Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty for Cement Allergy

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-10-11 DOI:10.1016/j.artd.2024.101496

Alexander Edelstein MD , Andrew Lachance MD , Coleman Cush BS , Jeffrey Lutton MD

引用次数: 0

Abstract

Despite the success of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA), complications leading to loosening and eventual failure can arise. While infection, instability, and aseptic loosening are some of most common causes of UKA and TKA failure, one of the less common reasons is delayed hypersensitivity reactions. While most allergic reactions are hypersensitivity reactions to metal, hypersensitivity reactions to other materials used in the procedure, such as polymethylmethacrylate bone cement, have begun to gain more attention in recent years. In this case report, we explore the unique instance of a patient who required a revision of a cemented UKA to TKA due to severe pain likely caused by a confirmed polymethylmethacrylate allergy.

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因水泥过敏而将单隔间膝关节置换术改为全膝关节置换术

尽管单间室膝关节置换术（UKA）和全膝关节置换术（TKA）取得了成功，但仍可能出现导致松动和最终失败的并发症。感染、不稳定性和无菌性松动是导致单关节膝关节置换术（UKA）和全膝关节置换术（TKA）失败的最常见原因，而迟发性超敏反应则是较少见的原因之一。虽然大多数过敏反应是对金属的超敏反应，但近年来，对手术中使用的其他材料（如聚甲基丙烯酸甲酯骨水泥）的超敏反应也开始受到越来越多的关注。在本病例报告中，我们探讨了一位患者的独特病例，该患者因剧烈疼痛而需要将粘接UKA翻修为TKA，其原因很可能是对聚甲基丙烯酸甲酯过敏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.