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  • Title: Tuberculosis joint infection following total knee arthroplasty.
    Author: Wolfgang GL.
    Journal: Clin Orthop Relat Res; 1985 Dec; (201):162-6. PubMed ID: 4064400.
    Abstract:
    Delayed onset tuberculosis infection appeared in a total knee implant in a 61-year-old former coal miner. After a five-day interval the knee was salvaged by removal, aggressive debridement, suction-irrigation, and reinsertion. Antituberculosis drugs were administered immediately following surgery on the basis of the characteristic exudate and stat histologic sections showing granulomata formation. At one year follow-up examination the result was excellent. Retention of the total knee implant is a viable alternative to arthrodesis or fibrous ankylosis of the knee in such a case. Tuberculosis should be included in the differential diagnosis in patients with knee joint degenerative disease.
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