Atlanta Bone and Joint Specialists
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    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
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      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
      • Elissa Ricker, PA-C
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        • Revision Knee Replacement
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        • Metal on Metal Hip Problems
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        • Rotator Cuff Tears
        • SLAP Tears
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        • Meniscus Tears
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      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
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    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
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      • Distal Radius Fracture
      • Ankle Fractures
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    • Learning Center
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    • Video
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      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • How to Prepare and What to Expect Knee Surgery
    • Blog
  • Español
  • Online Scheduling
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
      • Elissa Ricker, PA-C
  • Locations
  • Appointments
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Decatur
        • Loganville >
          • Meagan
        • Snellville >
          • Cheryl
      • Billing & Collections >
        • Maurice Jové, M.D. >
          • Buffie
        • Nathan Jové, M.D. >
          • Mayra
          • Makenzie
        • Jeff Traub, M.D. >
          • Jennifer
          • Liz
      • Scheduling >
        • Jeff Traub, M.D. >
          • Andrea
        • Maurice Jové, M.D. >
          • Rachael
        • Nathan Jové, M.D. >
          • Lindsay
        • Brian Vanderhoof, D.O. >
          • Megan
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Oscar
      • Medical Records >
        • Team
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Arthritis Center >
        • Arthritis 101
      • Hip >
        • Anterior Hip Replacement
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
        • Reverse Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Knee Replacement
        • Revision Hip Replacement Surgery
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
        • Patella (Kneecap) Instability
        • Patella (Kneecap) Dislocation
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • EMG
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • How to Prepare and What to Expect Knee Surgery
    • Blog
  • Español
  • Online Scheduling

Metal Sensitivity and Nickel Allergy

Have a knee that is hurting?  Has your doctor worked you up for a metal allergy?  Is your surgeon an advanced surface technology surgeon?
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Metal Sensitivity and Nickel Allergy

For years, surgeons have known that metal sensitivity can occur after total knee replacement.  It can lead to a dissatisfied patient who has a loss of function.  Our surgeons use advance surface technology to treat total knees that fail from metal sensitivity.  With more patients getting total joint replacements, why add another risk factor to have a failure. 

Currently, data shows that Nickel has the highest rate of allergic reaction, with up to 10% of the population having this allergy.  Less common allergic reactions have been seen to Cobalt and Chrome.  Where other surgeons may not know, our surgeons all offer the capability of doing the newest advanced surfaces to help keep you and your knee with a piece of mind.
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Metal sensitivty can be seen on the skin after a total knee replacement in an implant that contains nickel

Testing and Diagnosis

There are various ways to test for Nickel allergy.  The first is to look at the clinical exam and laboratory findings.  An ESR and CRP blood work panel must be performed to rule out an infection of the joint.  If this is negative or if all testing for joint infection return negative, the next thing to do metal allergy testing.  This is usually done with a cutaenous skin patch test, as seen on the image on the right.  When looking closely, one can see that in the top left corner, there is a positive reaction to nickel.
Picture
A cutaneous skin patch test showing a nickel allergy in a patient with a total knee replacement that caused residual pain.

Treatment

Once the appropriate diagnosis is made, a revision knee replacement will likely have to be performed.  Currently, there are only a select group of companies who carry implants that are possible to use in this revision scenario.  While diagnosis may take a long time, our surgeons are all trained in using the advanced surfaces to prevent metal and nickel sensitivity problems from occuring again.  Call us today to meet our surgeons and discuss your options today!
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Knee replacement technology to limit metal ion escape and prevent allergic reaction usually due to nickel.

Click on the picture below to be directed to the Advanced Surface Technology brochure!

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Advance Surface Technology Surgeons for Total Knee Replacement and Knee Revision Surgery
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  • Prior blood clot or pulmonary embolus
    • the #1 predictor of having another clot
  • Factor 5 Leiden
  • Von Willdebrands disease
  • Venous Statsis
  • Extensive immobilization after surgery
  • Lower Extremity surgery
  • Oral Contraceptive Birth Control

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​Call to Schedule Your Appointment Today
SE HABLA ESPAÑOL!


Office Hours

Mon-Fri: 9AM-5PM  


Telephone

Decatur                             404.296.5005
Loganville                         770.564.3393
Snellville                           770.985.9330

High School Football Season Added Coverage Hours

Saturdays During High School Football Season
Injury Clinic is for INJURED PLAYERS ONLY.
Snellville
ONLY.
9AM-10AM

MEDIA ROOM