Levi Gabriel S, Sadr Kamran, Scuderi Giles R
Department of Orthopaedic Surgery, University of Illinois, Chicago, IL 60612, USA.
Orthop Clin North Am. 2012 Nov;43(5):e59-62. doi: 10.1016/j.ocl.2012.07.009. Epub 2012 Sep 27.
This article presents the clinical features of crystal arthropathy after knee replacement. The current literature on pseudogout and gout after both total and partial knee replacement is summarized. A case of bilateral pseudogout 8 years after initial total knee arthroplasty (TKA) is used to highlight the clinical characteristics and treatment options for this underrecognized condition. Presentation mimicked a late septic joint arthroplasty with sudden onset of pain and effusion. The patient was treated successfully with an arthrotomy, debridement, synovectomy, polyethylene insert exchange, oral steroids, and nonsteroidal anti-inflammatories. There are no other reported cases of bilateral pseudogout after bilateral TKA.
本文介绍了膝关节置换术后晶体性关节病的临床特征。总结了目前关于全膝关节置换和部分膝关节置换后假痛风和痛风的文献。以一例初次全膝关节置换术（TKA）8年后发生双侧假痛风的病例，突出这种未得到充分认识的疾病的临床特征和治疗选择。其表现类似晚期感染性关节置换术，突然出现疼痛和积液。患者通过关节切开术、清创术、滑膜切除术、聚乙烯衬垫置换、口服类固醇和非甾体抗炎药治疗成功。目前尚无双侧TKA术后发生双侧假痛风的其他报道病例。
