Metal on Metal Hips

[Anonymous]

Where do you guys see this portion of Biomet's portfolio headed? Some pretty scary stuff out there. A lot of my business is revision, & I have to say that the majority of the hips we see coming back are Biomet MOM prosthesis.....Knees are split pretty evenly between Depuy RP & S&N.

Biomet has excellent knee products, but seems to struggle in market share for hips. I realize that Biomet is the worldwide leader in the MOM market, but I think we are going to see that start to dry up pretty fast with all the recent stuff(NY Times article, Ranawat/Rothman JOA article) that has come out.

Thoughts?

Does Biomet see e-Poly as the answer & future hip bearing workhorse for the company?

Appreciate any input.

[Anonymous]

Highly dubious you are pulling out Biomet MOMs. We are not the ones with the problems. Our deformation is less than half that of the cups with the problems. Tolerances are spot on. My MOM sales have gone down a little, but who cares, we have E1. Don't lump Magnum in with Depuy ASR and Zimmer, it is a different animal. Rothman JOA article is an editorial coming from a great surgeon who has limited experience with large head MOM and who is paid a lot of money to use other material surface technologies on his hips. NY Times article doesn't mention Magnum. Metal isn't dead, at least it isn't when you build it correctly the first time...

[Anonymous]

sales training 101 buzz phrase. LOL

[Anonymous]

No buzz phrase here. I have sold over 200 Magnums in the past year. My guys have seen that there is no evidence to sway them away from the technology. I don't care if they do switch, I will still have their business. You can't argue that a whole bearing surface technology is flawed because some designs in the market are. Metal on metal isn't bad, ASR and Durom are. Ceramic on ceramic isn't bad, but the accolade stem combined with a raised lip cup is. Do you have any empirical data to support your claim? As far as what is locally coming in that you see for revisions, it has far more to do with who and how they put the implants in than the design.

[Anonymous]

Where is your emperical data? If you look at the lates data from Swedish Hip registry YOUR Fagnum Hip has a higher revision rate than Birmingham or Durom!! This is the TRUE emperical data!!

[Anonymous]

let's talk about your Oxford Uni data. LOL

[Anonymous]

Where do you see Magnum on the swedish hip registry? Proceed with Oxford data. If put in correctly, it works.

[Anonymous]

It appears as though that only the designing surgeon(s) are able to implant it correctly and even their survivorship/revision data is extremely suspect.