Wolfgang G L
Clin Orthop Relat Res. 1985 Dec(201):162-6.
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.
一名61岁的 former coal miner（可能是“前煤矿工人”）全膝关节置换术后出现迟发性结核感染。五天后，通过切除、积极清创、冲洗引流及重新植入挽救了膝关节。根据典型渗出物及病理切片显示肉芽肿形成，术后立即给予抗结核药物治疗。随访一年结果良好。在这种情况下，保留全膝关节置换物是膝关节融合术或纤维性强直的可行替代方案。膝关节退行性疾病患者的鉴别诊断应包括结核病。
