Marmor Meir, Parnes Nata, Dekel Shmuel
Department of Orthopedic Surgery B, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
J Arthroplasty. 2004 Apr;19(3):397-400. doi: 10.1016/j.arth.2003.10.015.
The incidence of osteoarticular tuberculosis in the knee and other joints is increasing. Three cases of active tuberculous infection in the presence of a total knee prosthesis are presented. The pathology was not diagnosed until the prosthesis had been removed in 2 patients. They underwent antituberculous therapy and revision arthroplasty. In the third patient, the diagnosis was made early. Antituberculous therapy was begun immediately, and the original prosthesis was retained. Good long-term results were achieved in all 3 cases.
膝关节及其他关节骨结核的发病率正在上升。本文报告了3例全膝关节置换术后出现活动性结核感染的病例。其中2例患者直到取出假体后才确诊病理情况。他们接受了抗结核治疗并进行了关节置换翻修手术。在第3例患者中，早期即做出了诊断。立即开始抗结核治疗，并保留了原假体。所有3例患者均取得了良好的长期效果。
