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International Orthopaedics

Erschienen in:

01.02.2016 | Original Paper

Allergic reactions in arthroplasty: myth or serious problem?

verfasst von: Daniel Guenther, Peter Thomas, Daniel Kendoff, Mohamed Omar, Thorsten Gehrke, Carl Haasper

Erschienen in: International Orthopaedics | Ausgabe 2/2016

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Abstract

Purpose

The purpose of this study was to determine the prevalence of sensitisation to chromium, cobalt, nickel, or a cement component in patients who received endoprosthetic surgery at our institution. Also, we aimed to assess the portion related to allergic reactions in endoprosthetic revisions and to follow-up those patients after allergic reaction related revisions.

Methods

We selected patients with a pre-operative known sensitisation to chromium, cobalt, nickel, or a cement component for a post-operative allergic reaction. All patients who received revision surgery because of a potential allergic reaction were followed up post revision surgery.

Results

Eight hundred fifty-five patients were pre-operative known to have a sensitisation to chromium, cobalt, nickel, or a cement component. Six hundred eighty-two patients (79.8 %) received a primary arthroplasty, and 173 patients (20.2 %) received a revision surgery. Seventeen patients (2.0 %) were revised because of allergic reactions. Allergic reactions were the cause for approximately 0.2 % of all endoprosthetic revisions and for 9.8 % of revisions in patients with sensitisation to one of the reviewed components. Potential allergens were strictly avoided in the replaced prosthesis. Outcome scores improved post-operatively.

Conclusions

The allergic patient should be thoroughly informed about potential reactions resulting from implant choice. Our study can serve as risk assessments by quantifying the incidence of allergic reactions due to endoprosthetic treatment.

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Titel: Allergic reactions in arthroplasty: myth or serious problem?
verfasst von: Daniel Guenther
Peter Thomas
Daniel Kendoff
Mohamed Omar
Thorsten Gehrke
Carl Haasper
Publikationsdatum: 01.02.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 2/2016
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-3001-6

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