Metal on metal hip replacements can be either a resurfacing or a total hip replacment. Unfortunately, some of them have been problematic because of release of metal ions into the surrounding tissues. THis can cause damage to bones and soft tissues around the hip. In the later stages this can show up on X-ray, but in many cases (like this X-ray shown here of a lady with a painful hip resurfacing) the X-ray does not tell the whole story. The Royal National Orthopaedic Hospital is a national centre for investigation and treatment of these problems and Mr. Miles will arrange specialised blood tests and scans to investigate for potential metal ion related problems. In many cases these hips require revision surgery. Mr. Miles is highly experienced in this area and will perform surgery with minimal damage to remaining bone.
Pre-operative templating of revision metal on metal resurfacing (above)
and postoperative X-ray showing revision carried out with minimal bone damage (below)