Τίτλος:
PMMA cement allergy misleading total knee arthroplasty infection
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Arthroscopic and prosthetic hip and knee joint infection are uncommon; however, devastating complications in adult reconstruction surgery. An acute onset of pain combined with effusion, erythema, warmth and fever are the typical signs of early infection. Hypersensitivity or allergic reactions to arthroplasty components, concerning mainly metal-to-metal bearings and metal-on-plastic total knee arthroplasties have also been reported. Inflammation associated with allergic reaction to any of these materials (metallic and/or acrylic bone cement) can plausibly cause a number of similar manifestations to infection such as loosening, instability, stiffness, arthrofibrosis, swelling, warmth, and pain. This article presents a patient without known polymethylmethacrylate (PMMA) bone cement allergy who experienced a prosthetic joint infection after a cemented total knee arthroplasty. The diagnosis of infection was misled by the wrong timing of cultures with respect to antibiotics cessation, and the documentation of PMMA cement allergy with allergiologic examination and patch testing. © 2017 by Begell House, Inc.
Συγγραφείς:
Megaloikonomos, P.D.
Mitsiokapa, E.
Flevas, D.A.
Kakouratos, G.
Kyrou, G.
Koulouvaris, P.
Mavrogenis, A.F.
Περιοδικό:
Journal of Long-Term Effects of Medical Implants
Εκδότης:
Begell House, Inc
Λέξεις-κλειδιά:
Allergies; Bone; Joint prostheses; Joints (anatomy); Metals; Orthopedics; Polyesters; Swelling, Acrylic bone cements; Allergic reactions; Arthroplasties; Metal bearings; Periprosthetic joint infection; Polymethylmethacrylate bone cements; Prosthetic joints; Total knee arthroplasty, Arthroplasty, antibiotic agent; bone cement; C reactive protein; cephalosporin; clindamycin; cotrimoxazole; poly(methyl methacrylate); sulfamethoxazole; vancomycin; bone cement; poly(methyl methacrylate), aged; allergic reaction; arthroscopic debridement; Article; biofilm; bone necrosis; bone tissue; case report; chondroplasty; clinical article; clinical outcome; computer assisted tomography; drug withdrawal; erythema; erythrocyte sedimentation rate; femoral condyle; fever; heat; hip arthroplasty; human; human tissue; hypersensitivity; infectious arthritis; inflammation; joint instability; joint stiffness; joint swelling; knee arthritis; knee pain; male; meniscectomy; nuclear magnetic resonance imaging; orthopedic surgeon; pain; persistent infection; prosthesis infection; pruritus; reconstructive surgery; Staphylococcus aureus; synovium; total knee arthroplasty; hypersensitivity; infection; knee replacement; microbiology; patch test; reoperation; Staphylococcus infection, Aged; Arthroplasty, Replacement, Knee; Bone Cements; Humans; Hypersensitivity; Male; Patch Tests; Polymethyl Methacrylate; Prosthesis-Related Infections; Reoperation; Staphylococcal Infections
DOI:
10.1615/JLONGTERMEFFMEDIMPLANTS.2017021011
