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

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Saint Luc University Hospital, Avenue Hippocrate 10, 1200, Brussels, Belgium

    Emmanuel Thienpont & Yorick Berger

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  1. Emmanuel Thienpont
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  2. Yorick Berger
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Correspondence to Emmanuel Thienpont.

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Thienpont, E., Berger, Y. No allergic reaction after TKA in a chrome-cobalt-nickel-sensitive patient: case report and review of the literature. Knee Surg Sports Traumatol Arthrosc 21, 636–640 (2013). https://doi.org/10.1007/s00167-012-2000-z

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  • DOI: https://doi.org/10.1007/s00167-012-2000-z

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