Revision Total Knee Arthroplasty due to Allergic Reaction to Cobalt


Clinical observation of patient undergone two revisions total knee arthroplasty was presented. The cause of revisions was clinical manifestation of inflammatory but no classic signs of infection were detected intraoperatively. Cupping of inflammatory was succeeded after insertion of implant coating by nitride ceramics. Possible inflammatory development as allergic reaction to cobalt was discussed.

Full Text

Реакция на кобальт как причина ревизионного эндопротезирования коленного сустава


  1. Basketter D.A., Briatico-Vangosa G., Kaestner W., Lally C., Bontinck W.J. Nickel, cobalt and chromium in consumer products: a role in allergic contact dermatitis. Contact Dermatitis. 1993; 28: 15-25.
  2. Cramers M., Lucht U. Metal sensitivity in patients treated for tibial fractures with plates of stainless steel. Acta Orthop. Scand. 1977; 48: 245-9.
  3. Fisher A.A. Allergic dermatitis presumably due to metallic foreign bodies containing nickel or cobalt. Cutis. 1977; 19: 285-6.
  4. Gawkrodger D.J. Nickel sensitivity and the implantation of orthopaedic prostheses. Contact Dermatitis. 1993; 28: 257-9.
  5. Haudrechy P., Foussereau J., Mantout B., Baroux B. Nickel release from nickel-plated metals and stainless steels. Contact Dermatitis. 1994; 31 (4): 249-55.
  6. Huber J., Refior H, J. wear test, Ludwig MaximiliansUniversität München Labor für Biomechanik und Experimentelle Orthopädie, Germany, 2002 data on file.
  7. Kanerva L., Sipilainen-Malm T., Estlander T., Zitting A., Jolanki R., Tarvainen K. Nickel release from metals, and a case of allergic contact dermatitis from stainless steel. Contact Dermatitis. 1994; 31: 299-303.
  8. Merritt K., Rodrigo J.J. Immune response to synthetic materials. Sensitization of patients receiving orthopaedic implants. Clin. Orthop. 1996; 326: 71-9.



Abstract - 28


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Copyright (c) 2013 Zagorodniy N.V., Bukhtin K.M., Kudinov O.A., Chragyan G.A., Berchenko G.N., Nikolaev I.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies