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

Thienpont, Emmanuel;Berger, Yorik
(2013) Knee Surgery, Sports Traumatology, Arthroscopy — Vol. 21, n° 3, p. 636-640 (2013)

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  • Thienpont, EmmanuelUCLouvain
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  • Berger, YorikUCLouvain
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Abstract
Hypersensitivity to metallic implants remains relatively unpredictable and poorly understood. Although 20-25 % of total joint arthroplasty patients develop metal sensitivity, only a few highly susceptible persons (<1 %) exhibit symptoms. We present a case report of a fifty-two-year-old woman with a preoperatively documented metal allergy who underwent bilateral total knee arthroplasty using a titanium-niobium-coated implant on one side and a chrome-cobalt implant on the other side because of a logistics problem. At 2-year follow-up, no clinical symptoms of allergy or loosening of the implant were observed. Level of evidence IV.
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Thienpont, E., & Berger, Y. (2013). No allergic reaction after TKA in a chrome-cobalt-nickel-sensitive patient: case report and review of the literature. Knee Surgery, Sports Traumatology, Arthroscopy, 21(3), 636-640. https://doi.org/10.1007/s00167-012-2000-z (Original work published 2013)