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

被引:1
作者
Samade, Richard [1 ]
Voskuil, Ryan T. [1 ]
Scharschmidt, Thomas J. [1 ]
机构
[1] Ohio State Univ, Dept Orthopaed, Wexner Med Ctr, Columbus, OH 43210 USA
关键词
Antibiotic spacer; Knee outcomes; Pigmented villonodular synovitis; Septic arthritis; Total knee arthroplasty; Tuberculosis; EXTRAPULMONARY TUBERCULOSIS; ACTIVE TUBERCULOSIS; ARTHROPLASTY; PREVALENCE; INFECTION;
D O I
10.1016/j.knee.2022.07.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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. (C) 2022 Elsevier B.V. All rights reserved.
引用
收藏
页码:30 / 35
页数:6
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