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Postoperative Lyme Arthritis in the Orthopaedic Patient.
Matthew C Hess1, Zachary Devilbiss1, Garry Wai Keung Ho1,2,3,4
1VCU-Fairfax Family Practice Sports Medicine Fellowship Program, Fairfax, Virginia.
Postoperative Lyme arthritis is a rare complication of Lyme disease, the most common tick-borne illness. Clinicians in endemic areas should consider this diagnosis for patients with joint pain after surgery.
Area of Science:
- Medical research
- Infectious disease epidemiology
Background:
- Lyme disease is a prevalent tick-borne illness in North America and Europe.
- Lyme arthritis is a common late manifestation, particularly in the US.
- Postoperative Lyme arthritis is an infrequently reported complication.
Purpose of the Study:
- To review reported cases of Lyme arthritis as a postoperative complication.
- To raise awareness among clinicians in endemic regions.
- To propose a diagnostic algorithm for suspected postoperative Lyme arthritis.
Main Methods:
- Literature search of the PubMed database (up to June 2018).
- Inclusion of English-language articles.
- Clinical review methodology (Level 3 evidence).
Main Results:
- Only 5 cases of postoperative Lyme arthritis were identified in the literature.
- This highlights the rarity but potential significance of this complication.
Conclusions:
- Healthcare providers in Lyme-endemic areas must consider Lyme arthritis in postoperative patients with joint issues.
- A systematic approach is needed for diagnosing potential postoperative Lyme arthritis.
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