Gout After Total Knee Arthroplasty

Crystalline arthropathies are well-known pathologies in a native knee; however, the literature is scarce with regards to crystalline arthropathies in a total knee arthroplasty (TKA). The presentation of crystalline arthropathy in a TKA can be similar to a periprosthetic joint infection (PJI), making...

Full description

Saved in:
Bibliographic Details
Published in:Arthroplasty today 2020-06, Vol.6 (2), p.278-282
Main Authors: Chernoff, Daniel J., Barker, Jordan P., Wingerter, Scott A., Shriwise, Thomas L.
Format: Article
Language:English
Subjects:
Case Report
Crystalline arthropathy
Gout
Periprosthetic joint infection
Pseudogout
TKA
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Crystalline arthropathies are well-known pathologies in a native knee; however, the literature is scarce with regards to crystalline arthropathies in a total knee arthroplasty (TKA). The presentation of crystalline arthropathy in a TKA can be similar to a periprosthetic joint infection (PJI), making it difficult to distinguish between the 2 diagnoses. We present 1 case highlighting the similarity between crystalline arthropathy and PJI. A 71-year-old man with a history of bilateral TKAs presented with bilateral painful knee effusions and was initially presumed to have PJIs; however, he was later diagnosed with gout and successfully treated medically. A complete review of the literature demonstrates that crystalline arthropathies after TKA are infrequently reported and can be difficult to decipher from PJIs, and there is a lack of standardized treatment.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2020.03.003