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Cutaneous Complications of Orthopedic Implants
113
Citations
0
References
1981
Year
Skin AllergyDermatologyOrthopaedic SurgeryContact DermatitisOrthopaedicsMetal AllergiesMetal SensitivityImplant SurgeryAllergyClinical DermatologyCutaneous ComplicationsHand SurgeryDermatopathologyReconstructive SurgeryWound HealingMedicinePlastic SurgeryDermatological SurgeryImplant Recipient
Allergic cutaneous complications of orthopedic implants are rare. A two‑year prospective study of 19 orthopedic implant recipients documented cutaneous eruptions temporally linked to surgery. Among the 19 patients, six developed transient exanthematic dermatitis (two recurred after each implant procedure) and 13 had persistent reactions, metal sensitivity was identified in two patients, and the likelihood of an allergic etiology was higher with static implants, prior metal sensitivity, zone‑specific eruptions, and late‑onset eczematous lesions. Arch Dermatol 1981;117:554-560.
• In a two-year prospective study of cutaneous problems in orthopedic implant recipients, cutaneous eruptions of unknown cause that bore good temporal relationships with implant surgery occurred in 19 patients. Two clinical patterns were observed. A transient "exanthematic" dermatitis was seen in six patients; in two of them, it recurred after each surgical implant procedure. A persistent reaction was seen in 13 patients. Metal sensitivity was found in two patients and considered to be relevant. Allergic cutaneous complications of orthopedic implants are rare. However, in an implant recipient in whom a cutaneous problem develops, the likelihood of the cutaneous problem being allergic in nature is slightly greater if the implant is of the static type, if there is a history of metal sensitivity, if the cutaneous eruption shows a predilection for the anatomic zone of the implant, and if the eruption is eczematous and has developed late and persisted. (<i>Arch Dermatol</i>1981;117:554-560)