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Two-stage TKA for tuberculosis septic arthritis of the knee masquerading as pigmented villonodular synovitis: A case report

  • Richard Samade
    Affiliations
    Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States
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  • Ryan T. Voskuil
    Affiliations
    Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States
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  • Thomas J. Scharschmidt
    Correspondence
    Corresponding author at: Department of Orthopaedics, Orthopaedic Surgery Residency Program, The Ohio State University Wexner Medical Center, The Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 241 11th Avenue, Suite #6055, Columbus, OH 43210, United States.
    Affiliations
    Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States
    Search for articles by this author

      Abstract

      A 25-year-old female presented with left knee pain following arthroscopic synovectomy for presumed pigmented villonodular synovitis (PVNS). Radiographs and magnetic resonance imaging demonstrated tricompartmental arthritic changes. She underwent a two-stage procedure first involving antibiotic spacer implantation, followed 1 week later by spacer removal and definitive total knee arthroplasty (TKA) once initial intraoperative culture results were negative. Subsequent cultures confirmed tuberculosis septic arthritis. Repeat evaluation 1 year postoperatively showed no complications and patient satisfaction with left knee function. This is a unique case report in the United States describing 1-year outcomes following staged TKA for tuberculosis septic arthritis masquerading as PVNS.

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