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Orthop Clin North Am. 2012 Nov;43(5):e59-62. doi: 10.1016/j.ocl.2012.07.009. Epub 2012 Sep 27.

Bilateral pseudogout 8 years after bilateral total knee arthroplasty.

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1
Department of Orthopaedic Surgery, University of Illinois, Chicago, IL 60612, USA.

Abstract

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.

PMID:
23102423
DOI:
10.1016/j.ocl.2012.07.009
[Indexed for MEDLINE]
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