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

Richard Samade; Ryan T. Voskuil; Thomas J. Scharschmidt

doi:10.1016/j.knee.2022.07.003

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

Richard Samade, Ryan T. Voskuil, Thomas J. Scharschmidt

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	30-35
Number of pages	6
Journal	Knee
Volume	38
DOIs	https://doi.org/10.1016/j.knee.2022.07.003
State	Published - Oct 2022
Externally published	Yes

Keywords

Antibiotic spacer
Knee outcomes
Pigmented villonodular synovitis
Septic arthritis
Total knee arthroplasty
Tuberculosis

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.knee.2022.07.003

Cite this

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

abstract = "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.",

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

Abstract

Keywords

ASJC Scopus subject areas

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