Lee Chia-Lin, Wei Yeou-Sheng, Ho Yuh-Jiun, Lee Chian-Her
Orthopaedics Division, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, ROC.
Knee. 2009 Jan;16(1):87-9. doi: 10.1016/j.knee.2008.09.006. Epub 2008 Oct 30.
The tuberculosis prosthetic joint infection is a rare complication. We reported a case of tuberculosis prosthetic joint infection following total knee arthroplasty, and the infection was controlled without the removal of implant with the anti-tuberculosis drugs for 12 months and there has been no evidence of recurrence. Although the tuberculosis prosthetic joint infection is few of all prosthetic joint infection, early appropriate treatment can make good result without the removal of implant. This case appeared to be an early postoperative tuberculosis infection in a patient with no prior history of tuberculosis and hence conclusion could be made that early postoperative tuberculosis infection after total knee arthroplasty may occur in a patient with no prior history of exposure to tuberculosis.
结核性人工关节感染是一种罕见的并发症。我们报告了一例全膝关节置换术后发生结核性人工关节感染的病例，通过使用抗结核药物治疗12个月，感染得到控制，且未取出植入物，目前没有复发迹象。尽管结核性人工关节感染在所有人工关节感染中占比很少，但早期进行适当治疗可在不取出植入物的情况下取得良好效果。该病例似乎是一名既往无结核病史患者术后早期发生的结核感染，因此可以得出结论，全膝关节置换术后早期结核感染可能发生在无结核接触史的患者身上。
