Abstract：
INTRODUCTION:Hypersensitivity to implants is a rare complication of total knee arthroplasty (TKA). Metal and, less frequently, bone cement can produce allergic symptomatology that if unresponsive to conservative treatment could lead to revision. MATERIALS AND METHODS:We present the case of a patient with generalized pruritus and metal taste starting during the first postoperative month after TKA. Dermal allergy exams revealed that the patient had hypersensitivity to nickel sulphate and cobalt chloride and bone cement. Conservative treatment with antihistamine medication and corticosteroids failed to control the symptoms. The patient underwent revision TKA with a hypoallergic prosthesis 8 months after the primary procedure. RESULTS:Full disappearance of the symptoms occurred 3 months after revision. The latest follow-up evaluation (3 years post-revision) was unremarkable. CONCLUSIONS:In our opinion, an exhaustive medical history should be obtained from every candidate for total joint replacement and in cases of prior severe allergic reactions to metals, plastics or glues, patch testing of the components of the future prosthesis should be done. When an already implanted prosthesis causes symptoms like pain, edema, pruritus, erythema, limited range of motion and increase in joint's temperature, the possibility of allergy to metals and/or bone cement (in case of cemented prosthesis) should be checked after the exclusion of other reasons like infection. If symptoms cannot be controlled by conservative measures, revision should be decided and carried out with hypoallergic prosthesis.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Stathopoulos IP,Andrianopoulos N,Paschaloglou D,Tsarouchas Idoi
10.1007/s00402-016-2614-6subject
Has Abstractpub_date
2017-02-01 00:00:00pages
267-271issue
2eissn
0936-8051issn
1434-3916pii
10.1007/s00402-016-2614-6journal_volume
137pub_type
杂志文章abstract：INTRODUCTION:Single buttress plating laterally was sometimes performed by a few orthopedists to treat complex tibial plateau fractures with medial compartment involvement. However, we might encounter cases with medial compartment collapse due to such treatment. The causes of failure, the technique of the revision surge...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-006-0106-9
更新日期：2006-03-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,随机对照试验
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更新日期：2011-02-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：2004-06-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：1989-01-01 00:00:00
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更新日期：2004-11-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00390049
更新日期：1997-01-01 00:00:00
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更新日期：2019-06-01 00:00:00
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更新日期：2020-08-10 00:00:00
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更新日期：2014-04-01 00:00:00
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更新日期：2017-03-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：2016-05-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：2005-09-01 00:00:00
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