Outcomes of Revision Joint Arthroplasty Due to Metal Allergy and Hypersensitivity: A Systematic Review

Surg Technol Int. 2018 Nov 11:33:332-336.

Abstract

Lower extremity total joint arthroplasty (TJA) is one of the most successful orthopaedic procedures. However, it is estimated that as many as 10% to 20% of TJAs could fail due to various well-known causes. Furthermore, metal allergy-related complications have recently gained attention as one of the potential causes of failure when the common reasons have been excluded. Reported symptoms from metal allergy can include chronic eczema, joint effusions, joint pain, and limited range of motion. Few studies have explored the outcomes of patients undergoing revisions due to allergic complications. The aim of our study is to quantitatively evaluate the outcomes of revision joint arthroplasty due to metal allergy and hypersensitivity.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Chromium Alloys / adverse effects*
  • Chromium Alloys / therapeutic use
  • Dermatitis, Contact / etiology
  • Dermatitis, Contact / surgery*
  • Female
  • Hip Prosthesis / adverse effects
  • Humans
  • Knee Prosthesis / adverse effects
  • Male
  • Middle Aged
  • Prosthesis Failure
  • Reoperation / statistics & numerical data*
  • Treatment Outcome

Substances

  • Chromium Alloys