medigraphic.com
Archivos de Medicina (Manizales)

2021, Número 2

<< Anterior Siguiente >>

Arch Med 2021; 21 (2)


Complicaciones dermatológicas no infecciosas de los implantes ortopédicos: una revisión de la literatura

Ramírez-Macía A, Quiroz-Fino Nerly-Janeth

Idioma: Español
Referencias bibliográficas: 39
Paginas: 503-508
Archivo PDF: 639.90 Kb.


RESUMEN

Introducción: la prevalencia general de hipersensibilidad a los componentes metálicos ortopédicos se ha calculado en aproximadamente de 10 al 15%. Objetivo: describir las reacciones de hipersensibilidad secundarias a la implantación de dispositivos pro-tésicos ortopédicos en cirugía de artroplastia. Materiales y métodos: se realizó una búsqueda abierta en las bases de datos EBSCO, PubMed-Medline, Google académi-co, SciELO, Embase biomedical y Cochrane Library con los términos: arthroplastym, hypersensitivity, prostheses e implants, en inglés y español, sin limitación del grado de evidencia. Resultados: se encontraron 39 artículos con información relevante para la actual revisión. Conclusiones: las reacciones cutáneas de hipersensibilidad al me-tal son infrecuentes, por lo que deben excluirse causas inflamatorias más comunes como la infección, inestabilidad, aflojamiento o malrotación del implante, entre otras, antes de considerar tal patología. Actualmente no existe un estándar de oro respecto al diagnóstico, tratamiento o prevención de la hipersensibilidad.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Mulhall K, Ghomrawi H, Scully S, Callaghan JJ, Saleh KJ. Current etiologies and modes of failure in total knee arthroplasty revision. Clin Orthop Relat Res. 2006; 446(446):45–50. DOI: 10.1097/01.blo.0000214421.21712.62

  2. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KJ. Patient satisfaction after total knee arthroplasty: Who is satisfied and who is not? Clin Orthop Relat Res. 2010; 468(1):57–63. DOI:10.1007/s11999-009-1119-9

  3. Haidukewych GJ, Jacofsky DJ, Pagnano MW, Trousdale RT. Functional results after revision of well-fixed components for stiffness after pri-mary total knee arthroplasty. J Arthroplasty. 2005; 20(2):133–138. DOI: 10.1016/j.arth.2004.09.057

  4. Merritt K, Rodrigo JJ. Immune response to synthe-tic materials: Sensitization of patients receiving orthopaedic implants. Clin Orthop Relat Res. 1996; 326:71–79.

  5. Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am. 2001; 83(3):428–436. DOI: 10.2106/00004623-200103000-00017

  6. Granchi D, Cenni E, Tigani D, Trisolino G, Baldini N, Giunti A. Sensitivity to implant materials in patients with total knee arthroplasties. Biomate-rials. 2008; 29(10):1494–1500. DOI: 10.1016/j.biomaterials.2007.11.038

  7. Niki Y, Matsumoto H, Otani T, Yatabe T, Kondo M, Yoshimine F, et al. Screening for symptomatic metal sensitivity: A prospective study of 92 patients undergoing total knee arthroplasty.Biomaterials. 2005; 26(9):1019–1026. DOI: 10.1016/j.biomaterials.2004.03.038

  8. Verma SB, Mody B, Gawkrodger DJ. Dermatitis on the knee following knee replacement: A minori-ty of cases show contact allergy to chromate, cobalt or nickel but a causal association is un-proven.Contact Dermatitis. 2006; 54(4):228–22

  9. DOI: 10.1111/j.0105-1873.2006.0775o.x9. Handa S, Dogra S, Prasad R. Metal sensitivity in a patient with a total knee replacement.Contact Dermatitis. 2003; 49(5):259–260. https://doi.org/10.1111/j.0105-1873.2003.0225b.x

  10. Beecker J, Gordon J, Pratt M. An interesting case of joint prosthesis allergy. Dermatitis. 2009; 20(2):E4–E9.

  11. Gao X, He R, Yan S, Wu L. Dermatitis associated with chromium following total knee arthroplasty. J Arthroplasty. 2011; 26(4):665e13-665e16. DOI: 10.1016/j.arth.2010.06.002

  12. Anand A, McGlynn F, Jiranek W. Metal hypersen-sitivity: Can it mimic infection?. J Arthroplas-ty. 2009; 24(5):826e25-826.e28. DOI: 10.1016/j.arth.2008.05.002

  13. Morwood MP, Garrigues GE. Shoulder arthroplas-ty in the patient with metal hypersensitivity.J Shoulder Elbow Surg. 2015; 24(7):1156–1164. DOI: 10.1016/j.jse.2015.01.015

  14. Disegi JA, Eschbach L. Stainless steel in bone surgery. Injury. 2000; 31(Suppl.4):2–6. DOI: 10.1016/S0020-1383(00)80015-7

  15. Teo WZ, Schalock PC. Metal Hypersensitivity Reactions to Orthopedic Implants. Dermatol Ther (Heidelb). 2017; 7(1):53-64. DOI: 10.1007/s13555-016-0162-1

  16. Lachiewicz PF, Watters TS, Jacobs JJ. Metal Hy-persensitivity and Total Knee Arthroplasty. J Am Acad Orthop Surg. 2016; 24(2):106-112. DOI: 10.5435/JAAOS-D-14-00290

  17. Mahendra G, Pandit H, Kliskey K, Murray D, Gill HS, Athanasou N. Necrotic and inflammatory changes in metal-on-metal resurfacing hip ar-throplasties. Acta Orthop. 2009; 80(6):653–659. DOI: 10.3109/17453670903473016

  18. Fang CS, Harvie P, Gibbons CL, Whitwell D, Atha-nasou NA, Ostlere S. The imaging spectrum of peri-articular inflammatory masses following metal-on-metal hip resurfacing. Skeletal Radiol. 2008; 37(8):715–722. DOI: 10.1007/s00256-008-0492-x

  19. Willert HG, Buchhorn GH, Fayyazi A, Flury R, Win-dler M, Koster G, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005; 87(1):28–36. DOI: 10.2106/JBJS.A.02039pp

  20. Mikhael MM, Hanssen AD, Sierra RJ. Failure of metal-on-metal total hip arthroplasty mimicking hip infection. A report of two cases.J Bone Joint Surg Am. 2009; 91(2):443–446. DOI: 10.2106/JBJS.H.00603

  21. Campbell P, Shimmin A, Walter L, Solomon M. Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplasty. 2008; 23(7):1080–1085. DOI: 10.1016/j.arth.2007.09.024

  22. Jensen P, Thyssen JP, Retpen JB, Menne T. Cobalt allergy and suspected aseptic lymphocyte-dominated vascular-associated lesion following total hip arthroplasty.Contact Dermatitis. 2009; 61(4):238–239. DOI: 10.1111/j.1600-0536.2009.01599.x

  23. Counsell A, Heasley R, Arumilli B, Paul A. A groin mass caused by metal particle debris after hip re-surfacing. Acta Orthop Belg. 2008; 74(6):870–874.

  24. Rostoker G, Robin J, Binet O, Blamoutier J, Paupe J, Lessana-Leibowitch M, et al. Dermatitis due to orthopaedic implants: a review of literature and report of three cases. J Bone Joint Surg. 1987; 69(9):1408–1412.

  25. Merle C, Vigan M, Devred D, Girardin P, Adessi B, Laurent R. et al. Generalized eczema from Vitallium osteosynthesis material. Contact Der-matitis. 1992; 27(4):257–258. DOI: 10.1111/j.1600-0536.1992.tb03259.x

  26. Ridley CM. How relevant is cobalt sensitivity in a patient with unsatisfactory total knee replace-ment?. Clin Exp Dermatol. 1977; 2(4):401-404. DOI: 10.1111/j.1365-2230.1977.tb01582.x

  27. Symeonides PP, Paschaloglu C, Papageorgiou S. An allergic reaction after fixation of a fracture using a Vitallium plate.J Allergy Clin Immunol. 1973; 51(4):251–252. DOI: 10.1016/0091-6749(73)90145-0

  28. Munro-Ashman D, Miller AJ. Rejection of metal to metal prosthesis and skin sensitivity to co-balt. Contact Dermatitis. 1976; 2(2):65–67. DOI: 10.1111/j.1600-0536.1976.tb02986.x

  29. Bergschmidt P, Bader R, Mittelmeier W. Metal hy-persensitivity in total knee arthroplasty: Revision surgery using a ceramic femoral component. The Knee. 2012; 19(2):144–147. DOI: 10.1016/j.knee.2011.01.001

  30. McMaster WC, Patel J. Adverse local tissue res-ponse lesion of the knee associated with Morse taper corrosion. J Arthroplasty. 2013; 28(2):375.e5-375.e8. DOI: 10.1016/j.arth.2012.04.005

  31. Thakur R, Ast M, McGraw M, Bostrom M, Rodriguez J, Parks M. Severe persistent synovitis after cobalt-chromium total knee arthroplasty requi-ring revision. Orthopedics. 2013; 36(4):520–524. DOI: 10.3928/01477447-20130327-34

  32. Thomsen M, Rozak M, Thomas P. Pain in a chromium-allergic patient with total knee ar-throplasty: Disappearance of symptoms after revision with a special surface-coated TKA. A case report.Acta Orthop. 2011; 82(3):386–388. DOI: 10.3109/17453674.2011.579521

  33. Thyssen JP, Jakobsen SS, Engkilde K, Johansen JD, Soballe K, Menne T. The association bet-ween metal allergy, total hip arthroplasty, and revision. Acta Orthop. 2009; 80(6):646–652. DOI: 10.3109/17453670903487008

  34. Park Y, Moon Y, Lim S, Yang J, Ahn G, Choi Y. Early osteolysis following second-generation metal-on-metal hip replacement.J Bone Joint Surg Am. 2005; 87(7):1515–1521. DOI: 10.2106/JBJS.D.02641

  35. Antony FC, Holden CA. Metal allergy resurfaces in failed hip endoprostheses. Contact Dermati-tis. 2003; 48(1):49–50. DOI: 10.1034/j.1600-0536.2003.480108_4.x

  36. Milavec-Puretic V, Orlic D, Marusic A. Sensitivity to metals in 40 patients with failed hip endo-prosthesis. Arch Orthop Trauma Surg. 1998; 117(6-7):383–386. DOI: 10.1007/s004020050272

  37. Phedy P, Djaja YP, Boedijono DR, Wahyudi M, Sili-tonga J, Solichin I. Hypersensitivity to orthopaedic implant manifested as erythroderma: Timing of implant removal. Int J Surg Case Rep. 2018; 49:110-114. DOI: 10.1016/j.ijscr.2018.06.011

  38. Basko-Plluska JL, Thyssen JP, Schalock PC. Cuta-neous and systemic hypersensitivity reactions to metallic implants. Dermatitis. 2011; 22(2):65–79. DOI: 10.2310/6620.2011.10055

  39. Nakamura S, Yasunaga Y, Ikuta Y, Shimogaki K, Hamada N, Takata N. Autoantibodies to red cells associated with metallosis—a case report.Acta Orthop Scand. 1997; 68(5):495–496 DOI: 10.3109/17453679708996269




2020     |     www.medigraphic.com