Two-stage TKA for tuberculosis septic arthritis of the knee masquerading as pigmented villonodular synovitis: A case report.

Autor: Samade R; Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States., Voskuil RT; Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States., Scharschmidt TJ; Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States. Electronic address: thomas.scharschmidt@osumc.edu.
Jazyk: angličtina
Zdroj: The Knee [Knee] 2022 Oct; Vol. 38, pp. 30-35. Date of Electronic Publication: 2022 Jul 21.
DOI: 10.1016/j.knee.2022.07.003
Abstrakt: A 25-year-old female presented with left knee pain following arthroscopic synovectomy for presumed pigmented villonodular synovitis (PVNS). Radiographs and magnetic resonance imaging demonstrated tricompartmental arthritic changes. She underwent a two-stage procedure first involving antibiotic spacer implantation, followed 1 week later by spacer removal and definitive total knee arthroplasty (TKA) once initial intraoperative culture results were negative. Subsequent cultures confirmed tuberculosis septic arthritis. Repeat evaluation 1 year postoperatively showed no complications and patient satisfaction with left knee function. This is a unique case report in the United States describing 1-year outcomes following staged TKA for tuberculosis septic arthritis masquerading as PVNS.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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