[镍过敏与单髁膝关节置换术后疼痛]

[Nickel allergy and painful unicondylar knee arthroplasty].

作者信息

Dezulovic M, Baur U, Stangl R, Baur W, Lenz E

机构信息

Orthopädisch-unfallchirurgische Klinik im Wichernhaus, Sana Krankenhaus Rummelsberg, Schwarzenbruck.

出版信息

Z Orthop Unfall. 2012 Jun;150(3):269-71. doi: 10.1055/s-0031-1298346. Epub 2012 Mar 22.

DOI:10.1055/s-0031-1298346

PMID:22442001

Abstract

A 56-year-old woman with unicondylar knee arthroplasty (Oxford III, Biomet) complained of persistent, burning pain in her knee. The arthroplasty failure was caused by a nickel allergy. The diagnosis was confirmed by positive patch testing, lymphocyte transformation test and histological analysis of the neosynovia around the implant. The unicondylar knee arthroplasty was explanted and replaced by a titanium-coated knee prosthesis (INNEX CR, Zimmer).

摘要

一名接受单髁膝关节置换术（牛津Ⅲ型，Biomet公司产品）的56岁女性抱怨其膝关节持续出现灼痛。关节置换失败是由镍过敏引起的。通过斑贴试验阳性、淋巴细胞转化试验以及对植入物周围新滑膜的组织学分析确诊了该诊断。将单髁膝关节置换物取出，换为钛涂层膝关节假体（INNEX CR，捷迈公司产品）。