Systemic nickel allergy after internal fixation of a bunionectomy.
Allergic reactions to implanted metals have been estimated to occur in 1% to 5% of orthopedic cases. Stainless steel screws, which contain 14% nickel, are commonly used for internal fixation in an array of podiatric procedures. We present a rare case of a systemic allergic reaction to nickel secondary to stainless steel screw fixation in a bunionectomy procedure.
Third Year Podiatric Medicine and Surgical Resident, Podiatry Department, New York Community Hospital, Brooklyn, NY.
Michelle
M
Zhubrak
Division of Podiatry, Department of Orthopaedic Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY. Electronic address: tb124@columbia.edu.
Tzvi
T
Bar-David
D001672:Biocompatible Materials; D001863:Bone Screws / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000209:etiology* / Q000628:therapy*; D020878:Device Removal; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009532:Nickel / Q000009:adverse effects*
D001672:Biocompatible Materials; D009532:Nickel
bunion deformity; chevron osteotomy; delayed hypersensitivity reaction; prednisone; screw removal; stainless steel