Eczematous dermatitis of knees after bilateral total knee replacement: A rare cause.

SKINTED (Surgery of the knee, injury to the infrapatellar branch of the saphenous nerve, traumatic eczematous dermatitis) is a form of denervation dermatitis that occurs after total knee replacement (TKR). It is characterised by a delayed onset, localisation lateral to the surgical scar and associated hypoaesthesia. It is important to distinguish SKINTED from hypersensitivity to the implant which can also cause delayed eczematous reactions near the implant site. SKINTED has a good prognosis with resolution in a few months, while hypersensitivity to implant material has been associated with persistent eczema, systemic contact dermatitis and implant failure.

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