Need TKR and had positive allergy testing / Bone Cement and Metals

Posted by okieshan1 @okieshan1, Sep 13, 2018

Does anyone have any suggestions on any medical replacement joints on the market my orthopedic surgeon might not know about? I was scheduled for total knee replacement and my surgeon MADE me take a blood allergy test from Orthopedic Analysis.. Test showed “reactive” to Bone Cement monomer so surgeon referred me to a colleague who could do a cement-less knee. Upon his review of my results however, he also stated I was “mildly-reactive” to Chromium, Molybdenum, Nickel, Vanadium, Zirconium and Iron. (Screenshot of levels attached). I’m also ‘mildly reactive’ to Cobalt Alloy and Titanium Alloy Particles.

My surgeon said, “I recommend you exhaust all other options, because I can do the cement-less knee, but if the metal allergy bothers you, there will be nothing I can do.” Very hard to hear as I’m only 55 and active. In the meantime, I’ve gotten Genicular nerve burn in both knees which helped reduce pain level from 7 to a 4, but I’m trying to find out if there are any other surgical implant options that might work for someone with Bone cement and certain Metal allergies? Also, wondering will this even affect me as I can wear any type of cheap costume jewelry without ever having a reaction? If I have no issue with metal touching my skin, will it bother me if I have it in my joint for TKR?

Thanks in advance for ANY advice!

Hey there, Gardening junkie! Thank you SO much for this info! I have been using more cilantro lately in even my pasta dishes, and it turns out great. I also like my himalayan salt block, where I bake veggies for dinner or for a snack. It doesn't have that salty taste and is really a mineral. I'm trying to get back to just eating healthier again, after some stress this past winter. I will definitely schedule an appt with an allergist again. I had a host of allergies growing up, had the special bedding, allergy shots every week et. My daughter is allergic to nickle because from what I understand some gold even contains nickle. She could never wear earrings. And a couple of my nicer rings would make my finger turn blue.

Now I just have one last question for you….obviously you like to garden…awesome. How should I be storing my garlic? Because I got this little mesh bag from my mother in law and then the whole thing was put in a container and the garlic is spoiled in a week or so. I trust your recommendation!

Thanks! Laura

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Like you from an early age I had environmental allergies because of hay-fever which is a result of inhaled allergies. I did have the shots but never finished he series and now as a senior my environmental allergies are less severe for some reason. My husband who never had environmental allergies now does as a senior. The test for contact allergies which cause reactions, 5 Day Extended is slower to give results, much more expensive specific to contact allergies like the metal allergy you mentioned. Google True Test Kits. For Allergic Contact Dermatitis, ACD, there are no allergy shots to minimize symptoms, in fact with each contact your reaction time is less and symptoms more severe.
I am a landscape gardener; design and flowers are my thing. Usually grew a few veggies in my herb bed, but now because of eczema delicious homegrown tomatoes and my crisp peppers are not recommended. My wonderful herb garden has green onions and chives which keep on giving all year even in zone 6, but never tried to grow garlic. I keep my grocery store garlic in a dark pantry and it can last for over a month, but if you have a bumper crop I image it would be best to give most of it away or perhaps keep in the ground as long as you can.

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An update and confusion about my allergies and poor prognosis for knee replacements. In September when I posted to this site I based my metal and adhesive allergy's on my patch test results. Deciding to go ahead with surgery I insisted I have the recommended blood test for metals and bone cement used in replacement joints. I was surprised, although allergic to many types of adhesives I am not allergic to bone cement. Yet the big disaster is that I am mildly allergic to 3 and moderately allergic to 2 metals used in artificial joints. Yes now will just carry on as I am.

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@gardeningjunkie

An update and confusion about my allergies and poor prognosis for knee replacements. In September when I posted to this site I based my metal and adhesive allergy's on my patch test results. Deciding to go ahead with surgery I insisted I have the recommended blood test for metals and bone cement used in replacement joints. I was surprised, although allergic to many types of adhesives I am not allergic to bone cement. Yet the big disaster is that I am mildly allergic to 3 and moderately allergic to 2 metals used in artificial joints. Yes now will just carry on as I am.

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@gardeningjunkie Are there any artificial joints made with materials that you are not allergic to? I am allergic to nickel in jewelry but I have no idea if there is any in either of my knees, I never even thought of that. Thankfully I have not had a problem.
JK

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I believe there are ceramic joints and ceramic coated joints. Yet don't see ortho surgeon till next month. At visit before test he said they are assorted joints and there would be one free of allergies if needed. Still…………..after allergy test results am not rushing into anything and realize now it will be best to wait before I try anything at least until I can't get off the ground at all. For me, unlike others, walking straight or even on a slope is pain free. My issue is stairs (especially going down) and worst of all for a gardening I have a hard time getting off the ground, it's painful and must have something to push up on to get up.Those movements are very painful and my balance isn't great, I feel like I have no knee control.
I do have a handy strong plastic garden knelling bench, you can either sit on it or flip over to kneel and then I push up on the solid legs. I carry it around when working. A nuisance, but so worth. If anyone is interested I know of a good model I got on Amazon. I am thinking of getting another, which I would keep clean to use in the house when floor work is needed.

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@gardeningjunkie It does sound like there are options when and if you decide to have the TKR. For now though if you are not in a lot of pain it sounds manageable. Keep exercising it as much as you can, I saw tremendous improvement when I did. Also, it really is best to not wait until you are in unbearable pain, rehab is more difficult then. I was in horrible pain before I finally chose to have my first TKR. I definitely wish I had not waited for so long.

Your garden kneeling bench sounds interesting so I checked Amazon. Is it the one made by TomCare? I do not garden, I really do not like being outside where there are bugs (shudder) but I could use for it in the house too.
JK

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@contentandwell

@gardeningjunkie It does sound like there are options when and if you decide to have the TKR. For now though if you are not in a lot of pain it sounds manageable. Keep exercising it as much as you can, I saw tremendous improvement when I did. Also, it really is best to not wait until you are in unbearable pain, rehab is more difficult then. I was in horrible pain before I finally chose to have my first TKR. I definitely wish I had not waited for so long.

Your garden kneeling bench sounds interesting so I checked Amazon. Is it the one made by TomCare? I do not garden, I really do not like being outside where there are bugs (shudder) but I could use for it in the house too.
JK

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Oh my, looking up the exact name of the benches I bought, I have 2, I was shocked at the price increase!
Mine are the"Step 2 Kneeler Seat in Vertex Green" and it is now $107.00 on Amazon.
I bought my first one in 2016 as my previous garden bench by another company failed, yet I had that one for 10 years. I felt the Step 2 Kneeler was sturdier. I abuse this bench throwing here and there to the next spot or down a hill. I like it so much I bought another for a vacation house, yet I am not sure I would pay $107.00. In my mind remember I didn't pay more than $70.00. !
I treat my clothing in the Midwest for biting insects and both my properties have scorpions, but it's worth it to me to get outside.
Good to know your TKR is helping you.

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@contentandwell

@gardeningjunkie It does sound like there are options when and if you decide to have the TKR. For now though if you are not in a lot of pain it sounds manageable. Keep exercising it as much as you can, I saw tremendous improvement when I did. Also, it really is best to not wait until you are in unbearable pain, rehab is more difficult then. I was in horrible pain before I finally chose to have my first TKR. I definitely wish I had not waited for so long.

Your garden kneeling bench sounds interesting so I checked Amazon. Is it the one made by TomCare? I do not garden, I really do not like being outside where there are bugs (shudder) but I could use for it in the house too.
JK

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I am sorry but I gave you the wrong name of my bench. The Step 2 Garden Kneeler looks similar, but 2 tone and it is not what I bought and have. It doesn't have the greatest reviews as many say it doesn't support a heavy person, but the price, around $30.00 is great and available at many sources on line.
The " Premium Quality Garden Kneeler Bench", it is a solid green color and is the one I bought with the new price tag of $107 on Amazon. Yikes!
Still for indoor use and since I am not a heavy person I may consider buy the $30.00 Step 2 for inside use. I won't be tossing this around.

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@gardeningjunkie

Oh my, looking up the exact name of the benches I bought, I have 2, I was shocked at the price increase!
Mine are the"Step 2 Kneeler Seat in Vertex Green" and it is now $107.00 on Amazon.
I bought my first one in 2016 as my previous garden bench by another company failed, yet I had that one for 10 years. I felt the Step 2 Kneeler was sturdier. I abuse this bench throwing here and there to the next spot or down a hill. I like it so much I bought another for a vacation house, yet I am not sure I would pay $107.00. In my mind remember I didn't pay more than $70.00. !
I treat my clothing in the Midwest for biting insects and both my properties have scorpions, but it's worth it to me to get outside.
Good to know your TKR is helping you.

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@gardeningjunkie scorpions? Where do you live? I’ll make sure I never go there.
JK

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@contentandwell

@gardeningjunkie scorpions? Where do you live? I’ll make sure I never go there.
JK

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Arizona at Lake Mohave- there we have the lake scorpions who live near the water and the Giant Hairy on drier land. What surprised me about Table Rock Lake in MO , near Branson MO is that we have more yes more lake scorpions in MO I imagine because they have more food.

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@gardeningjunkie

Arizona at Lake Mohave- there we have the lake scorpions who live near the water and the Giant Hairy on drier land. What surprised me about Table Rock Lake in MO , near Branson MO is that we have more yes more lake scorpions in MO I imagine because they have more food.

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@gardeningjunkie When you said scorpions, I immediately thought Arizona. I am surprised that there are scorpions in MO though. My niece lives in St. Louis, I wonder if they have seen scorpions. They’ve been there a couple of years.
JK

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@contentandwell

@gardeningjunkie When you said scorpions, I immediately thought Arizona. I am surprised that there are scorpions in MO though. My niece lives in St. Louis, I wonder if they have seen scorpions. They’ve been there a couple of years.
JK

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@ contentandwell I was I'm Joplin Mo didn't see any of course I wasn't looking either I'm surprised 😂

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