JOURNAL ARTICLE

[Implant allergy register—a first report]

R Eben, R Walk, B Summer, S Maier, M Thomsen, P Thomas
Der Orthopäde 2009, 38 (6): 557-62
19468709

INTRODUCTION: There are case reports about patients with metal implant allergy. However, large-scale observations regarding frequency and elicitors are lacking.

MATERIAL AND METHODS: For 5 years we have been collecting data in a metal allergy register. Information about history, clinical picture, and allergy test results in patients with suspected allergy to metal implants, mostly osteosynthesis and arthroplasty materials, is obtained by means of a special consultation and by report forms.

RESULTS: Major complaints of the 239 patients were pain (68.2%), swelling (42.1%), and erythema (33.5%). A metal allergy was found in 29.6% of the patients, and 24.8% were allergic to potential bone cement components. In addition, peculiar reactions such as a persistent inflammatory response to metal particles in nickel/cobalt-allergic patients or the disappearance of complaints upon revision surgery using titanium-based materials were seen.

CONCLUSION: After excluding causes such as infection or mechanical failure, allergy diagnosis using a patch test with implant metals and bone cement components is recommended in cases of suspected implant allergy.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
19468709
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"