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Sep 21, 2018 · Need TKR and had positive allergy testing / Bone Cement and Metals in Joint Replacements

@JustinMcClanahan to answer your question, original surgeon did suggest a coated knee to ensure no metal allergy issues. But then when he saw my bone cement allergy scores as 'Reactive' he referred me to surgeon who did cement-less knee. That 2nd surgeon sent me for an MRI for a custom built 'Biomet Vanguard Knee Replacement' which is cement-less. But then he did say there were metals in it, so suggested I hold off until I was too miserable before going for it, because he said if you do have allergy, there will be nothing I can do after the fact.

I asked does anyone make a 'coated cement-less knee' and he was not aware of one. I also asked someone in the medical supply field and they didn't have any info of that either. Do you think that is even an option? I joke and say I guess I'll have to wait until they come up with a ceramic joint.

Given your findings above, do you think my mild reaction to metal would warrant not even worrying about it?

Sep 13, 2018 · Need TKR and had positive allergy testing / Bone Cement and Metals in Joint Replacements

Here's the test results showing allergy levels.

Sep 13, 2018 · Need TKR and had positive allergy testing / Bone Cement and Metals in Joint Replacements

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!