title: Meeting the demands of on-going metal-on-metal hip surveillance through nurse led services.
abstract: This paper discusses the implications following a recall of all metal-on-metal hip replacements by the Medicines and Healthcare products regulatory Agency (MHRA). Issues identified were the release of metal ions from the metal implants. These ions were found to seep into local tissues and cause reactions that destroyed muscle and bone leaving some patients with long term disability. At the centre surveillance was monitored by an extension of the current Nurse Led services using existing staff and resources. There were a significant number of patients that required monitoring and there were difficulties contacting these patients and ensuring that they understood the importance of attending a clinic.
authors.affiliation: The South West London Elective Orthopaedic Centre, Denbies Wing Epsom General Hospital, Dorking Road, Epsom, Surrey KT18 7EG, UK. Electronic address: sue.king@eoc.nhs.uk.
authors.forename: Sue
authors.initials: S
authors.lastname: Elliott
authors.affiliation: The South West London Elective Orthopaedic Centre, Denbies Wing Epsom General Hospital, Dorking Road, Epsom, Surrey KT18 7EG, UK. Electronic address: sarah.langfield@eoc.nhs.uk.
authors.forename: Sarah
authors.initials: S
authors.lastname: Langfield
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000451:nursing*; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D057052:Medical Device Recalls / Q000331:legislation & jurisprudence*; D061825:Metal-on-Metal Joint Prostheses / Q000009:adverse effects*; D008670:Metals / Q000737:chemistry*; D008875:Middle Aged; D024802:Nurse's Role; D011474:Prosthesis Design; D011475:Prosthesis Failure; D006113:United Kingdom
chemical_list: D008670:Metals
keywords: Joint replacement; Metal-on-metal; Nurse led; Orthopaedic