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Author Topic: Query Allergic Reaction after partial knee replacement.  (Read 2903 times)

Offline Myson

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Query Allergic Reaction after partial knee replacement.
« on: August 15, 2008, 11:56:18 AM »
Hi I was an active 54yr old with a full life.  I was diagnosed with arthritis in three compartments of my knee joint and was scheduled for a total knee replacement. Although  they only did a partial.  It is now 15mths down the line I have had isotopic scans to rule out infection.  The knee is permanently hot swollen and gives away on a frequent basis.  I have developed chest problems and now have to use a nebulisor when at its worst.  I have become sensitive to things I have handled or worn all my life.  I was interested in the article re: allergic reaction to the metal or cement.  I am having blood tests next week to see how my immune system is functioning and my doctor has raised if possible testing for prosthetic metal Nickel, and orthopaedic cements. Does anyone know if these tests can be done from blood or would it have to be eg: skin patches. I would welcome any advice with regards to this.  I would point out that if I had read your bulliten board before, I would never have had the knee done, but worn braces for the rest of my life. Why is this never mentioned before one has the operation by the medical section.

Offline heather rae

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Re: Query Allergic Reaction after partial knee replacement.
« Reply #1 on: August 15, 2008, 02:07:30 PM »
Myson:

I am almost positive the tests are ran via blood samples. Os's usually do testing before surgery to check for cement allergies, etc. Sounds like you could be having true allergy problems with the airway trouble. Do they think there is direct co-relation to the prosthesis?

I had a foreign body reaction to the hardware used to repair my patella fracture. My knee constantly stayed hot. The hardware was removed later, but my knee still gets warm from the inflammation when I over-do it now.

Several folks on this site have had their prostheses revised due to allergy problems, etc etc. Wonder if meds for rejection would help you, too. Are you taking any type of oral steroids?

Keep posted about your test results ok? Take care!

Heather  ;D
5/10/07- Comminuted-20 frag., displaced L patella Fx
5/15/07- ORIF L patella, Bledsoe brace, crutches
7/07- PT 3X/week
8/07- Brace off, ambulate without crutches
9/27/07- Hardware removal, MUA, crutches x 8 wks 
6/08- J-brace for lateral maltracking, Cont. PT
8/08- Referred to soft tissue OS

Offline Sandy R

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Re: Query Allergic Reaction after partial knee replacement.
« Reply #2 on: August 20, 2008, 10:08:30 PM »
I live in the U.S., so I don't know if my information will carry over to the U.K.  I have an allergy to nickel.  I can wear silver necklaces and bracelets but can't wear pierced ear earrings... my ears get hot, red and swell up.  Last year I was a candidate for a partial knee replacement but doc told me it was made of nickel, so he didn't want to chance it.  I waited and now my knee is bad enough to require a total knee replacement.  Because of my nickel allergy (total TKR doesn't contain nickel), the doc had me patch tested for  the metals in the total knee replacement, as well as different cements and also adhesive.  They placed small cups with the different material on my back and taped the whole thing in place for 2 days.  Luckily, I passed with flying colors. By the way, there is a fairly new knee replacement in the U.S., which is totally made out of ceramics.  Good luck.

Offline Myson

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Re: Query Allergic Reaction after partial knee replacement.
« Reply #3 on: March 14, 2009, 01:07:43 PM »
Well here I am again nearly a year on and still no further. Just completed allery tests and allergic to Cobalt Chloride.. Manufacturers of my knee joint did'nt answer my specialists request of what was in the new knee.  Astma worse now, need when bad a nebulisor and got really bad skin sensitivity now.  Anyone else out there in same predicament or any suggestions. ???

Offline Caroline109

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Re: Query Allergic Reaction after partial knee replacement.
« Reply #4 on: March 14, 2009, 06:27:15 PM »
Myson, I thought I had nickel allergies in the past (can't wear cheap earrings without getting red earlobes and a lot of itchiness there) and when I mentioned that the allergt might cause a problem for my replacement, my OS procured from Biomet, which made the Oxford implant he was planning to use on me, 2 disks, one cobalt, one titanium and I had to keep each disk taped to my arms with paper tape for 1 week. I had a terrible reaction. My arms were very red and itchy where the disks had been. So my OS, when he saw that reaction, sent me to see a dermatologist for further testing. The dermatologist told me that the 7 day test was too long and said I should do a 3 day skin patch test on my back (which included a nickel test) as well as having me tape the disks again to my arms so he could see what happened. DUring the 3 days of testing, my husband stuck some paper tape on my back to keep the testing panels on there. When I got back to the dermatologist after 3 days, he removed the stuff from my back which revealed no reaction to the nickel test and a slight reaction to fragrance. He also removed the 2 disks from my arms. From all this testing, he determined I wasn't allergic to the nickel or titanium but had had a reaction instead to the adhesive on the paper tape. That was all last summer. My OS, along with the dermatologist, decided I would be fine with the Oxford implant and got it almost 6 months ago. Thankfully I haven't had a problem at all. I'm sorry you've had such issues. I can't imagine how awful it must be.
At the time of my allergy testing which was in the beginning of July 2008, I started a thread in the Unicompartmental area of the Knee Arthritis part of the web site asking if anyone else had had such testing. No one answered so I answered myself and said I must be the only one who ever had this testing. I don't think it's very common.  I think I may have even posted a picture of the reaction I had before I found out it was the tape that I reacted to.  FYI, I live in the US (Connecticut).

I hope this has helped you somewhat.
Caroline
Chronic low platelet count
Men. surgery, both knees 2003,2007,2008
R PKR Sept. 17, 2008 - Biomet Oxford Partial
LK-TKR 4/21/2010 Biomet Vanguard Signature Knee
Scar tissue issue next to TKR knee
March 2, 2011: PKR to be revised to a TKR