BoneSmart® Hip / Knee Replacement Forum
Knee Replacement & Hip Replacement
Patient Advocacy & Online Community

Metal allergies

Discussion in 'Knee Replacement Pre-Op Area' started by jboles, May 10, 2017.

  1. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    My LTKR is scheduled for May 15, but I had some concerns about metal sensitivity so I had the patch test done. It came back with some sensitivities, so my OS suggested a blood test. Just received the results and it showed a mild reactive to several different metals. My question is at what level should I be concerned? The test has 4 different levels. Normal 0-2, Mild reactive 2-4, Reactive 4-6, High reactive 6 and above.
     
  2. KarriB

    KarriB Forum Advisor

    Member Since:
    Apr 20, 2015
    Age:
    61
    Messages:
    10,544
    Gender:
    Female
    Location:
    Pittsburgh, PA
    Country:
    United States United States
  3. Jamie

    Jamie Administrator

    Member Since:
    Mar 24, 2008
    Age:
    69
    Messages:
    49,428
    Gender:
    Female
    Location:
    Kansas
    Country:
    United States United States
    Since you showed some reaction, it would be wise to discuss this with your surgeon and with the doctor who performed the test for you. I would be concerned with any level of sensitivity. But, by "concerned" I mean that you need to find out exactly what those test results mean for you with a joint replacement. Each of us is different in our reactions (or lack of them) to metals. That information is something best obtained from your medical team. Good for you for having this all checked out before surgery, though!
     
    • Agree Agree x 1
  4. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    Well, after speaking with a different OS and my allergist, we have decided to postpone my surgery until we can find a replacement that will work.
     
  5. Celle

    Celle Forum Advisor

    Member Since:
    Nov 19, 2011
    Age:
    76
    Messages:
    22,126
    Gender:
    Female
    Location:
    New Zealand
    Country:
    New Zealand New Zealand
    There are implants that should be safe for you.

    This article talks about some of them:
    Allergies: Metal allergies and knee replacements

    Do let us know what you and your surgeon decide, won't you?
     
  6. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    @Celle I will post on here after my initial meeting with a new OS. The problem is I test reactive to nickel, titanium, zirconium and possibly cobalt. I'm not sure where this leaves me, besides up the creek, without the proverbial paddle.
     
  7. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    I have a surgery date of July 17, but OS is still undecided as to which implant he's going to be using.
     
  8. Josephine

    Josephine NURSE DIRECTOR Administrator

    Member Since:
    Jun 8, 2007
    Age:
    75
    Messages:
    72,626
    Location:
    The North
    Country:
    United Kingdom United Kingdom
    You'll be fine. There are knee devices that are entirely coated with ceramic which are especially made for people with allergies. The AS-Advanced coating is one.

    Aescalup-horz.jpg


    Alternatively, Biolox do ceramic coated implants with the option of an all plastic tibial part instead.
    ceramtec knees-horz.jpg
     
  9. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    Thank you for the information. The AS-Advanced coated is one he is considering, but I don't think he mentioned the Biolox one. I will be sure to pass on this info.
     
    • Like Like x 2
  10. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    Just received verification from the manufacturer of the Biolox total ceramic knee implant mentioned above, that it's not yet approved for use in the United States.
     
  11. Josephine

    Josephine NURSE DIRECTOR Administrator

    Member Since:
    Jun 8, 2007
    Age:
    75
    Messages:
    72,626
    Location:
    The North
    Country:
    United Kingdom United Kingdom
    Oh darn!
     
  12. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    I just found out that a crown that I had put on a tooth last year is a ceramic crown, very similar in composition to the ceramic in the Aesculap knee. So my OS feels comfortable proceeding with my surgery.
     
  13. Pumpkln

    Pumpkln Forum Advisor

    Member Since:
    Oct 27, 2011
    Age:
    66
    Messages:
    16,670
    Gender:
    Female
    Location:
    United States, West
    Country:
    United States United States
    Glad to hear your OS is going to proceed. You will feel much better.
     
  14. Jamie

    Jamie Administrator

    Member Since:
    Mar 24, 2008
    Age:
    69
    Messages:
    49,428
    Gender:
    Female
    Location:
    Kansas
    Country:
    United States United States
    This is great news. You should be fine then.
     
  15. SusieShoes

    SusieShoes Forum Advisor

    Member Since:
    Oct 31, 2016
    Age:
    64
    Messages:
    2,036
    Gender:
    Female
    Location:
    Philadelphia
    Country:
    United States United States
    So happy to hear your surgery is a go! I know the uncertainty has been stressful for you. Now you can look forward and start planning.
     
  16. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    Yes it has been stressful. I went for my pre-op anesthesia appointment yesterday. It's getting real! It's like wow, this is really happening. The OS says I need a walker with wheels and a bedside potty chair. Is it really beneficial to have the bedside potty chair?
     
  17. SusieShoes

    SusieShoes Forum Advisor

    Member Since:
    Oct 31, 2016
    Age:
    64
    Messages:
    2,036
    Gender:
    Female
    Location:
    Philadelphia
    Country:
    United States United States
    The only times I used a bedside commode was my first night post-surgery, in the hospital. The next morning, I walked to the bathroom, which was maybe ten steps away. My bathroom at home is ten steps upstairs and fifteen downstairs (from my recliner). I managed without problem. And I had both knees replaced. I'm not convinced you need a bedside commode at home, but maybe others will weigh in with good reasons to do so. If you are going directly home and not spending that first night in the hospital, you might be glad to have one!
     
  18. jboles

    jboles
    Thread Starter

    Member Since:
    Feb 2, 2017
    Age:
    60
    Messages:
    289
    Gender:
    Female
    Location:
    Lexington, NC
    Country:
    United States United States
    The OS says 1 - 2 nights in hospital. My bathroom upstairs is about 10 - 15 steps, haven't counted yet, away. I really don't think I'll get one.
     
  19. Celle

    Celle Forum Advisor

    Member Since:
    Nov 19, 2011
    Age:
    76
    Messages:
    22,126
    Gender:
    Female
    Location:
    New Zealand
    Country:
    New Zealand New Zealand
    I was up and walking to the bathroom before I left hospital. I wouldn't have needed a bedside commode - and I doubt my husband would have been willing to empty one.
     
  20. Celle

    Celle Forum Advisor

    Member Since:
    Nov 19, 2011
    Age:
    76
    Messages:
    22,126
    Gender:
    Female
    Location:
    New Zealand
    Country:
    New Zealand New Zealand

Share This Page

Sponsors
Close X