Does Metal Allergy to Total Knee Arthroplasty Components Exist?
| Author | Affiliation | |||||
|---|---|---|---|---|---|---|
Mortazavi, Seyed Mohammad Javad | Tehran University of Medical Sciences | IR | ||||
Antoci, Valentin | Brown University | US | ||||
Hosseini-Monfared, Pooya | Tehran University of Medical Sciences | IR | ||||
Razzaghof, Mohammadreza | Tehran University of Medical Sciences | IR | ||||
Tsiridis, Eleftherios | European Hip Society | GR | Hellenic Association of Orthopaedics & Trauma | GR | Aristotle University Medical School | GR |
Tarabichi, Samih | Alzahra Hospital | AE | ||||
Tsai, Shang-Wen | Taipei Veterans General Hospital | TW | National Yang Ming Chiao Tung University | TW | ||
Medina Socorro, Nelson Enrique | Venezuelan Society for Surgery of the Hand and Reconstruction of the Upper Limb | VE | ||||
Gavrankapetanovic, Ismet | University of Sarajevo | BA |
| Date | Volume | Issue | Start Page | End Page |
|---|---|---|---|---|
2025-02-01 | 40 | 2 Suppl. 1 | 113 | 114 |
Response/Recommendation: Metal hypersensitivity around total knee arthroplasty has been documented in various case reports and cohort studies. Most patients reporting metal allergy have well-functioning implants, and failure due to metal allergy is a very rare occurrence. Other allergies, including acrylic bone cement and its polymerization additives, may also be considered, although not well understood. Routine testing for metal allergy is not recommended, and a positive test does not correlate well with implant failure. Considering the available clinical evidence, while hypersensitivity-related complications after total joint arthroplasty likely exist, revision surgery for metal hypersensitivity is not recommended and should be considered only as the last rule-out diagnosis. Level of Evidence: Moderate. Expert Vote: Agree 75.2%, Disagree 16.2%, and Abstain 8.6%.
| URI | Access Rights |
|---|---|
| https://hdl.handle.net/20.500.12512/247669 | |
| PubMed | Dokumento santrauka arba dalis / Document Summary or Part |