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Case Reports
. 2020 Apr 8;6(2):278-282.
doi: 10.1016/j.artd.2020.03.003. eCollection 2020 Jun.

Gout After Total Knee Arthroplasty

Daniel J Chernoff  1 , Jordan P Barker  1 , Scott A Wingerter  1 , Thomas L Shriwise  1
Affiliations
Case Reports

Gout After Total Knee Arthroplasty

Daniel J Chernoff et al. Arthroplast Today. .

Abstract

Crystalline arthropathies are well-known pathologies in a native knee; however, the literature is scarce with regards to crystalline arthropathies in a total knee arthroplasty (TKA). The presentation of crystalline arthropathy in a TKA can be similar to a periprosthetic joint infection (PJI), making it difficult to distinguish between the 2 diagnoses. We present 1 case highlighting the similarity between crystalline arthropathy and PJI. A 71-year-old man with a history of bilateral TKAs presented with bilateral painful knee effusions and was initially presumed to have PJIs; however, he was later diagnosed with gout and successfully treated medically. A complete review of the literature demonstrates that crystalline arthropathies after TKA are infrequently reported and can be difficult to decipher from PJIs, and there is a lack of standardized treatment.

Keywords: Crystalline arthropathy; Gout; Periprosthetic joint infection; Pseudogout; TKA.

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Figures

Figure 1
Figure 1
(a) anteroposterior and (b) lateral radiographs of the left knee at the time of presentation.
Figure 2
Figure 2
(a) anteroposterior and (b) lateral radiographs of the right knee at the time of presentation.
See this image and copyright information in PMC

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