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Systemic Nickel Allergy after Internal Fixation of a Bunionectomy
Affiliation:1. Third Year Podiatric Medicine and Surgical Resident, Podiatry Department, New York Community Hospital, Brooklyn, NY;2. Division of Podiatry, Department of Orthopaedic Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY;1. Research Fellow, Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY;2. Orthopaedic Resident, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY;3. Orthopaedic Surgeon, United States Air Force, Landstuhl Regional Medical Center, Landstuhl, Germany;4. Orthopaedic Trauma Fellow, Harborview Medical Center, Seattle, WA;5. Director, Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY;6. Associate Director, Orthopaedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, New York, NY;1. Department of Mechanical Engineering, The University of Western Australia, Perth, WA, 6009, Australia;2. School of Mechanical Engineering, Universiti Sains Malaysia, 14300, Seberang Perai Selatan, Malaysia;3. School of Civil Engineering, Guangzhou University, Guangzhou, 510006, China;1. Director, Foot and Ankle Surgical Residency Program, Regions Hospital and HealthPartners Institute for Education and Research, St. Paul, MN;2. Chief Resident, Department of Foot and Ankle Surgery, Regions Hospital and HealthPartners Institute for Education and Research, St. Paul, MN;1. Foot and Ankle Orthopaedic Fellow, Cappagh National Orthopaedic Hospital, Dublin, Ireland;2. Orthopaedic Senior House Officer, Waterford Regional Hospital, Dublin, Ireland;3. Orthopaedic Senior House Officer, Mater Misercordiae Hospital, Dublin, Ireland;4. Orthopaedic Specialist Registrar, Cappagh National Orthopaedic Hospital, Dublin, Ireland;5. Consultant Orthopaedic Surgeon, Cappagh Hospital and Mater Misercordiae Hospital, Dublin, Ireland
Abstract: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.
Keywords:bunion deformity  chevron osteotomy  delayed hypersensitivity reaction  prednisone  screw removal  stainless steel
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