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Metal Hypersensitivity after a Total Knee Arthroplasty A Case Report

Author

Listed:
  • Svetlana A Zemlyanskaya
  • Aric J Warren

    (Department of Athletic Training, Oklahoma State University Center for Health Sciences, USA)

  • Ronald S LaButti
  • Keivan A Abtahi

    (Department of Orthopedic Surgery, Oklahoma State University Medical Center, USA)

Abstract

The case presented is of a 65 year old male who presented with pain, swelling, and erythema in left knee 8 months status post total knee arthroplasty by another surgeon. Radiographs demonstrated a mildly oversized femoral component and an asymmetric patella. Periprosthetic joint infection workup was negative. On subsequent visits, pain was out of proportion to what would be expected for oversized or malpositioned components. Patient had no documented history of metal allergy however, testing was performed. Patient was found to be reactive to nickel, which is a common alloy, used in most total knee arthroplasty implants. Patient was then scheduled for revision to a nickel free, Oxinium (Smith & Nephew) total knee arthroplasty implant.

Suggested Citation

  • Svetlana A Zemlyanskaya & Aric J Warren & Ronald S LaButti & Keivan A Abtahi, 2017. "Metal Hypersensitivity after a Total Knee Arthroplasty A Case Report," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 7(1), pages 57-59, June.
    • Handle: RePEc:adp:joroaj:v:7:y:2017:i:1:p:57-59
    DOI: 10.19080/OROAJ.2017.07.555714
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