A Comparison of Clinical Outcomes After Total Knee Arthroplasty in Patients With Preoperative Nickel Allergy Receiving Cobalt Chromium or Nickel-Free Implant

Siljander, Breana; Chandi, Sonia; Debbi, Eytan M.; McLawhorn, Alexander S.; Sculco, Peter K.; Puri, Simarjeet

doi:10.1016/j.arth.2023.04.048

Cited by 6 publications

(1 citation statement)

References 33 publications

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“…There is a dearth of objective evidence and this particular study, conducted in New York (New York, USA) , is helpful in that it contains objective clinical data and is well designed. 3 The authors aimed to shed light on the clinical outcomes of patients with a known nickel allergy based on the type of implant they received. The study team conducted a retrospective review of primary TKA patients known to have a nickel allergy before their surgery.…”

Section: Nickel Allergy and Total Knee Arthroplastymentioning

confidence: 99%

Knee

2023

Bone &Amp; Joint 360

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The August 2023 Knee Roundup360 looks at: Curettage and cementation of giant cell tumour of bone: is arthritis a given?; Anterior knee pain following total knee arthroplasty: does the patellar cement-bone interface affect postoperative anterior knee pain?; Nickel allergy and total knee arthroplasty; The use of artificial intelligence for the prediction of periprosthetic joint infection following aseptic revision total knee arthroplasty; Ambulatory unicompartmental knee arthroplasty: development of a patient selection tool using machine learning; Femoral asymmetry: a missing piece in knee alignment; Needle arthroscopy – a benefit to patients in the outpatient setting; Can lateral unicompartmental knees be done in a day-case setting?

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Section: Nickel Allergy and Total Knee Arthroplastymentioning

confidence: 99%

Knee

2023

Bone &Amp; Joint 360

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Correlation of revision rate of unicompartmental knee arthroplasty with total knee arthroplasty: a meta-analysis of clinical studies and worldwide arthroplasty registers

Obermayr,

Klasan,

Rasic

et al. 2024

Arch Orthop Trauma Surg

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Introduction The purpose of this study was to elucidate differences and similarities in revision rates amongst studies and national registers featuring total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA). Thereby comparability and reproducibility between study and register findings should be created. Materials and Methods Clinical studies published between 2004 and September 2023 involving TKA or UKA were reviewed for total arthroplasty numbers, revision rates and demographic data. Findings were calculated as “revisions per 100 component years (CY)” and divided according to the nationality of the center. National arthroplasty registers were searched for numbers of arthroplasties and revisions alongside with demographic data. Revision rates in registers were compared to one another and comparison to revision rates from collected studies was drawn. Results After evaluation, 98 studies and seven registers met our inclusion criteria and were included in this study. Cumulative percent revision rate in studies was 3.35% after a mean follow-up of 5.7 years, corresponding to 0.71 revisions per 100 CY for TKA and 7.67% after a mean follow-up of 4.9 years, corresponding to 1.3 revisions per 100 CY for UKA. Registers showed mean overall revision rates of 5.63% for TKA and 11.04% for UKA. Conclusions A positive correlation of revision rates of TKA and UKA in studies and registers was found, with overall revision rates of UKA comparted to TKA being 2.29 times higher in clinical studies and 1.96 times higher in registers. Revision rates in registers were 1.56 times higher than presented in clinical studies.

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