Table 6.
Studies of self-reported metal hypersensitivity in orthopedic surgery.
| Implant | N of patients | Prevalence of self-reported cutaneous metal sensitivity | Conclusion | |
|---|---|---|---|---|
| Bloemke et al., 2015 (20) | TKA | 139 | %14 | Surgeons who decided to choose an individualized approach to implant selection could expect to use a specialized implant in approximately 15% of patients. |
| Nam et al., 2016 (31) | THA TKA |
906 598 |
%2.3 4.1% |
Patient-reported metal allergy is associated with decreased functional outcomes after TKA and decreased mental health scores after THA |
| Walker et al., 2019 (15) | UKA | 1737 | 4.7% | Functional outcome and survivorship are on a high-level equivalent to those reported for UKA in patients without a history of metal hypersensitivity. |
| Schultzel et al., 2020 (10) | NA | 840 | 4.9% | Greater awareness of a history to hypersensitivity may prevent patient exposure to implants containing metals that may cause hypersensitivity. |
| Kennon et al., 2020 (33) | Shoulder Arthroplasty | 52 | 82.6% | Shoulder arthroplasty in patients with self-reported metal allergy provides satisfactory pain relief and improved range of motion with low revision rates. |
| Atilla et al. | UKA | 128 | 10.2% | The functional outcomes of patients who underwent UKA using a standard alloy did not change between the groups who reported having or not having a history of metal hypersensitivity |
TKA: Total Knee Arthroplasty, THA: Total Hip Arthroplasty, UKA: Unikondylar Knee Arthroplasty, NA: Non Available, N:Number.