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[Allergic dermatitis caused by metallic implants in orthopedic surgery]
F Dujardin1, V Février, C Lecorvaisier
1Clinique Chirurgicale Orthopédique et Traumatologique, CHU de Rouen.
Summary
Dermatitis from orthopedic metallic implants is rare but challenging to diagnose. Management involves removing the implant, as drug treatments are often ineffective.
Area of Science:
- Orthopedic Surgery
- Dermatology
- Materials Science
Context:
- Dermatitis linked to metallic orthopedic implants presents diagnostic challenges.
- These reactions are uncommon but can manifest in various dermatological forms.
- Stainless steel and chromium-cobalt alloys are implicated, unlike titanium alloys.
Purpose:
- To review the literature on dermatitis caused by metallic orthopedic implants.
- To highlight the diagnostic difficulties and potential mechanisms of these reactions.
- To discuss prevention and management strategies for implant-associated dermatitis.
Summary:
- A literature review identified 54 cases of dermatitis from metallic implants, with eczemas being most common.
- Diagnostic challenges include delayed or generalized skin lesions and differentiating from sepsis.
- Prevention focuses on reducing metallic particle generation; removal of the implant is the primary treatment.
Impact:
- This review aids clinicians in recognizing and diagnosing implant-associated dermatitis.
- It underscores the need for improved diagnostic methods and implant materials.
- Findings guide management strategies, emphasizing implant removal over less effective drug treatments.