Pseudogout After Total Knee Arthroplasty

Abstract We report a case of a patient who presented with signs and symptoms of acute septic arthritis of the knee 9 years after total knee arthroplasty. Thick white purulent fluid was aspirated from the knee. Microscopy of the fluid demonstrated calcium pyrophosphate dihydrate crystals, and no orga...

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Bibliographic Details
Published inThe Journal of arthroplasty Vol. 22; no. 2; pp. 271 - 272
Main Authors Sonsale, P.D., FRCS (Orth), MS, DNB, DOrth, Philipson, M.R., MBChB, MRCS
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2007
Subjects
Aged
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Arthroplasty, Replacement, Knee
Bed Rest
calcium pyrophosphate dihydrate (CPPD) arthropathy
Chondrocalcinosis - diagnosis
Chondrocalcinosis - therapy
Drainage
Female
Humans
Orthopedics
pseudogout
total knee arthroplasty (TKA)
total knee arthroplasty (TKA)
pseudogout
calcium pyrophosphate dihydrate (CPPD) arthropathy
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Summary:Abstract We report a case of a patient who presented with signs and symptoms of acute septic arthritis of the knee 9 years after total knee arthroplasty. Thick white purulent fluid was aspirated from the knee. Microscopy of the fluid demonstrated calcium pyrophosphate dihydrate crystals, and no organisms were cultured. The patient made a rapid recovery after the single aspiration, rest, and nonsteroidal antiinflammatory drugs alone. Eight years after this episode, the patient remains asymptomatic. To the best of our knowledge, no case of calcium pyrophosphate dihydrate arthropathy after total knee arthroplasty has been reported previously.
Bibliography:ObjectType-Case Study-2
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ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2006.10.004