allergic reaction to bone cement

Posted by denver @denver, Apr 1, 2019

After 1 1/2 years of pain, swelling getting worse, I was tested for allergies. I will have to have another TKR custom without the bone cement. I am devastated at no one checking for allergies as I have numerous strange food allergies. I am told I may have to wait up to 10 mos for the revision as the FDA only approves a small number of these revisions per surgeons annually. This is because it's not a money maker for the hospitals, so it's limited. Another disappointment as now the hardware is coming loose from the bones and is unstable/more painful. Please pass on my bad experience so others don't suffer. Surgeons should be asking about allergies in this era of more and more people allergic to foods/environmental substances.

@ardis3

Had TKR in January and Manual Manipulation in March. Always had pain since surgery. Pain getting worse on outside of knee. Where was your pain located. Wondering if I’m allergic also. My surgeon retired and the surgeon who took over ignored my pain concerns and said “stop think about your knee all the time and just live with it”.

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Hello, sorry I just saw your post. My pain has been 85% of time on the outer side of rt. Knee by the joint. But would also get pain behind my knee. My knee is still swollen, some days it is very hot to touch, other days not too bad, but it ALWAYS wakes me during the night. I also had my surgeon say, “well, you may be just one of those people that it takes longer to recover or maybe not”. I am so angry. I have seen five other doctors since my last visit with surgeon April 29, 2020. He blew me off taking his phone out of his pocket, saying it was the wife! I wasn’t done asking him questions. None of the five doctors agreed on exactly my issue was, but they all said I needed a revision. The very last dr. Immediately said he wanted allergy testing done! Blew me away when I tested positive!

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Hello: I wanted to express my disappointment too. My left TKR was done on October 30, 2019. It has been a year and I still get pain in the knee joint. Also I get pain at the back of the same knee and pain in the hip muscle same side. My surgeon tells me every time that I am one of the kind that is taking longer to heal. He says there is nothing wrong. I went for second opinion to another surgeon and he is telling me the same thing. I am just tired of these doctors who cannot tell you why I am getting pain at the back of the knee.

So, what kind of allergy do you have as you said you tested positive when you did allergy testing. Was curious to know.

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Hello, I too found out after 14 mos. post surgery and suffering with severe pain especially at night. The knee and my leg are swollen, hot to the touch and I don’t feel comfortable after sitting for extended periods it hurts as I struggle to get up. After seeing 5 doctors the 6th one sent me for allergy testing. They should make the testing part of the protocol when having ANY JOINT REPLACED! There are many of us in the same boat. These companies that manufacture these prosthetics are aware of this problem but don’t think it’s that bad of a problem…this has been going on for years.
Because of my knee being so weak, I struggled to get out of chairs. I started pushing myself up with my arms and because of doing that I tore my rotator cuff in my right shoulder! Good luck with your situation. I’m afraid that my situation is going to similar to yours. Irish823

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@jnoronha

Hello: I wanted to express my disappointment too. My left TKR was done on October 30, 2019. It has been a year and I still get pain in the knee joint. Also I get pain at the back of the same knee and pain in the hip muscle same side. My surgeon tells me every time that I am one of the kind that is taking longer to heal. He says there is nothing wrong. I went for second opinion to another surgeon and he is telling me the same thing. I am just tired of these doctors who cannot tell you why I am getting pain at the back of the knee.

So, what kind of allergy do you have as you said you tested positive when you did allergy testing. Was curious to know.

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The doctor sent me for testing of metals, cements or glue and antibiotics. I tested positive for neomycin sulfate- an antibiotic and the other reaction was to methyl methacrylate. This is in quite a few things, like the glue for artificial nails. And it has at least 25 different names for same thing. It is also in fillings for teeth.

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I am also allergic to bone cement. Was resolution have you decided on.

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Shoulder replacement. Am I allergic to the bone cement?

Will someone tell me how do I find out if I’m allergic to bone cement ? Where do I get tested.
Burning pain for months . DFW area Texas

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@riz

I am also allergic to bone cement. Was resolution have you decided on.

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@riz Welcome to Mayo Clinic Connect, a place to give and get support. You mentioned you were allergic to bone cement. May I ask what brings you to Connect? Did you had a recent surgery?

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@martydav You are wondering if you have an allergy to the bone cement used in your shoulder surgery. You are wanting to connect with members to find out where and how you can be tested for the possible allergy.

You will notice I moved your question to a previous discussion related to bone cement allergy. I did this to keep this conversation in a central location. Members like @riz @irish283 @jnoronha have discussed this conversation in the past.

Below I have linked a discussion related to burning after joint replacement.
– Burning after total knee replacement https://connect.mayoclinic.org/discussion/burning-after-total-knee-replacement/

Members like @ruthannejoan @glokart1957 @sprinrosa64@artscaping @melboy68 have experience with this discussion and may be able to answer your question.

May I ask if you have considered if the burning could be nerve pain and what your provider has said regarding the burning and a cement allergy?

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@erikas

@martydav You are wondering if you have an allergy to the bone cement used in your shoulder surgery. You are wanting to connect with members to find out where and how you can be tested for the possible allergy.

You will notice I moved your question to a previous discussion related to bone cement allergy. I did this to keep this conversation in a central location. Members like @riz @irish283 @jnoronha have discussed this conversation in the past.

Below I have linked a discussion related to burning after joint replacement.
– Burning after total knee replacement https://connect.mayoclinic.org/discussion/burning-after-total-knee-replacement/

Members like @ruthannejoan @glokart1957 @sprinrosa64@artscaping @melboy68 have experience with this discussion and may be able to answer your question.

May I ask if you have considered if the burning could be nerve pain and what your provider has said regarding the burning and a cement allergy?

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I will have a revision surgery on Jan 12th. I did ask and really got a non informative answer, like
“maybe”. I have a broken prosthesis in my shoulder only after 8 weeks. Not something I did. First surgeon said , “he may not have got it seated properly”. I’m confused and frustrated.
Have a new surgeon and now the hardware is extremely loose. Lot’s of burning , stabbing pain. Had to wait two months for new surgery.

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@jnoronha

Hello: I wanted to express my disappointment too. My left TKR was done on October 30, 2019. It has been a year and I still get pain in the knee joint. Also I get pain at the back of the same knee and pain in the hip muscle same side. My surgeon tells me every time that I am one of the kind that is taking longer to heal. He says there is nothing wrong. I went for second opinion to another surgeon and he is telling me the same thing. I am just tired of these doctors who cannot tell you why I am getting pain at the back of the knee.

So, what kind of allergy do you have as you said you tested positive when you did allergy testing. Was curious to know.

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I was tested for metas, glues, and antibiotics. I have tested positive for neomycin sulfate, an antiobiotic, and methyl methacrylate, which is the main component in the glue it works as the bonding agent.ntjis is also used in the dental fillings that are more up to date than the old silver ones. I am writing this as I had surgery yesterday for repair if having a significant tear in my rt. Rotator cuff, which I did by pushing my self up out of sofas, chairs and any other types I’d seats that were very low! And I’m still looking at a revision! But they don’t make a cement without the methacrylate ingredient! So don’t know what I’m going to do about my knee. ANYONE WHO HAS A SUGGESTION IM OPEN TO HEARING THEIR EXPERIENCE.

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@irish283

I was tested for metas, glues, and antibiotics. I have tested positive for neomycin sulfate, an antiobiotic, and methyl methacrylate, which is the main component in the glue it works as the bonding agent.ntjis is also used in the dental fillings that are more up to date than the old silver ones. I am writing this as I had surgery yesterday for repair if having a significant tear in my rt. Rotator cuff, which I did by pushing my self up out of sofas, chairs and any other types I’d seats that were very low! And I’m still looking at a revision! But they don’t make a cement without the methacrylate ingredient! So don’t know what I’m going to do about my knee. ANYONE WHO HAS A SUGGESTION IM OPEN TO HEARING THEIR EXPERIENCE.

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@irish283, There is another older discussion on the same topic that you may find helpful also.

Need TKR and had positive allergy testing / Bone Cement and Metals: https://connect.mayoclinic.org/discussion/need-tkr-and-had-positive-allergy-testing-bone-cement-and-metals/

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@irish283

I was tested for metas, glues, and antibiotics. I have tested positive for neomycin sulfate, an antiobiotic, and methyl methacrylate, which is the main component in the glue it works as the bonding agent.ntjis is also used in the dental fillings that are more up to date than the old silver ones. I am writing this as I had surgery yesterday for repair if having a significant tear in my rt. Rotator cuff, which I did by pushing my self up out of sofas, chairs and any other types I’d seats that were very low! And I’m still looking at a revision! But they don’t make a cement without the methacrylate ingredient! So don’t know what I’m going to do about my knee. ANYONE WHO HAS A SUGGESTION IM OPEN TO HEARING THEIR EXPERIENCE.

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I don’t know where you but “The Carrell Clinic”
In Dallas Texas is phenomenal and Dr. Worrel
does not use cement. I highly recommend.

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