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Suggest Alternative To Cement Used In Knee Replacment Surgery

Posted on Tue, 24 Jun 2014

Question: My mother has a very sensative immune system she will be having knee replacment surgery. They have found a replacment knee that her body is not allergic to but she is allergic to the cement (glue)? that is used : 2-hydroxyethyl methacrylate and methy methacrylate. what can be used instead of these? She lives in Turkey and the University is doing her surgery but they do not have a subsitute for this. I must know asap and if I can get it where do i get it from? Thank you

Answered by Dr. Vaibhav Gandhi (9 hours later)

Brief Answer:
Allergy to cement is contra-indication-4-cement TK

Detailed Answer:
Hello,

I have studied your case.

Allergy to cement is contra-indication for cemented Total knee Replacement
All brands of cement contain 2-hydroxyethyl methacrylate and methyl methacrylate as one of there contains.
So I will advise to use uncemented total knee implant consulting your treating surgeon.

Also make efforts to improve her immune system by herbs and fresh food.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaibhav Gandhi (11 hours later)

Thank you which knee implant is the best non alergenic? I live near Stanford University do you know of any special knee impants that are being tested?

Answered by Dr. Vaibhav Gandhi (28 minutes later)

Brief Answer:
Explained below

Detailed Answer:
Hello again,
You can use uncemented e.motion knee prosthesis (Aesculap, Tuttlingen, Germany) consulting your operating surgeon.
It has good results in whom cement cannot be used.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaibhav Gandhi (1 hour later)

Thank you kindly, I will let her doctor see this....

Answered by Dr. Vaibhav Gandhi (10 hours later)

Brief Answer:
Welcome

Detailed Answer:
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaibhav Gandhi (3 days later)

Morning Dr. XXXXXXX I forgot to tell you that the patient has osteoperosis and the first prostesis came loose is the one you recomended from Germany ok to use, if she has this condition?

Thank you

Answered by Dr. Vaibhav Gandhi (12 hours later)

Brief Answer:
Explained below

Detailed Answer:
Hello again,

Due to osteoporosis chances of uncemented implant becoming loose will increase.

You need to discuss with your surgeon regarding balance of osteoporosis and uncemented implant.

Clinical evaluation and stage of osteoporosis is important for decision making.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar