Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy

Despite the success of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA), complications leading to loosening and eventual failure can arise. While infection, instability, and aseptic loosening are some of most common causes of UKA and TKA failure, one of the less common reas...

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Main Authors: Alexander Edelstein, MD, Andrew Lachance, MD, Coleman Cush, BS, Jeffrey Lutton, MD
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Arthroplasty Today
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Online Access:http://www.sciencedirect.com/science/article/pii/S235234412400181X
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author Alexander Edelstein, MD
Andrew Lachance, MD
Coleman Cush, BS
Jeffrey Lutton, MD
author_facet Alexander Edelstein, MD
Andrew Lachance, MD
Coleman Cush, BS
Jeffrey Lutton, MD
author_sort Alexander Edelstein, MD
collection DOAJ
description Despite the success of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA), complications leading to loosening and eventual failure can arise. While infection, instability, and aseptic loosening are some of most common causes of UKA and TKA failure, one of the less common reasons is delayed hypersensitivity reactions. While most allergic reactions are hypersensitivity reactions to metal, hypersensitivity reactions to other materials used in the procedure, such as polymethylmethacrylate bone cement, have begun to gain more attention in recent years. In this case report, we explore the unique instance of a patient who required a revision of a cemented UKA to TKA due to severe pain likely caused by a confirmed polymethylmethacrylate allergy.
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series Arthroplasty Today
spelling doaj-art-7dc138d9e0e841fda24081eecc1506f42025-08-20T01:58:33ZengElsevierArthroplasty Today2352-34412024-12-013010149610.1016/j.artd.2024.101496Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement AllergyAlexander Edelstein, MD0Andrew Lachance, MD1Coleman Cush, BS2Jeffrey Lutton, MD3Department of Orthopaedic Surgery, Guthrie Robert Packer Hospital, Sayre, PA, USA; Corresponding author. Department of Orthopaedic Surgery, Guthrie Robert Packer Hospital, 1 Guthrie Square, Sayre, PA 18840, USA. Tel.: +1 516 457 6508.Department of Orthopaedic Surgery, Guthrie Robert Packer Hospital, Sayre, PA, USALewis Katz School of Medicine, Temple University, St. Luke’s University Health Network, Bethlehem, PA, USADepartment of Orthopaedic Surgery, Guthrie Robert Packer Hospital, Sayre, PA, USADespite the success of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA), complications leading to loosening and eventual failure can arise. While infection, instability, and aseptic loosening are some of most common causes of UKA and TKA failure, one of the less common reasons is delayed hypersensitivity reactions. While most allergic reactions are hypersensitivity reactions to metal, hypersensitivity reactions to other materials used in the procedure, such as polymethylmethacrylate bone cement, have begun to gain more attention in recent years. In this case report, we explore the unique instance of a patient who required a revision of a cemented UKA to TKA due to severe pain likely caused by a confirmed polymethylmethacrylate allergy.http://www.sciencedirect.com/science/article/pii/S235234412400181XRevision TKACement Allergy
spellingShingle Alexander Edelstein, MD
Andrew Lachance, MD
Coleman Cush, BS
Jeffrey Lutton, MD
Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy
Arthroplasty Today
Revision TKA
Cement Allergy
title Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy
title_full Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy
title_fullStr Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy
title_full_unstemmed Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy
title_short Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy
title_sort conversion of unicompartmental knee arthroplasty to total knee arthroplasty for cement allergy
topic Revision TKA
Cement Allergy
url http://www.sciencedirect.com/science/article/pii/S235234412400181X
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