ISSN: 2161-1149 (Printed)
+44-77-2385-9429
Department of Surgery, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
Case Report
Unusual Presentation of Tuberculous Arthritis Diagnosed after Total Knee Replacement
Author(s): Jaffer M* and Opondo E
Introduction: The use of TKA to treat active joint tuberculosis remains controversial and most orthopedic surgeons would advise against it in cases with active tuberculosis (TB). Skeletal tuberculosis is an uncommon infection that accounts for approximately 2% of all musculoskeletal tuberculosis.
Methods: This case reported is of a 36 years old male diagnosed to have knee tuberculosis after suffering with progressive symptomatic arthropathy for 4 years with multiple attempts to detect extrapulmonary TB found negative. He then had a TKA which histopathologically confirmed the through only a positive ZN stain on the synovial tissue. This treatment has led to a reduction in pain, excellent range of motion and no reactivation of TB. He had initially been diagnosed to have pillonodularsynovitis on two biopsies and treatment geared toward the same.. View More»
DOI:
10.35248/2161-1149.20.10.266