Revision surgery for failed left total hip arthroplasty with trunnionosis and resultant metallosis.Following a metal total hip replacement on (b)(6) 2015.I experienced a gradual onset of neurological symptoms, with left hip, buttock and lower back pain, radiating down the extremity.I subsequently developed a mylar (butterfly) rash, burning throat and ears, blurry vision, hearing and memory impairment, tooth breakdown, mouth sores with residual pain, numbness in lips, hands, swollen fingers with impaired grasp, loss of balance, fatigue and dysphoria.A blood test for metal ions was conducted through the (b)(6) clinic in (b)(6) 2020.Results confirmed toxic levels of cobalt and chromium, and elevated levels of titanium.An emergency revision surgery was recommended.Due to covid precautions the revision was delayed until (b)(6) 2021.Operative findings indicated "clear evidence of trunnionosis with blackening of the trunnion".Subsequent pathology reports describe "prosthetic wear debris reaction including granulomatous response to metal particles".Versys hip system surgery included: femoral head 12/14 taper, 32mm diameter and 10mm neck length, lot# 62847098, edi (b)(4), ref 8018-32-02, femoral stem, lot# 62833317, edi (b)(4), ref 00-7864-013-00, 12/14 neck taper standard neck offset, size 13, 138mm stem length cementless.Trilogy acetabular system liner lot# 62842925, edi (b)(4), ref 6305-50-32, bone screw lot 62825599 and shell with cluster holes porous lot# 62779497.I was informed the removed implants were sent to (b)(6).Fda safety report id# (b)(4).
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