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Detection of Orthopaedic Implants by Airport Mental Detectors

Roger Emerson, Jr., MD

Recently, there have been a number of orthopaedic studies conducted on the detection of orthopaedic implants by airport metal detectors.

Patients with implanted joint prostheses often ask whether the implants will produce problems with security checks at airports. Each year at airports around the world, thousands of passengers have re-examinations by handheld detectors and body checks because of positive results at detection arches.

Body checks of patients with orthopaedic implants are often necessary because electronic devices cannot distinguish between these and other metallic sources. The goal of the studies was to determine which implants, if any, activate metal detectors so that patients with such implants can be forewarned and a certificate issued.

Metal detectors create an electromagnetic field. When an active metallic object is moved across the field, an induction current is generated which is registered by the detector. This process is usually not affected by the presence or absence of a cover of body tissues.

The sensitivity of the detector varies and is represented on a scale of 1 to 15; an average airport detector is set at five. In those parts of the world where security is considered to be at a higher risk the detector is set at seven. At a setting of 10, the detectors are activated by minute metal objects such as rings and coins and are of little use for airport security. Therefore, tests were done at settings of both five and seven.

Most implants are made of lightweight stainless steel, titanium or a cobalt-chromium-molybdenum alloy and thus are non-magnetic so one would think they would be less likely to set off a metal detector. So, what were the results of the study?

The findings were that patients with a single joint replacement were unlikely to activate a metal detector at its normal setting of five, however, their implant may be detected at a setting of seven. Patients with two implants are also unlikely to set off a metal detector at its normal setting, but are more likely to be stopped at a setting of seven. Patients with three or four standard hip and knee replacements will usually activate an alarm.

The conclusion of these studies is that while it is unlikely that a single joint implant will set off an alarm at an airport, it is probably a good idea for all joint replacement patients to carry a card with them that indicates that they have a metal implant. With airport security becoming more and more of an important issue in airports around the world, it’s better to be safe than sorry.

If you do not have an implant card, please contact your surgeon's office to obtain one.

 

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Want to learn more about joint replacement surgery and about joint problems? Click on the topics below to read a variety of articles on everything from managed care to going through a metal detector with a joint implant.

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