Tuberculosis of Knee

Tuberculosis of the knee

Extrapulmonary manifestations of tuberculosis are reported in less than one in five cases with the knee affected in 8% after the spine and hip. We report a case of isolated highly erosive tuberculosis of the knee presenting in a previously fit Vietnamese woman. The difficulties of diagnosis, modalities of chemotherapeutic management, and surgical treatment are discussed.

Treatment of Tuberculosis of the Knee.

A FEW general observations are pertinent before considering the treatment of tuberculosis of the knee in its different clinical manifestations. 1. Tuberculosis of a joint implies that blood-stream dissemination following primary infection has occurred. Full investigation of the patient with regard to the lungs, the urine and other bones and joints is therefore essential. 2. Monarticular rheumat...

Tuberculosis of the knee in children.

We reviewed 33 children with tuberculosis of the knee treated during the period from 1979 to 1991. All were treated with triple chemotherapy, using rifampicin, isoniazid and pyrazinamide for nine months. No patient had a synovectomy; surgery was limited to open biopsy or salvage procedures such as posterior release and arthrodesis for late stages of the disease. The radiological appearance of t...

Tuberculosis of the knee complicating seronegative arthritis.

Arthroplasty for old tuberculosis of the knee.

We have reviewed six patients with old tuberculosis of the knee treated by total replacement an average of 35 years after the primary infection. Three patients had no antituberculous prophylaxis and three had drugs for two to three weeks before and three weeks after the operation. One patient with a missed primary diagnosis had a relapse of the tuberculous arthritis 18 months after his arthropl...