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Total knee arthroplasty for tuberculous arthritis
1Department of Orthopedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
The Journal of Bone and Joint Surgery. American Volume
|October 1, 1988
Summary
Total knee arthroplasty effectively treated tuberculous arthritis in knees, significantly improving function. While infection recurrence occurred in some cases, it was manageable with further treatment, demonstrating the procedure
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Rheumatology
Background:
- Tuberculous arthritis of the knee is a challenging condition requiring effective treatment strategies.
- Total knee arthroplasty (TKA) is a potential option for managing advanced tuberculous arthritis.
Purpose of the Study:
- To evaluate the outcomes of total knee arthroplasty in patients with tuberculous arthritis.
- To assess functional improvement and complication rates following TKA for knee tuberculosis.
Main Methods:
- Nineteen patients (22 knees) with tuberculous arthritis underwent total knee arthroplasty.
- Prostheses were implanted with cement (4 knees) or without cement (18 knees).
- Follow-up ranged from 24 to 49 months, with pre-operative and post-operative assessments.
Main Results:
- Significant functional improvement was observed, with mean functional rating increasing from 39 to 83 points.
- No prosthetic component loosening occurred.
- Recurrent active tuberculous infection led to arthrodesis in one patient; two others had manageable recurrences.
Conclusions:
- Total knee arthroplasty can yield favorable functional outcomes in tuberculous arthritis of the knee.
- Careful patient selection and management are crucial due to the risk of infection recurrence.
- TKA may be a viable surgical option for selected patients with knee tuberculosis.