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Allergic Dermatitis After Total Knee Arthroplasty Using the Prineo Wound-Closure Device

A Report of Three Cases

Chan, Ferdinand J., MD1,a; Richardson, Kyle, BA1; Kim, Sun Jin, MD1

doi: 10.2106/JBJS.CC.17.00064
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Case: Three patients who underwent uncomplicated total knee arthroplasty with use of the Prineo (Ethicon) wound-closure system had development of allergic contact dermatitis. All patients were started on Keflex (cephalexin), and two were started on topical corticosteroid. In all patients, the reaction resolved within weeks.

Conclusion: To our knowledge, the present report describes the first case series of patients in whom allergic contact dermatitis developed in association with the use of the Prineo wound-closure system during orthopaedic procedures. The presentation can range from blistering to erythematous papules and vesicles to crusted plaques that resolve with Keflex and topical corticosteroid cream.

1Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York

aE-mail address for F.J. Chan: fchan@montefiore.org

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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