[Adverse reactions to metal orthopedic implants after knee arthroplasty].
Identifieur interne : 000047 ( Main/Exploration ); précédent : 000046; suivant : 000048[Adverse reactions to metal orthopedic implants after knee arthroplasty].
Auteurs : M. Thomsen [Allemagne] ; V. Krenn [Allemagne] ; P. Thomas [Allemagne]Source :
- Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete [ 1432-1173 ] ; 2016.
Abstract
Based on several clinical examples, the range of adverse or hypersensitive reactions to metal implants especially after total knee replacement are presented. In general, we found the patients to generally be women who present with pain, swelling, and local or generalized eczema. Some also present with early aseptic loosening mainly in the first 4 years after implantation. For these patients, a detailed allergy-specific history should be taken and a patch test should be performed; if necessary, blood ion levels should be evaluated to exclude cobaltism. Before revision surgery and exchange of the implant we always perform arthroscopic inspection to obtain biopsies for microbiology and histopathology. Using the Consensus Classification a good evaluation for planning revision with the different implant options is possible.
DOI: 10.1007/s00105-016-3793-3
PubMed: 27116434
Affiliations:
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Thomsen</name><affiliation wicri:level="1"><nlm:affiliation>Klinik für Orthopädie und Unfallchirurgie, Klinikum Mittelbaden Baden-Baden, Balger Str. 50, 76532, Baden-Baden, Deutschland. m.thomsen@klinikum-mittelbaden.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Klinik für Orthopädie und Unfallchirurgie, Klinikum Mittelbaden Baden-Baden, Balger Str. 50, 76532, Baden-Baden</wicri:regionArea><wicri:noRegion>76532, Baden-Baden</wicri:noRegion><wicri:noRegion>76532, Baden-Baden</wicri:noRegion><wicri:noRegion>Baden-Baden</wicri:noRegion></affiliation></author><author><name sortKey="Krenn, V" sort="Krenn, V" uniqKey="Krenn V" first="V" last="Krenn">V. Krenn</name><affiliation wicri:level="1"><nlm:affiliation>Zentrum für Histologie, Zytologie und Molekulare Diagnostik, Max-Planck-Str. 5, 54296, Trier, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Zentrum für Histologie, Zytologie und Molekulare Diagnostik, Max-Planck-Str. 5, 54296, Trier</wicri:regionArea><wicri:noRegion>54296, Trier</wicri:noRegion><wicri:noRegion>54296, Trier</wicri:noRegion><wicri:noRegion>Trier</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, P" sort="Thomas, P" uniqKey="Thomas P" first="P" last="Thomas">P. Thomas</name><affiliation wicri:level="4"><nlm:affiliation>Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, Frauenlobstr. 9-11, 80337, München, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, Frauenlobstr. 9-11, 80337, München</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author></analytic><series><title level="j">Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete</title><idno type="eISSN">1432-1173</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Based on several clinical examples, the range of adverse or hypersensitive reactions to metal implants especially after total knee replacement are presented. In general, we found the patients to generally be women who present with pain, swelling, and local or generalized eczema. Some also present with early aseptic loosening mainly in the first 4 years after implantation. For these patients, a detailed allergy-specific history should be taken and a patch test should be performed; if necessary, blood ion levels should be evaluated to exclude cobaltism. Before revision surgery and exchange of the implant we always perform arthroscopic inspection to obtain biopsies for microbiology and histopathology. Using the Consensus Classification a good evaluation for planning revision with the different implant options is possible.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li></orgName></list><tree><country name="Allemagne"><noRegion><name sortKey="Thomsen, M" sort="Thomsen, M" uniqKey="Thomsen M" first="M" last="Thomsen">M. Thomsen</name></noRegion><name sortKey="Krenn, V" sort="Krenn, V" uniqKey="Krenn V" first="V" last="Krenn">V. Krenn</name><name sortKey="Thomas, P" sort="Thomas, P" uniqKey="Thomas P" first="P" last="Thomas">P. Thomas</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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