Metal on metal hip replacements and hip resurfacings have come under a lot of flak in the last few years. Many patients were taken in by the marketing hype and underwent these procedures. Now these implants have been failing at increased rates. These patients face the prospect of a revision hip replacement. Short stem hip replacements or neck serving hip replacements are an option in these young patients. They preserve valuable bone. Early diagnosis with serum chromium levels, MRI scans can detect raised metal levels and loosening. Early conversion to short stem hip replacements can avoid further complications including that of the dreaded 'C' word. Harder and safer bearings like ceramic, polyethylene can be used instead of metal on metal.
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