Authors: Paul Lachiewicz, Brett Levine, Daniel Schweitzer, Ianiv Klaber, Francisco Bengoa
RECOMMENDATION: There is no data to suggest routine assessment of serum/blood metal ion levels (CoCr) in all patients with painful joint arthroplasty. There may be a rationale for second-line assessment of metal levels in painful metal-on-metal (MoM) total hip arthroplasty (THA), hip resurfacing, modular neck femoral components and in certain metal-on-polyethylene (MoP) THA in which trunnion corrosion is suspected.
LEVEL OF EVIDENCE: Limited
DELEGATE VOTE: Agree: 92%, Disagree: 4%, Abstain: 4% (Super Majority, Strong Consensus)
