J Bone Joint Surg Br. 1991 Jan;73(1):25-8.

Sensitivity to titanium. A cause of implant failure?

Lalor PA, Revell PA, Gray AB, Wright S, Railton GT, Freeman MA.

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London Hospital Medical College, England.

Abstract

Tissues from five patients who underwent revision operations for failed total hip replacements were found to contain large quantities of particulate titanium. In four cases this metal must have come from titanium alloy screws used to fix the acetabular component; in the fifth case it may also have originated from a titanium alloy femoral head. Monoclonal antibody labelling showed abundant macrophages and T-lymphocytes, in the absence of B-lymphocytes, suggesting sensitisation to titanium. Skin patch testing with dilute solutions of titanium salts gave negative results in all five patients. However, two of them had a positive skin test to a titanium-containing ointment.

PMID:: 1991768; [PubMed - indexed for MEDLINE]

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