Depuy Hip Recall – FREE Case Review
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First Name*:
Last Name*:
Your Email*:
Phone Number*:
Street Address*:
City*:
State*: ---Alaska Alabama Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Lousiana Massachusetts Maryland Maine Michigan Minnesota Mississippi Missouri Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
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Did you or loved one have hip replacement surgery?*: Yes No
Was Depuy hip relacement used?*: Yes No
If no, what was the Name and Model of hip replacement?*:
Year of hip replacement surgery*: ---2022202120202019201820172016201520142013201220112010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990
Have you experienced any of the following symptoms after your surgery*: Pain Swelling Fractured Hip Bone Loosening of Implant Implant Dislocation Other
Has your recalled/defective hip been replaced or been scheduled for replacement?*: Yes No
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