Nickel allergy requiring plate removal after implantation of stainless steel and titanium plates after polytrauma

Document Type : Case Report

Authors

Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA

10.4103/atr.atr_44_22

Abstract

The patient was a 23-year-old female involved in a motor vehicle collision. She sustained a left humerus fracture and a left posterior wall acetabular fracture, for which she underwent open reduction and internal fixation with stainless steel implants and titanium implants, respectively. At her postoperative visits, she had erythema and itching along the humeral incision. She returned to the operating room for revision fixation with a titanium implant and reported the resolution of her symptoms. Metal hypersensitivities (MHSs) resulting in surgical complications in orthopedic trauma are rare. Patients should be screened for a history of MHS before implant selection.

Keywords

References

1.
Delimar D, Bohaček I, Paštar Z, Lipozenčić J. Orthopedic and cutaneous reactions to nickel after total hip replacement. Acta Dermatovenerol Croat 2018;26:39-43.  Back to cited text no. 1
    
2.
Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007;89:780-5.  Back to cited text no. 2
    
3.
Roberts TT, Haines CM, Uhl RL. Allergic or hypersensitivity reactions to orthopaedic implants. J Am Acad Orthop Surg 2017;25:693-702.  Back to cited text no. 3
    
4.
Baumann CA, Crist BD. Nickel allergy to orthopaedic implants: A review and case series. J Clin Orthop Trauma 2020;11:S596-603.  Back to cited text no. 4
    
5.
Bolognesi MP, Ledford CK. Metal-on-metal total hip arthroplasty: Patient evaluation and treatment. J Am Acad Orthop Surg 2015;23:724-31.  Back to cited text no. 5
    
6.
Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am 2001;83:428-36.  Back to cited text no. 6
    
7.
Hallock K, Vaughn NH, Juliano P, Marks JG Jr. Metal hypersensitivity and orthopedic implants: Survey of orthopedic surgeons. Dermatitis 2017;28:76-80.  Back to cited text no. 7
Archives of Trauma Research
Volume 11, Issue 3
September 2022
Pages 158-160

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History

  • Receive Date: 19 June 2023
  • Accept Date: 19 June 2023

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