Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation
Metal allergy is an unusual complication of joint replacement that may cause aseptic loosening and necessitate joint revision surgery. We present the case of nickel allergy causing aseptic loosening following patellofemoral joint replacement (PFJR) in a 54-year-old male. Joint revision surgery to a...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/635082 |
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| author | Farhan Syed Edward Jenner Mohammad Faisal |
| author_facet | Farhan Syed Edward Jenner Mohammad Faisal |
| author_sort | Farhan Syed |
| collection | DOAJ |
| description | Metal allergy is an unusual complication of joint replacement that may cause aseptic loosening and necessitate joint revision surgery. We present the case of nickel allergy causing aseptic loosening following patellofemoral joint replacement (PFJR) in a 54-year-old male. Joint revision surgery to a nickel-free total knee replacement was performed with good results. Our literature review shows that there is no evidence to guide the management of metal allergy in PFJR. The evidence from studies of total knee replacement is limited to retrospective case series and case reports and gives contradictory recommendations. The optimal management strategy for metal allergy in PFJR is not clear. We recommend allergy testing in patients with history of metal allergy and use of an allergen-free implant in those with positive tests. As there is no gold standard test to establish metal allergy, the choice of test should be guided by availability and recommendation from the local unit of dermatology and allergy testing. We recommend investigation for metal allergy in patients with implant loosening where other causes have been excluded. |
| format | Article |
| id | doaj-art-b02e4284b9854798b3e110c6e9c3329e |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-b02e4284b9854798b3e110c6e9c3329e2025-02-03T05:46:26ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/635082635082Patellofemoral Joint Replacement and Nickel Allergy: An Unusual PresentationFarhan Syed0Edward Jenner1Mohammad Faisal2Trauma & Orthopaedics, Warwick Hospital, Lakin Road, Warwick CV34 5BW, UKTrauma & Orthopaedics, Warwick Hospital, Lakin Road, Warwick CV34 5BW, UKTrauma & Orthopaedics, Warwick Hospital, Lakin Road, Warwick CV34 5BW, UKMetal allergy is an unusual complication of joint replacement that may cause aseptic loosening and necessitate joint revision surgery. We present the case of nickel allergy causing aseptic loosening following patellofemoral joint replacement (PFJR) in a 54-year-old male. Joint revision surgery to a nickel-free total knee replacement was performed with good results. Our literature review shows that there is no evidence to guide the management of metal allergy in PFJR. The evidence from studies of total knee replacement is limited to retrospective case series and case reports and gives contradictory recommendations. The optimal management strategy for metal allergy in PFJR is not clear. We recommend allergy testing in patients with history of metal allergy and use of an allergen-free implant in those with positive tests. As there is no gold standard test to establish metal allergy, the choice of test should be guided by availability and recommendation from the local unit of dermatology and allergy testing. We recommend investigation for metal allergy in patients with implant loosening where other causes have been excluded.http://dx.doi.org/10.1155/2015/635082 |
| spellingShingle | Farhan Syed Edward Jenner Mohammad Faisal Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation Case Reports in Orthopedics |
| title | Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation |
| title_full | Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation |
| title_fullStr | Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation |
| title_full_unstemmed | Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation |
| title_short | Patellofemoral Joint Replacement and Nickel Allergy: An Unusual Presentation |
| title_sort | patellofemoral joint replacement and nickel allergy an unusual presentation |
| url | http://dx.doi.org/10.1155/2015/635082 |
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