Hip replacement surgery is a very common procedure in the UK and involves the replacement of a damaged hip joint with an artificial one called an implant. A hip replacement may be required for many reasons including because of a fracture or osteoarthritis. An alternative to a full hip replacement is a procedure called hip resurfacing where the damaged surfaces of the bone inside the hip joint are removed and replaced with a metal surface.
Claims for medical negligence can arise, for example, when the implant is not placed correctly during surgery and becomes loose or unstable potentially causing nerve and tissue damage and requiring revision surgery. Failures to check leg lengths pre-surgery can lead to claims for damage caused from uneven limbs. Claims can also arise if the wrong parts (for example the wrong size of implant) are used or that these are defective / faulty. In the latter case, the claim will usually be against the manufacturer or supplier of the defective product.
Defective hip implant claims
There have been well publicised problems with the Depuy ASR metal on metal hip implant where due to a design defect, this particular device produced large amounts of metal debris (cobalt and chromium) which worked their way into surrounding tissues and muscles leading to quite severe necrosis in some patients.
Many other metal on metal hips were of much better design and were found by the courts not to be “defective” under the relevant legislation - the Consumer Protection Act 1987.
If you are concerned about a defective hip implant, please contact us to see if we can help. Our solicitors have many years of experience of suing various manufacturers and can advise you on the prospects of success of your claim at an early stage on a no win no fee basis.
Some further examples of issues that can arise from hip replacement surgery include nerve injuries and foot drop. Nerve injuries that we have dealt with include negligently caused femoral nerve injuries - which can have a severe impact on mobility and lead to debilitating and chronic pain.
Foot Drop
Foot drop is a condition whereby it is difficult to lift or move a foot as a result of an injury to the peroneal nerve (which supplies movement and sensation to the lower leg, foot and toes). Damage to this nerve can result from hip or knee replacement surgery. If the damage was as a result of substandard care, there may be a claim for compensation for foot drop.
Hip Replacement Compensation
The amount of compensation that may be obtained will depend upon the type and extent of the injury. However, compensation will usually include sums for treatment to help with the best possible recovery such as private revision surgery if needed, physiotherapy and aids and equipment. Sums can also be obtained to compensate for lost earnings as well as for pain and suffering and to cover costs of any adaptations required to living accommodation.
If you or a family member has suffered as a result of failures in hip replacement surgery, we can support you through the process of bringing a claim for compensation. Please contact us to discuss how we can help.
Your claim - why us?
Your case will be investigated by our specialist lawyers, led by a partner. We are specialists in dealing with hip replacement cases and work with leading experts in various areas including orthopaedic surgeons in order to assess the strength of a claim. We then work with further experts to consider a client’s long term needs and the full amount of compensation required.
Our lawyers are recognised by the Legal 500 and Chambers directories as specialists in clinical negligence cases. Our team includes lawyers with specialist clinical negligence accreditations from Action against Medical Accidents (AvMA) and the Law Society.
Frequently Asked Questions
How long do I have to bring a hip replacement claim?
There are strict time limits for bringing a negligence claim for injury in England and Wales. This is called the limitation period.
For adults, the usual rule is that a claim must be formally started at Court within three years of the date the negligence occurred, or of the date on which the injured person should reasonably have been aware that there might be grounds to bring a claim (if that date is later).
If a child is injured by negligence, they usually have until their 21st birthday to formally start their claim at Court.
Where a claim relates to someone’s death, the claim should be started at Court within three years from the date of death or from the ‘date of knowledge’ (if that is later).
There are circumstances in which the rules differ; for example, where the claim is for someone who does not have mental capacity to bring a legal claim.
It takes time to investigate a claim, so you should contact us as soon as possible.
What is the process for bringing a claim?
We start by obtaining evidence such as medical records, witness statements, and expert evidence to prove that your condition was worsened by medical negligence.
We also calculate the amount of compensation that can be claimed. Typically this involves instructing experienced experts to advise on the additional needs which you now have because of the negligence, in order to maximise the level of compensation. We then try to reach a financial settlement with the Defendant (the individual or organisation legally responsible for the injury) or their insurer.
In some cases settlement is agreed at an early stage. In other circumstances, it may be necessary to begin Court proceedings.
For further information on this process, read Our Guide to Making a Claim.
Will the case be decided by the Court?
Probably not. The vast majority of medical negligence claims are not decided by the Court. Successful claims are usually resolved through agreement of a settlement either before or during Court proceedings. Occasionally, the Court will decide a case, if it cannot be resolved any other way.
Where the claim is for a child, or for an adult who does not have mental capacity, the Court will be asked to consider and approve the settlement. This is a safeguard required under the Court rules to ensure that the settlement is in the best interests of the injured person.
How is the amount of compensation decided?
We will tailor the compensation claimed to meet your needs.
The first step is to consider how the deterioration in your medical condition has affected your life and whether that will change in the future. We then calculate the amount of funds required to meet your additional needs and compensate you. Depending upon your circumstances, this may include funds for:
- Private care
- Private therapies and medical care
- Specialist equipment and vehicles
- Adapted accommodation
- Support with education and work (if that is possible for you)
- Compensation for loss of earnings and pension
- Compensation for losses in self-employment
We regularly use leading experts and barristers to assist in identifying all aspects of an injured person’s needs.
Where someone has died, the compensation primarily relates to compensating the deceased’s dependents for the financial and/or practical support which they would otherwise have received from the deceased.
Will it take a long time before the case is concluded?
Medical negligence claims typically involve detailed investigation and expert evidence. Therefore, they often take several years to resolve.
Our approach is to seek an admission of liability (i.e. that negligence occurred and caused injury) as early as possible in the process.
When liability is established, the Defendant usually has to pay part of the compensation immediately. This allows your needs to begin to be met while the work to quantify the full amount of compensation continues.
How do I access medical records?
Medical records are usually the starting point for our investigation of a claim. With your permission; we request these records directly from the treatment provider(s).
Our clients sometimes wish to obtain copies of the records themselves before deciding whether to begin a claim. Please see our Guide to Accessing Medical Records for further information on how to request records.
Can I make a 'no win, no fee' hip replacement claim?
Conditional Fee Agreements (known as ‘no win, no fee’ agreements) are the most common way that the medical negligence claims we undertake are funded. This gives clients the reassurance that they will not (in almost all cases) have to pay any legal costs in the event that they are not successful with a claim. We will explain all possible funding options with prospective clients.
Please see our page on How are claims funded?