LIRC: Downloads
Below are documents designed for surgeons referring patients / hip implants but also radiologists wishing to use our CT and MRI protocols and patients wanting to contribute their implants to our research program
See lirc papers feb 2012 
on patients with painful metal-on-metal hip replacements.
Referrals must include a letter from a referring surgeon or GP. These can be faxed to 020 3311 7332 or emailed to metalions@imperial.ac.uk.
- Please score your patient by sending us this form: OHS score form
- Imperial low radiation dose 3D CT hip protocol: Imperial Hip CT Protocol
- MARS MRI Protocol: Imperial College MARS MRI protocol from here
Our most recent references (for full list see LIRC papers and talks above) :
An Analysis of Metal Ion Levels In The Joint Fluid of Symptomatic Patients with Metal on Metal Hip Arthroplasty. K Davda, F Lali, B Sampson, J Skinner, AJ Hart. In press for JBJS B june 2011. Log no. 25804
Metal on Metal Bearings – The Evidence So Far. Fares S. Haddad, Raj R. Thakrar, Alister J. Hart, John A. Skinner, Anthony V. Nargol, John F. Nolan, Harinderjit Singh Gill, David W. Murray, Ashley W. Blom, Patrick Case. JBJSB May 2011
Retrieval analysis of 240 metal-on-metal hip components, comparing modular total hip replacement with hip resurfacing. Matthies A, Underwood R, Cann P, Ilo K, Nawaz Z, Skinner J, Hart AJ. J Bone Joint Surg Br. 2011;93(3):307-314.
The relationship between the angle of version and rate of wear of retrieved metal-on-metal resurfacings: A PROSPECTIVE, CT-BASED STUDY. Hart AJ, Ilo K, Underwood R, Cann P, Henckel J, Lewis A, Cobb J, Skinner J. J Bone Joint Surg Br. 2011;93(3):315-320
Magnetic resonance imaging findings in painful metal-on-metal hips: a prospective study.Sabah SA, Mitchell AW, Henckel J, Sandison A, Skinner JA, Hart AJ. J Arthroplasty. 2011;26(1):71-76, 76 e71-72.
Hart AJ QP, Sampson B, Atkinson K, Skinner JA, Sandison A, Powell JP, Mosselmans JFW. The chemical form of metallic debris in tissues surrounding metal on metal hips with unexplained failure. Acta Biomater, 6(11): 4439-46, 2010.
Hart AJ; Dandachli W; Schlueter-Brust K; Henckel J; Cobb JP. (2010). Large ball metal on metal hips obscure cup angle measurement on plain radiographs. Hip Int 2009;19-4:323-9
Hart AJ, Sabah S, Henckel J, Lewis A, Cobb J, Sampson B, Skinner JA. The painful metal-on-metal hip resurfacing. J Bone Joint Surg Br. 2009 Jun;91-B(6):738-44.
