No allergic reaction after TKA in a chrome-cobalt-nickel-sensitive patient: Case report and review of the literature

Knee Surgery, Sports Traumatology, Arthroscopy

Volumn 21, Issue 3, 2013, Pages 636-640

  Thienpont, Emmanuel ^a   Berger, Yorick ^a  

^a CLINIQUES UNIVERSITAIRES SAINT LUC   (Belgium)

Author keywords

Arthroplasty; Hypersensitivity; Implant loosening; Metal allergy

Indexed keywords

EID: 84874018446     PISSN: 09422056     EISSN: 14337347     Source Type: Journal    
DOI: 10.1007/s00167-012-2000-z     Document Type: Article

References (25)

1. Anand A, McGlynn F, Jiranek W (2009) Metal hypersensitivity: can it mimic infection? J Arthroplasty 24(826): e25-e28.
2. Basketter DA, Briatico-Vangosa G, Kaestner W, Lally C, Bontinck WJ (1993) Nickel, cobalt and chromium in consumer products: a role in allergic contact dermatitis? Contact Dermat 28: 15-25.
3. Basko-Plluska JL, Thyssen JP, Schalock PC (2011) Cutaneous and systemic hypersensitivity reactions to metallic implants. Dermatitis 22: 65-79.
4. Beecker J, Gordon J, Pratt M (2009) An interesting case of joint prosthesis allergy. Dermatitis 20: 4-9.
5. Bergschmidt P, Bader R, Mittelmeier W (2012) Metal hypersensitivity in total knee arthroplasty: revision surgery using a ceramic femoral component: a case report. Knee 19: 144-147.
6. Caicedo MS, Desai R, McAllister K, Reddy A, Jacobs JJ, Hallab NJ (2009) Soluble and particulate Co-Cr-Mo alloy implant metals activate the inflammasone danger signaling pathway in human macrophages: a novel mechanism for implant debris reactivity. J Orthop Res 27: 847-854.
7. Cousen PJ, Gawkrodger DJ (2012) Metal allergy and second-generation metal-on-metal arthroplasties. Contact Dermat 66: 55-62.
8. Frigerio E, Pigatto PD, Guzzi G, Altomare G (2011) Metal sensitivity in patients with orthopedic implants: a prospective study. Contact Dermat 64: 273-279.
9. Gao X, Rx He, Yan SG, Wu LD (2011) Dermatitis associated with chromium following total knee arthroplasty. J Arthroplasty 26(665): e13-e16.
10. Granchi D, Cenni E, Tigani D, Trisolino G, Baldini N, Giunti A (2008) Sensitivity to implant materials in patients with total knee arthroplasties. Biomaterials 29: 1494-1500.
11. Hallab N, Merritt K, Jacobs JJ (2001) Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am 83: 428-436.
12. Hallab NJ, Caicedo M, Epstein R, McAllister K, Jacobs JJ (2010) In vitro reactivity to implant metals demonstrates a person-dependant association with both T-cell and B-cell activation. J Biomed Mat Res 92(2): 667-682.
13. Handa S, Dogra S, Prasad R (2003) Metal sensitivity in a patient with a total knee replacement. Contact Dermat 49: 259-260.
14. Harloff T, Hönle W, Holzwarth U, Bader R, Thomas P, Schuh A (2010) Titanium allergy or not? "Impurity" of titanium implants. Materials 2: 306-310.
15. Jacobs JJ, Hallab NJ (2006) Loosening and osteolysis associated with metal-on-metal bearings: a local effect of metal hypersensitivity? J Bone Joint Surg Am 88: 1171-1172.
16. Merritt K, Rodrigo JJ (1996) Immune response to synthetic materials. Sensitization of patients receiving orthopaedic implants. Clin Orthop Relat Res 326: 71-79.
17. Niki Y, Matsumoto H, Otani T, Yatabe T, Kondo M, Yoshimine F, Toyama Y (2005) Screening for symptomatic metal sensitivity: a prospective study of 92 patients undergoing total knee arthroplasty. Biomaterials 26: 1019-1026.
18. Perumal V, Alkire M, Swank ML (2010) Unusual presentation of cobalt hypersensitivity in a patient with a metal on metal arthroplasty. Am J Ortoped 39: e39-e41.
19. Schalock PC, Menné T, Johansen JD, Taylor JS, Malbach HI, Lidén C, Bruze M, Thyssen JP (2012) Hypersensitivity reactions to metallic implants-diagnostic algorithm and suggested patch test series for clinical use. Contact Dermat 66: 4-19.
20. Summer B, Paul C, Mazoochian F, Rau C, Thomsen M, Banke I, Gollwitzer H, Dietrich KA, Mayer-Wagner S, Ruzicka T, Thomas P (2010) Nickel (Ni) allergic patients with complications to Ni containing joint replacement show preferential IL-17 type reactivity to Ni. Contact Dermat 63: 15-22.
21. Thomas P, Thomas M, Summer B, Dietrich K, Zauzig M, Steinhauser E, Krenn V, Arnholdt H, Flaig M (2011) Impaired wound-healing, local eczema, and chronic inflammation following titanium osteosynthesis in a nickel and cobalt-allergic patient. A case report and review of the literature. J Bone Joint Surg Am 93: e61.
22. Thomsen M, Rozak M, Thomas P (2011) Pain in a chromium-allergic patient with total knee arthroplasty: disappearance of symptoms after revision with a special surface-coated TKA- A case report. Acta Orthop 82: 386-388.
23. Thyssen JP, Jakobsen SS, Engkilde K, Johansen JD, Soballe K, Menne T (2009) The association between metal allergy, total hip arthroplasty, and revision. Acta Orthop 80: 646-652.
24. Thyssen JP, Menné T, Schalock PC, Taylor JS, Maibach HI (2011) Pragmatic approach to the clinical work-up of patients with putative allergic disease to metallic orthopaedic implants before and after surgery. Br J Dermatol 164: 473-478.
25. Verma SB, Mody B, Gawkrodger DJ (2006) Dermatitis on the knee following knee replacement: a minority of cases show contact allergy to chromate, cobalt or nickel but a causal association is unproven. Contact Dermat 54: 228-229.