title: Bilateral pseudogout 8 years after bilateral total knee arthroplasty.
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.
authors.affiliation: Department of Orthopaedic Surgery, University of Illinois, Chicago, IL 60612, USA.
authors.forename: Gabriel S
authors.initials: GS
authors.lastname: Levi
authors.forename: Kamran
authors.initials: K
authors.lastname: Sadr
authors.forename: Giles R
authors.initials: GR
authors.lastname: Scuderi
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D002805:Chondrocalcinosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003131:Combined Modality Therapy; D003646:Debridement; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging; D011859:Radiography; D007507:Therapeutic Irrigation; D013997:Time Factors