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Revision TKR CUBBY217's has a new Oxinium knee implant!

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@newlybionic Did you have your surgery in New Jersey or PA? I love the cementless idea as I know that I will have a problem with that. The doctor distinctly said it would be cemented. I can't go anywhere else.
 
have read a lot tonight and decided I really don't want to do a revision without being sure I am not allergic to cement either. Someone mentioned that they had to have their doctor write the prescription properly coded so that Medicare will pay for it. Does anyone know what the codes are?

Thanks for your help.
 
Has anyone had two revisions with an S&N Oxinium or just had one? I'm interested in knowing if having two TKR's but only having a revision in one made any difference if you were nickel sensitive? I'm sitting here wondering why the doctor says he can't do anything with my left total knee replacement. Obviously he does not truly believe you can be nickel sensitive. I think he is just trying to appease me by saying he will convert my partial to a total with the Oxinium. I'm so confused...
 
cubby217,
Recommend you have the tests for nickel allergies before you have any surgery.
Allergies: Metal allergies and knee replacements There is a link to laboratory information in this link.
If you surgeon will not refer you, have your primary surgeon refer you for metal allergy testing.
Good Luck,
 
Have reviewed the lab tests at the Chicago. If you have used this lab, please tell me what test you ordered? Just a nickel allergy test or the whole Ortho Panel 2? Thanks.
 
It's a good decision to have the testing prior to any more surgery. It's better being absolutely certain before going through another TKR and finding out you needed a different prosthesis. I hope you have it done soon to get your results.
 
Have ordered the Ortho Panel #2 which tests for bone cement also.
 
All I can tell you about the cement less implant is that the stems have groves in it so that bone can grow into the implant. I was able to stand and walk on it from the beginning the same as the original TKR but had to be careful about twisting action at all. According to Josephine it takes aboutv12 weeks or so to grow into the stems fully. Perhaps @Josephinr can explain it better.
 
Well today I spoke with the Chicago lab and they told me that Medicare has been rejecting claims for nickel allergies and I, unfortunately, do not have $500 plus to have the test done. I am so disappointed. So I am back to wondering if I Do have an allergy/sensitivity to nickel proven by bloodwork (I am on skin test), what will one S&N Oxinium knee do if OS is not going to do the other one? I realize that my right knee may feel a lot better after he converts it to the S&N but I won't get the full advantage of it if he only does one knee. It will be a long 3 months while I wait.
 
@borymms4 Had to have a revision due to an allergy to nickel. She needed a revision and her OS used a special knee that he ordered for her. Her original OS TOLD her that her original knee was OK. It took her several years to finally have it fixed.
 
I'm throwing this out here because I am not sure I have mentioned this but I read something about what could happen after you have a replacement without knowing that you might be allergic to nickel,

I had my Exactech LTKR on 3/2/2010 and my Mako L Partial on 6/14/2011, I had a dermatological infection on the first knee which was treated with antibiotics. That knee was always swollen and stiff but I managed. Had the Mako in June 2011. On September 27th.f 2012, I flew to Alabama with strange chest pains and when I landed, I could not breathe. I was rushed to the hospital ER and put in ICU with bi-lateral pneumonia, pericarditis, pleural effusion and was in septic shock. I developed AFib the next day. I spent 8 days in the hospital there while they did blood cultures of all sorts.They never found out what my infection was and I left the hospital on oxygen. I finally flew home on Oct. 15th and was back in the hospital more times because the pneumonia would not resolve. More blood cultures. Still no results. Then had broncospasms which made them finally drained my left lung of 300 cc's of cloudy transudate (I think it was called). The culture of that came back as reactive Mesothelial which was supposed to be further examined. No one did. Since then I have been weak, tired and started having problems with the knees. I have often wondered if that infection was a post-replacement infection. I had so many antibiotics during that month and a half that I wonder if it cleared up a knee infection.

Three weeks ago I had my second synovial aspiration and both came back negative but my right partial will not straighten out and is painful. My LTKR has been stiff for 4 years. I did a lot of PT trying to get it working but maybe I did more damage instead of helping it? Something about my calf muscles being stuck together. Just something I thought about tonight. Massage therapy tried to separate them with no success.

Fun time but wondering if it is all due to nickel allergy after all. Since my doctor says there is no proof the nickel causes problems. it is quite discouraging;

Ro
 
Have you thought of seeing an allergist? Someone on BoneSmart went that route in trying to find an answer about a nickel allergy.
 
An allergist did the patch test and I was highly allergic to nickel and a 1+ for Palladium after 24 hours.
 
What about an infectious disease dr? What type of infections did you have?
 
They never really found out except for the reactive mesothelial cells in my lungs and my pulmonary doctor said that is normal.
 
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