Introduction: Tuberculosis of the knee joint is not very much common. It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Diagnosis of TB knee is difficult because the clinical features are not typical. Ligaments reconstruction, meniscus surgery and many other procedures can successfully be done by arthroscopy in knee joint. Aim of the study: The aim of this study was to evaluate the incidence, clinical and laboratory findings and assess the treatment outcome of post arthroscopy MTB infections of the knee joint. Methods: This cross-sectional study was conducted in Ibn Sina Knee Centre, Dhaka and Northern International Medical College Hospital, Dhaka, Bangladesh during the period from February 2015 to January 2020. Purposive sampling technique used in the selection of the study patients. Somehow we selected 7 patients for the study with unusual presentations of night cries after arthroscopic procedures. Statistical data were analysed by MS-Excel 2016. Result: We describe 7 cases of isolated MTB infection after arthroscopic procedures in immuno-competent patients as study people for our inquiry. Almost all the study patients 6 (85.71%) treated by anti- TB drugs and 1 (14.29%) treated with MDR-TB drug. Almost all patients 6 (85.71%) had gain excellent results and 1 (14.29%) had good results. So we found a satisfactory result in the post arthroscopy tuberculosis of the knee joint with this treatment. Conclusion: We found Mycobacterium Tuberculosis (MTB) infection as a complication after arthroscopic procedures like anterior cruciate ligament (ACL) reconstruction and or meniscus surgery of the knee joint.
| Published in | Journal of Surgery (Volume 9, Issue 1) |
| DOI | 10.11648/j.js.20210901.14 |
| Page(s) | 22-26 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Post-arthroscopy, Anterior Cruciate Ligament (ACL), Septic Arthritis, Mycobacterium Tuberculosis (MTB), TB Knee
| [1] | Williams RJ III, Laurencin, CT, Warren RF, Speciale LC, Brause BD, O’brien S. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction; Diagnosis and management. Am J Sports Med 1997; 25; 261-267. |
| [2] | McAllister DR, Parker RD, Cooper AE, Recht MP, Abate J, Outcomes of postoperative septic arthritis after anterior cruciate ligament reconstruction. Am J Sports Med 1999; 27; 562-570. |
| [3] | Tongel VA, Stuyck J, Bellemans J, Vandenneucker H. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction. Retrospective analysis of incidence, management and outcomes. Am J Sports Med 2007; 35; 1059-1063. |
| [4] | Abdel-Aziz A, Radwan YA, Rizk A. Multiple arthroscopic debridement and graft retention in septic knee arthritis after ACL reconstruction: a prospective case-control study. Int Orthop 2014; 38: 73-82. |
| [5] | Barker JU, Drakos MC, Maak TG, Warren RF, Williams RJ, Allen AA. Effect of graft selection on the incidence of postoperative infection in anterior cruciate ligament reconstruction. Am J Sports Med 2010; 38: 281-286. |
| [6] | Bauer T, Boisrenoult P, Jenny J-Y. Post-arthroscopy septic arthritis: Current data and practical recommendations. Orthop Traumatol Surg Res 2015; 101: S347-350. |
| [7] | Benner RW, Shelbourne KD, Freeman H. Infections and patellar tendon ruptures after anterior cruciate ligament reconstruction: a comparison of ipsilateral and contralateral patellar tendon autografts. Am J Sports Med 2011; 39: 519-525. |
| [8] | Bostrom Windhamre H, Mikkelsen C, Forssblad M, Willberg L. Postoperative septic arthritis after anterior cruciate ligament reconstruction: does it affect the outcome? A retrospective controlled study. Arthroscopy 2014; 30: 1100-1109. |
| [9] | Judd D, Bottoni C, Kim D, Burke M, Hooker S. Infections following arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 2005; 22: 375-384. |
| [10] | Maletis GB, Inacio MCS, Reynolds S, Desmond JL, Maletis MM, Funahashi TT. Incidence of postoperative anterior cruciate ligament reconstruction infections: graft choice makes a difference. Am J Sports Med 2013; 41: 1780-1785. |
| [11] | Monaco E, Maestri B, Labianca L, Speranza A, Vadalà A, Iorio R, Ferretti A. Clinical and radiological outcomes of postoperative septic arthritis after anterior cruciate ligament reconstruction. J Orthop Sci 2010; 15: 198-203. |
| [12] | Schollin-Borg M, Michaëlsson K, Rahme H. Presentation, outcome, and cause of septic arthritis after anterior cruciate ligament reconstruction: a case control study. Arthroscopy 2003; 19: 941-947. |
| [13] | Schulz AP, Götze S, Schmidt HGK, Jürgens C, Faschingbauer M. Septic arthritis of the knee after anterior cruciate ligament surgery: a stage-adapted treatment regimen. Am J Sports Med 2007; 35: 1064-1069. |
| [14] | Schuster P, Schulz M, Immendoerfer M, Mayer P, Schlumberger M, Richter J. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: evaluation of an arthroscopic graft-retaining treatment protocol. Am J Sports Med 2015; 43: 3005-3012. |
| [15] | Sonnery-Cottet B, Archbold P, Zayni R, Bortolletto J, Thaunat M, Prost T, Padua VB, Chambat P. Prevalence of septic arthritis after anterior cruciate ligament reconstruction among professional athletes. Am J Sports Med 2011; 39: 2371-2376. |
| [16] | Viola R, Marzano N, Vianello R. An unusual epidemic of Staphylococcus-negative infections involving anterior cruciate ligament reconstruction with salvage of the graft and function. Arthroscopy 2000; 16: 173-177. |
| [17] | Wang C, Ao Y, Wang J, Hu Y, Cui G, Yu J. Septic arthritis after arthroscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, presentation, treatment, and cause. Arthroscopy 2009; 25: 243-249. |
| [18] | Indelli PF, Dillingham M, Fanton G, Schurman DJ, Septic arthritis in postoperative anterior cruciate ligament reconstruction. Clin Orthop Relat Res 2002: 182-188. |
| [19] | World Health Organization, Tuberculosis in South-East Asia Region. 31/10/2020 https://www.who.int/bangladesh/health-topics/tuberculosis. |
| [20] | Hira LN, Devdatta SN, Nataraj AR, Chandra SY. Tubercular Infection After Arthroscopic Anterior Cruciate Ligament Reconstruction. The Journal of Arthroscopic and Related Surgery. 25: 131-136, February 2009. |
| [21] | Diagnosis of TB. National Guidelines and Operational Manual for Tuberculosis Control. 5th edition. Page no: 10. |
| [22] | Park DY, Kim JY, Choi KU et al. Comparison of polymerase chain reaction with histopathologic features for diagnosis of tuberculosis in formalin-fixed, paraffin-embadded histologic specimens. Arch Pathol Lab Med 2003; 127: 326-330. |
| [23] | Kurokouchi K, Takahashi S, Yamada T, Yamamoto H. Methillin-resistant Staphylococcus aureus-induced septic arthristis after anterior cruciate ligament reconstruction. Arthroscopy 2008; 615-617. |
| [24] | Allianatos PG Tilentzoliou AC, Koutsoukou AD. Septic arthristis caused by Erysipelothrix rhusiopathiae infection after arthroscopically assisted anterior cruciate ligament reconstruction. Arthroscopy 2003; 19: 26e. |
| [25] | Farooq AH, Dabke HV, Majeed MA, Carbarns NJ, Mackie IG. Clostridial wound infection following reconstraction of anterior cruciate using bone patella bone autograft, J Coll Physoicians Surg Pak 2007; 17: 369-370. |
| [26] | Titov AG, Vyshevskaya EB, Mazurenko SI, Santavirta S, Konttinen YT. Use of Polymerase chain reaction to diagnose tuberculous arthristis from joint tissues and synovial fluid. Pathol Lab Med 2004; 128: 205-209. |
| [27] | Torres-Claramunt R, Pelfort X, Erquicia J, Gil-González S, Gelber PE, Puig L, Monllau JC. Knee joint infection after ACL reconstruction: prevalence, management and functional outcomes. Knee Surg Sports Traumatol Arthrosc 2013; 21: 2844-2849. |
| [28] | Gille J, Gerlach U, Oheim R, Hintze T, Himpe B, Schultz AP. Functional outcome of septic arthritis after anterior cruciate ligament surgery. Int Orthop 2015; 39: 1195-1201. |
| [29] | Balato G, Di Donato SL, Ascione T, D'Addona A, Smeraglia F, Di Vico G, Rosa D. Knee Septic Arthritis after Arthroscopy: Incidence, Risk Factors, Functional Outcome, and Infection Eradication Rate. Joints 2017; 28: 107-113. |
| [30] | Balato G, Ascione T, Rosa D, Pagliano P, Solarino G, Moretti B, Mariconda M. Release of gentamicin from cement spacers in two-stage procedures for hip and knee prosthetic infection: an in vivo pharmacokinetic study with clinical follow-up. J Biol Regul Homeost Agents 2015; 29: 63-72. |
APA Style
Wakil Ahmed, Zinat Rehana Shipu, Md. Fazlul Haque Qasem, Md. Abu Awal Shameem, Shah Muhammad Aman Ullah. (2021). Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome. Journal of Surgery, 9(1), 22-26. https://doi.org/10.11648/j.js.20210901.14
ACS Style
Wakil Ahmed; Zinat Rehana Shipu; Md. Fazlul Haque Qasem; Md. Abu Awal Shameem; Shah Muhammad Aman Ullah. Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome. J. Surg. 2021, 9(1), 22-26. doi: 10.11648/j.js.20210901.14
AMA Style
Wakil Ahmed, Zinat Rehana Shipu, Md. Fazlul Haque Qasem, Md. Abu Awal Shameem, Shah Muhammad Aman Ullah. Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome. J Surg. 2021;9(1):22-26. doi: 10.11648/j.js.20210901.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20210901.14,
author = {Wakil Ahmed and Zinat Rehana Shipu and Md. Fazlul Haque Qasem and Md. Abu Awal Shameem and Shah Muhammad Aman Ullah},
title = {Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome},
journal = {Journal of Surgery},
volume = {9},
number = {1},
pages = {22-26},
doi = {10.11648/j.js.20210901.14},
url = {https://doi.org/10.11648/j.js.20210901.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210901.14},
abstract = {Introduction: Tuberculosis of the knee joint is not very much common. It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Diagnosis of TB knee is difficult because the clinical features are not typical. Ligaments reconstruction, meniscus surgery and many other procedures can successfully be done by arthroscopy in knee joint. Aim of the study: The aim of this study was to evaluate the incidence, clinical and laboratory findings and assess the treatment outcome of post arthroscopy MTB infections of the knee joint. Methods: This cross-sectional study was conducted in Ibn Sina Knee Centre, Dhaka and Northern International Medical College Hospital, Dhaka, Bangladesh during the period from February 2015 to January 2020. Purposive sampling technique used in the selection of the study patients. Somehow we selected 7 patients for the study with unusual presentations of night cries after arthroscopic procedures. Statistical data were analysed by MS-Excel 2016. Result: We describe 7 cases of isolated MTB infection after arthroscopic procedures in immuno-competent patients as study people for our inquiry. Almost all the study patients 6 (85.71%) treated by anti- TB drugs and 1 (14.29%) treated with MDR-TB drug. Almost all patients 6 (85.71%) had gain excellent results and 1 (14.29%) had good results. So we found a satisfactory result in the post arthroscopy tuberculosis of the knee joint with this treatment. Conclusion: We found Mycobacterium Tuberculosis (MTB) infection as a complication after arthroscopic procedures like anterior cruciate ligament (ACL) reconstruction and or meniscus surgery of the knee joint.},
year = {2021}
}
TY - JOUR T1 - Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome AU - Wakil Ahmed AU - Zinat Rehana Shipu AU - Md. Fazlul Haque Qasem AU - Md. Abu Awal Shameem AU - Shah Muhammad Aman Ullah Y1 - 2021/01/30 PY - 2021 N1 - https://doi.org/10.11648/j.js.20210901.14 DO - 10.11648/j.js.20210901.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 22 EP - 26 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20210901.14 AB - Introduction: Tuberculosis of the knee joint is not very much common. It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Diagnosis of TB knee is difficult because the clinical features are not typical. Ligaments reconstruction, meniscus surgery and many other procedures can successfully be done by arthroscopy in knee joint. Aim of the study: The aim of this study was to evaluate the incidence, clinical and laboratory findings and assess the treatment outcome of post arthroscopy MTB infections of the knee joint. Methods: This cross-sectional study was conducted in Ibn Sina Knee Centre, Dhaka and Northern International Medical College Hospital, Dhaka, Bangladesh during the period from February 2015 to January 2020. Purposive sampling technique used in the selection of the study patients. Somehow we selected 7 patients for the study with unusual presentations of night cries after arthroscopic procedures. Statistical data were analysed by MS-Excel 2016. Result: We describe 7 cases of isolated MTB infection after arthroscopic procedures in immuno-competent patients as study people for our inquiry. Almost all the study patients 6 (85.71%) treated by anti- TB drugs and 1 (14.29%) treated with MDR-TB drug. Almost all patients 6 (85.71%) had gain excellent results and 1 (14.29%) had good results. So we found a satisfactory result in the post arthroscopy tuberculosis of the knee joint with this treatment. Conclusion: We found Mycobacterium Tuberculosis (MTB) infection as a complication after arthroscopic procedures like anterior cruciate ligament (ACL) reconstruction and or meniscus surgery of the knee joint. VL - 9 IS - 1 ER -
Email: