jeudi 13 septembre 2012

Juin 2012 nouvelle recommendations du MHRA sur le prothese de hanche metal sur metal

Recommendation du MHRA en Angleterre (Medicines and Healthcare products Regulatory Agency), fait suite a leur premiere annonce debut 2012.

http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/CON155761

Document est disponible sur:
http://www.mhra.gov.uk/home/groups/dts-bs/documents/medicaldevicealert/con155767.pdf

Tableaux en annexes sont particulierement interessants.



Guidance notes
• On the basis of current knowledge, this chart has been produced as a guide to the management of these patients. It will not necessarily cover all clinical situations and each patient must be judged individually.
• MARS MRI scans (or ultrasound scans) should carry more weight in decision making than blood ion levels alone.
• Patients with muscle or bone damage on MARS MRI are those of most concern. A fluid collection alone around the joint in an asymptomatic patient, unless it is very large can be safely observed with interval scanning.
• Local symptoms include pain and limping.


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