacent to the insertion site of the femoral prosthetic companent (green arrow).

2. Changes not seen in first film.

Wear of the acetabular liner of hip implant.

Finally, in August 2010, DePuy issued a worldwide recall for the ASR XL Acetabular Hip Replacement System after data from the National Joint Registry of England and Wales showed that 1 out of every 8 patients (12%-13%) who had received the devices had to undergo revision surgery within five years of receiving it. By then, more than 93,000 patients worldwide were fitted with an ASR hip implant. It is believed that roughly a third of those were patients in the U.S.

DePuy ASR Hip Implant Complications

The DePuy ASR hip implant is a metal-on-metal device made of chromium and cobalt, and consists of a cup that’s implanted into the hip with a ball joint that connects to the leg. According to a New York Times report published in March 2010, metal-on-metal hip implants have been used in about one-third of the approximately 250,000 hip replacements performed annually in this country. However, many of the nation’s leading orthopedic surgeons have reduced or stopped use of these devices because of concerns that they can cause severe tissue and bone damage.

Hip implant revision

1. Loose total hip replacement

2. Right hip revision hip replacement to correct loosened hip implant.

Hip implant revision. Loose total hip replacement

It is believed that many of the complications linked to the DePuy ASR XL Acetabular hip implant are caused by wearing of the metal components, which can allow metal shavings to make their way into patients’ bloodstreams, leading to tissue breakdown, bone loss, and even the formation of non-cancerous tumors. The shedding of metal shavings can cause cobalt poisoning, a disorder that, if left untreated, can put patients at risk of tinnitus (ringing in the ears), vertigo, deafness, blindness, optic nerve atrophy, convulsions, headaches, peripheral neuropathy, cardiomyopathy, and hypothyroidism. Even patients who are not experiencing issues with their DePuy ASR hip implant may still be at risk for future complications. DePuy ASR hip implant patients have been advised to have their blood cobalt level tested, and such individuals may require medical monitoring for years to come.

Osteolysis bone loss disease

1. Osteolysis involves wear particles (worn off the contact surface of the artificial ball and socket joint). As the body attempts to clean up these wear particles (typically consisting of plastic or metal) it triggers an autoimmune reaction which causes resorption of living bone tissue. Osteolysis has been reported to occur as early as 12 months after implantation and is usually progressive. This may require a revision surgery (replacement of the prosthesis).

2. Aseptic loosening of a hip implant. Note the radiolucencies next to the implant, a result of osteolytic bone loss.

Osteolysis bone loss disease

Legal Help for Victims of the DePuy ASR Hip Implant Recall

If you or a loved one are among the thousands whose health has been put in jeopardy by a defective DePuy ASR hip implant, you may be entitled to compensation for your medical bills, lost wages, and pain and suffering. To discuss your case with one of your DePuy ASR hip implant lawyers, please fill out our online form or call 1-800-YOURLAWYER (1-800-968-7529).


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DePuy, J&J "Cashed In" On Defective Hips

Apr 17, 2017
A marketing director at DePuy Orthopaedics, a subsidiary of Johnson & Johnson,-the companies behind allegedly defective hip implants which left thousands of patients in pain and in need of revision surgery-bragged about its sales figures being "on fire" due to revision surgeries to remove and replace defective metal-on-metal hip device implant device. Internal documents, which were obtained by the Telegraph reveal that Paul Berman, the then-director of hip marketing at DePuy, boasted...

Class II Recall for DePuy LCS Complete RPS Knee System

Jun 5, 2015
On May 26, DePuy Orthopaedics issued a recall for the LCS Complete RPS Knee System after Australia's Therapeutic Goods Administration reported higher rates of revision (corrective surgery) when the native patella is not resurfaced during the original procedure. If the LCS Complete RPS Knee System is implanted and the native patella (i.e., the patient's knee) is not resurfaced, the patient may experience patello-femoral pain, potentially requiring a secondary procedure. The Food and Drug...

Johnson & Johnson May Extend Settlement Agreement to 1000 Additional DePuy Hip Cases

Nov 3, 2014
Johnson & Johnson may agree to pay an additional $250 million to resolve lawsuits over its ASR metal-on-metal hip implants that were excluded from a $2.5 billion settlement of similar claims last year. J&J, the world’s largest seller of health-care products, is considering whether to settle more than 1,000 lawsuits over removals of the recalled hip implants that occurred after August 2013, Bloomberg News reports. J&J’s DePuy Orthopaedics unit manufactured these hips....

Oregon Gets $4 Million in DePuy Settlement

Jul 8, 2014
The Oregon Department of Justice reached a $4-million settlement with DePuy Orthopaedics Inc. over allegations that DePuy knowingly marketed a line of metal-on-metal artificial hips that were prone to failure. The metal-on-metal devices tend to deteriorate leaving behind metal debris and sometimes damaging muscle and bone and requiring follow-up surgeries, reports. DePuy, a subsidiary of Johnson & Johnson, used a streamlined Food and Drug Administration (FDA) device...

Family Alleges Mother's Fatal Brain Cancer Due to DePuy ASR Metal-on-Metal Hip Implant

May 12, 2014
A woman from India was the first from her city to bring a lawsuit against Johnson & Johnson over its DePuy Orthopaedics ASR hip implant device, alleging it caused her aggressive brain cancer. The woman, 72 years old at the time of her death, from Dadar, India, just died from aggressive brain cancer and her family indicated that they will continue her fight, according to The Times of India. She fell and required replacement hip surgery in 2007. Following the surgery, she was in pain daily,...

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