|
1
|
Schwartz BL, Pithadia DJ, Chen JK. Hypersensitivity to Implanted Metal Devices. CURRENT DERMATOLOGY REPORTS 2023. [DOI: 10.1007/s13671-023-00381-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
|
|
2
|
Pahlavan S, Hegde V, Bracey DN, Jennings JM, Dennis DA. Bone Cement Hypersensitivity in Patients With a Painful Total Knee Arthroplasty: A Case Series of Revision Using Custom Cementless Implants. Arthroplast Today 2021; 11:20-24. [PMID: 34409143 PMCID: PMC8361018 DOI: 10.1016/j.artd.2021.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 06/03/2021] [Accepted: 06/05/2021] [Indexed: 11/05/2022] Open
Abstract
Little is known about patients with bone cement hypersenstivity after total knee arthroplasty (TKA). We present 7 patients implanted with 8 TKAs with clinical failure and a cement hypersensitivity diagnosis. All demonstrated hypersensitivity to bone cement via skin patch and/or lymphocyte transformation testing. All 7 patients also showed hypersensitivity to metal, most commonly nickel. Patients underwent custom cementless TKA revision. Prerevision and postrevision outcome measures, radiographs, intraoperative findings, and postrevision complications are reported. Functional scores improved after revision except Veterans RAND-12 mental component scores, which declined. Four patients continue to exhibit symptoms postoperatively, while one patient has had 3 additional surgical procedures. Patients presenting with bone cement hypersensitivity after TKA are particularly challenging. Evidence-based guidelines are lacking, and revision surgery may not relieve the presenting symptoms.
Collapse
Affiliation(s)
- Sheila Pahlavan
- Colorado Joint Replacement, Denver, CO, USA.,University of Colorado School of Medicine, Aurora, CO, USA
| | - Vishal Hegde
- Colorado Joint Replacement, Denver, CO, USA.,Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA
| | - Daniel N Bracey
- Colorado Joint Replacement, Denver, CO, USA.,Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA
| | - Jason M Jennings
- Colorado Joint Replacement, Denver, CO, USA.,Department of Mechanical and Materials Engineering, University of Denver, Denver, CO, USA
| | - Douglas A Dennis
- Colorado Joint Replacement, Denver, CO, USA.,Department of Mechanical and Materials Engineering, University of Denver, Denver, CO, USA.,Department of Orthopaedics, University of Colorado School of Medicine, Denver, CO, USA.,Department of Biomedical Engineering, University of Tennessee, Knoxville, TN, USA
| |
Collapse
|
|
3
|
|