Metal on Metal Hip Implant Lawsuits

Houston
3200 Travis : 3rd Floor
Houston, TX 77006
(713) 529-0025
(713) 751-0412 (fax)

Galveston
(409) 762-9090

Toll Free
888-529-4688

andrewsteinberg@lawyer.com
www.thesteinberglawfirm.com

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Contact Information
* Title:
* First Name:
* Last Name:
* Relationship to metal on metal hip implant User:
* Email Address:
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Case Information
Name of metal on metal hip implant User:
Date of birth of metal on metal hip implant patient (mm/dd/yyyy):
Age of patient when metal on metal hip implant was implanted:
Did you or a loved one experience any of the following side effects after having a metal on metal hip implant?
Hip Fracture
Hip Pain
Grinding Sensation
Limitation Of Motion

Date hip replacement surgery occurred:
Manufacturer of hip replacement:
Please describe any adverse symptoms related to replacement:
 
Did adverse reaction make another hip replacement necessary?
Yes
No
If yes, date of additional replacement surgery:
If yes, why was another hip replacement surgery necessary?