Article

Total knee arthroplasty failure and gouty arthropathy.

Department of Orthopedic Surgery, The Johns Hopkins University, Baltimore, MD 21224-2780, USA.
The Journal of arthroplasty (Impact Factor: 1.79). 05/2009; 25(4):658.e7-10. DOI: 10.1016/j.arth.2009.03.004
Source: PubMed

ABSTRACT We present a patient with gout and a total knee arthroplasty that failed secondary to infection. The English literature records only 5 other cases of gouty attacks after total knee arthroplasty. Symptoms, presentation, and laboratory tests do not definitively differentiate between infection and gout, but crystals in the joint aspirate are diagnostic. This case stresses the importance of recognizing crystalline arthropathy as a source of a painful knee and as a complicating factor during revision surgery.

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