71 yr old patient 12 yrs after lt THR with rising cobalt levels of one year duration with no local symptoms. Netflix movie "Bleeding heart" convinced the patient of revision inspite of lack of symptoms. All other blood parameters. Bone scan and MARS MRI done in 1.5 T machine was normal.
There was local metallosis or infection. manage d to retain a well fixed sleeve and changed the cup to 56 from 54 and a lateralised 4+4 Calcar replacement stem with ceramic on poly THR was done
This was my revision of Srom in 3 cases where in I could retain the sleeve and patient walked like a primary hip.
the rt side has a COC revision hip done after the MOM fiasco
