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Table 3 Patient and implant characteristics including date of implantation and implant type, allergy history, symptoms, patch test results, timing of allergy work-up and revision surgery, and change in KOOS scores (CoCroMo incl. Ni+, cobalt-chromium-molybdenum alloy includes up to 1% nickel; AA, allergic asthma; AR, allergic rhinitis; FA, family history of atopy; AE, atopic eczema; ARM, self-reported intolerance reactions to metallic objects; JP, joint pain; Sw, swelling; Er, localized erythema; Ec, localized eczema; JE, joint effusion; LA, limited ambulation; Genta, gentamicin; Ni, nickel; BPO, benzoyl peroxide)

From: The role of antibiotic-loaded bone cement in complicated knee arthroplasty: relevance of gentamicin allergy and benefit from revision surgery — a case control follow-up study and algorithmic approach

ID

Implantation

Manufacturer:

model

Alloy

Allergy

history

Symptoms

Patch

test

JR→WU

JR→RS

§

WU→FU

£

KOOS

Diff ‡

1

Apr 04, 2008

Zimmer:

Protasul

CoCroMo

(incl. Ni+)

none

JP, Sw, JE, LA

Genta

28

33

56

+ 62.1

2

Apr 09, 2009

DePuy:

LCS

CoCroMo

(incl. Ni+)

FA

JP, LA

Genta

19

22

54

+ 18.9

3

Apr 22, 2010

Smith and Nephew:

Genesis II

CoCroMo

(incl. Ni+)

FA

JP, Sw, JE, LA

Genta

11

15

52

+ 07.6

4

Jul 02, 2010

DePuy:

PFC

CoCroMo

(incl. Ni+)

FA

JP, Sw, JE, LA

Genta

13

17

45

+ 68.9

5

Apr 12, 2011

DePuy:

PFC

CoCroMo

(incl. Ni+)

AR, ARM

JP, Sw, Er, Ec, LA

Genta

4

no rev

45

+ 11.3

6

Mar 28, 2010

Biomet Oxford:

Vanguard

CoCroMo

(incl. Ni+)

AR, AA, AE

Sw, JE

Genta

19

no rev

43

− 04.6

7

Jan 21, 2011

Zimmer:

INNEX

CoCroMo

(incl. Ni+)

none

JP, Sw, LA

Genta

14

18

37

+ 33.4

8

Feb 28, 2011

DePuy:

PFC

CoCroMo

(incl. Ni+)

none

JP, Sw

Genta

13

17

37

+ 19.2

9

Feb 18, 2011

DePuy:

PFC

CoCroMo

(incl. Ni+)

none

Sw, LA

Genta

16

no rev

35

+ 01.5

10

Aug 06, 2009

Endoplant:

Solution EPP

CoCroMo

(incl. Ni+)

AR, AA, AE, FA

JP, Sw, LA

Genta

35

38

33

− 14.4

11

Sep 16, 2011

DePuy:

PFC

CoCroMo

(incl. Ni+)

none

JP, Ec, JE, LA

Genta, BPO

13

no rev

31

+ 03.8

12

Sep 09, 2008

DePuy:

LCS

CoCroMo

(incl. Ni+)

AR, ARM, FA

JP, Sw, LA

Ni, Genta

53

no rev

26

+ 56.0

13

Aug 20, 2012

Stryker:

Triathlon

CoCroMo

(incl. Ni+)

ARM

JP, Ec, JE, LA

Genta

6

no rev

26

+ 28.8

14

Aug 26, 2011

Zimmer:

INNEX

CoCroMo

(incl. Ni+)

FA

JP, Sw, JE, LA

Genta

19

27

25

+ 03.7

15

Jun 06, 2012

Zimmer:

Nexgen

CoCroMo

(incl. Ni+)

ARM

JP, Sw, JE, LA

Ni, Genta

12

15

23

+ 16.7

  1. †Interval between primary implantation of joint replacement (JR) and allergy work-up (WU) in months
  2. §Interval between primary implantation of joint replacement (JR) and revision surgery (RS) in months
  3. £Interval between allergy work-up (WU) and follow-up (FU) in months
  4. ‡Individual KOOS index difference (absolute change)