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Metal Sensitivity

What retrieval evidence is there of metal hypersensitivity?

Dr. De Smet: If the tissues are sent to a well recognized person (Pat Campbell in LA for example) who has a lot of experience with metal ions in the blood then we can state what is going on.

Is an allergy to metals a valid reason to deny hip resurfacing

Dr. De Smet: No. 10% of the people are allergic to nickel. That is not the percentage we find in resurfacing or MOM hips. We should be aware that in resurfacing, females are where most metal problems are found and we maybe should be looking into a percentage of about 1/60.

Is this a valid reason not to use a MoM device?

Dr. De Smet: Yes, it could be.

If a patient has a skin allergy to certain jewelry, are allergic reactions to the device expected?

Dr. De Smet: It could be, but it is still a difficult decision to make. It just should be well explained and well discussed with the patient.