“Metallosis” from implants is a huge deal right now. There are many references but the first one below is a direct intervention trial.
In our office (in addition to appropriate depuration and organ support) we use IV EDTA followed by IV DMPS during the beginning of therapy for these cases, following with provoked metals testing over time.
After the IV phase we switch to an oral protocol.
PMID: 22455358 Severe cobalt intoxication following hip replacement revision: clinical features and outcome. PMID: 11794513 EDTA chelation effects on urinary losses of cadmium, calcium, chromium, cobalt, copper, lead, magnesium, and zinc.
