However, pre-surgical allergy testing cannot completely rule out a potential reaction. CT scan showed cystic collection of fluid with negative leukocyte scintigraphy. HSS J. Popiolek I, Blasiak M, Kozak A, Pietak E, Bulanda M, Porebski G. Diagnostics (Basel). 3 Titanium Implant Side Effects and How to Minimize Your Risk Can You Have an Allergic Reaction to Surgical Staples? Lachiewicz PF, Watters TS, Jacobs JJ. Metal allergy and metal sensitivity are often used interchangeably in everyday conversations. However, in chronic cases of months to years after the operation, a CT scan is usually performed to rule out malignant tumors and possible fistula formations [13]. Dermatol Ther (Heidelb). [6] This review aims to update the reader on the general aspects of this complex topic and to briefly discuss future challenges. I, too, had an allergic reaction to the two stainless steel screws used to fixate my right foot 1st MTP fusion two years ago (It is all written in posts on this board!). 201207, 2012. ABG = Anatomique Benoist Giraud; Co = cobalt; Cr = chromium; F = female; Fe = iron; M = male; Mo = molybdenum; Ni = nickel; OA = osteoarthritis; PCA = porous coated monatomic; Ref. Also, more complex immune reactions may develop around the implants,. In orthopedic joint surgery, reported metal hypersensitivity reactions include cutaneous rash and erythema to joint pain and aseptic implant loosening [10] . The patient had undergone a laparoscopic removal of the eight clips used in her past surgery, and since then, her symptoms have resolved. We describe a 69-year-old male for whom significant pathologic findings around dental implants had never been observed. The authors declare that they have no competing interests. Accessibility When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. reports an 86-year-old woman who presented three years to postlaparoscopic cholecystectomy with subdiaphragmatic abscess due to titanium surgical clips used during the procedure [ 4 ]. They may want to consider an implant made of different materials, such as titanium. Given the high numbers of joint replacements performed in the developed world, allergic reactions to orthopedic implants form the largest category of allergic responses. Another milk protein associated with . This review provides an update of the current knowledge in this field and should be valuable to health care providers who manage patients with conditions related to this field. Jonathan Cluett, MD, is board-certified in orthopedic surgery. Cutaneous and systemic hypersensitivity reactions to metallic implants. A more severe hypersensitivity reaction is usually due to prolonged exposure to a metal allergen, which is possible through metal implants used in surgeries or metal ions that are ingested or inhaled.