title: Tuberculous infection in a total knee replacement performed for medial tibial plateau fracture: a case report.
abstract: There has been increasing interest in performing acute total knee replacement for periarticular knee fractures in elderly osteoporotic patients. This is comparable to treating femoral neck fractures with arthroplasty. We present a case of tuberculous infection in a primary total knee replacement performed for a medial tibial condyle fracture, in an 85-year-old Caucasian female with a previously asymptomatic knee. The incidence of tuberculosis is gradually increasing. We highlight the problem with musculoskeletal tuberculosis in relation to the delay in diagnosis and subsequent initiation of treatment.
authors.affiliation: Department of Orthopaedic Surgery, Weston General Hospital, Weston-super-Mare, UK. akadakia@rediffmail.com
authors.forename: Anish P
authors.initials: AP
authors.lastname: Kadakia
authors.forename: Rhodri
authors.initials: R
authors.lastname: Williams
authors.forename: Victor G
authors.initials: VG
authors.lastname: Langkamer
mesh_terms: D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D011183:Postoperative Complications / Q000382:microbiology*; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
chemical_list: D000995:Antitubercular Agents