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!

Thank you for the reply! I had intended to mention the "Long Spike" cement-less knee joint I was fitted with during my last surgery. It is press fitted although I am told the method surgeons use is more like Smash and Bash as they force the spike as deep as possible into the femur and tibia bones. I'm glad I was asleep during all of that! 😉 You are correct about seeking other surgeons. I had 3 different surgeons for the 4 surgeons with each suggesting the next Dr. They told me I was being sent to the surgeon that specialized in 'problem' joints.
Merry Christmas –

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Would you mind sharing the Doctors name who you were referred to for problem joints. I too am having a lot of issues with my knee after TKR. Thank you

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@denver

HI, see my reply below and welcome to the We Love Dr. Tuttle Club! I would love to talk with you. I'm doing well now too! Send me your text or email if you'd like to talk.

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Were you able to have a cementless revision after a TKR? I’m allergic to the bone cement and having terrible trouble. I worry my bones are not good enough for a cementless replacement or even for my other failing knee. Thank you.

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@kact

Were you able to have a cementless revision after a TKR? I’m allergic to the bone cement and having terrible trouble. I worry my bones are not good enough for a cementless replacement or even for my other failing knee. Thank you.

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@kact, You will notice we removed your email address to protect you from spammers who harvest email addresses from public forums like Connect. If you wish to share your email address with @denver, you can safely share contact information by using the private message function on Connect. To send a private message, just click on the members @username and click on the Send private message link under their profile description. More tips for how to perform tasks within Connect can be found in the Get Started on Connect guide. There is a link to the guide in the left column of the footer on every Connect page.

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I had TKR 3 1/2 years ago and a revision 1 1/2 years ago. I'm allergic to Nickle, we found out after I was having problems with TKR. Then I had a revision and I'm also allergic to it. My Surgeon told me that he put in a coated knee replacement. I'm concern to having a 3rd knee surgery. The revision is getting worse swelling, stiffness and pain. Also concern about the long term effects of my body rejection the revision.
Thank you
t

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@ladytlla

I had TKR 3 1/2 years ago and a revision 1 1/2 years ago. I'm allergic to Nickle, we found out after I was having problems with TKR. Then I had a revision and I'm also allergic to it. My Surgeon told me that he put in a coated knee replacement. I'm concern to having a 3rd knee surgery. The revision is getting worse swelling, stiffness and pain. Also concern about the long term effects of my body rejection the revision.
Thank you
t

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Hi @ladytlla and welcome to Mayo Clinic Connect. I am terribly sorry to hear about your failed total knee replacements. You will see that I moved your post to a discussion that is ongoing about being allergic to the metals used for this surgery. I wanted to connect you with members who are having the same issue like @lturn9, @johnbishop, @allergyone, @kact and @ardis3

What did your doctor say about a 3rd attempt? Are you taking anything for the swelling and pain?

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Getting a knee replacement revision. Said it was highly unlikely I was allergic. Trying to get my primary doctor to get me set up with an allergy test.

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@amandaburnett

Hi @ladytlla and welcome to Mayo Clinic Connect. I am terribly sorry to hear about your failed total knee replacements. You will see that I moved your post to a discussion that is ongoing about being allergic to the metals used for this surgery. I wanted to connect you with members who are having the same issue like @lturn9, @johnbishop, @allergyone, @kact and @ardis3

What did your doctor say about a 3rd attempt? Are you taking anything for the swelling and pain?

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I sent him a email today. I've lost weight and trying to work with it. I take two Advil and Tylenol in the morning and night, during the day if needed.

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@ardis3

Getting a knee replacement revision. Said it was highly unlikely I was allergic. Trying to get my primary doctor to get me set up with an allergy test.

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I didn't know I was allergic to nickel. I wish they would give everyone an allergy test before TKR.

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@ardis3

Getting a knee replacement revision. Said it was highly unlikely I was allergic. Trying to get my primary doctor to get me set up with an allergy test.

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I had allergy testing at National Jewish in Denver, Colorado. Dr. Karin Pacheco. She tested for various metals and bone cement allergies.
Definitely worthwhile.

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