Abstract
Introduction: Tuberculosis of the knee joint is not very much common. It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Diagnosis of TB knee is difficult because the clinical features are not typical. Ligaments reconstruction, meniscus surgery and many other procedures can successfully be done by arthroscopy in knee joint. Aim of the study: The aim of this study was to evaluate the incidence, clinical and laboratory findings and assess the treatment outcome of post arthroscopy MTB infections of the knee joint. Methods: This cross-sectional study was conducted in Ibn Sina Knee Centre, Dhaka and Northern International Medical College Hospital, Dhaka, Bangladesh during the period from February 2015 to January 2020. Purposive sampling technique used in the selection of the study patients. Somehow we selected 7 patients for the study with unusual presentations of night cries after arthroscopic procedures. Statistical data were analysed by MS-Excel 2016. Result: We describe 7 cases of isolated MTB infection after arthroscopic procedures in immuno-competent patients as study people for our inquiry. Almost all the study patients 6 (85.71%) treated by anti- TB drugs and 1 (14.29%) treated with MDR-TB drug. Almost all patients 6 (85.71%) had gain excellent results and 1 (14.29%) had good results. So we found a satisfactory result in the post arthroscopy tuberculosis of the knee joint with this treatment. Conclusion: We found Mycobacterium Tuberculosis (MTB) infection as a complication after arthroscopic procedures like anterior cruciate ligament (ACL) reconstruction and or meniscus surgery of the knee joint.
Highlights
Tuberculosis of the knee joint is not very much common
One patient found by positive Montoux Test (MT) and with ESR 90mm, one patient by polymerase chain reaction (PCR), by synovial biopsy we identified 2 patients and another 3 patients identified by the symptoms on clinical experience
We describe 7 cases of isolated Mycobacterium Tuberculosis (MTB) infection after arthroscopic procedures in immuno-competent patients as study people for our inquiry
Summary
Tuberculosis of the knee joint is not very much common. It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Result: We describe 7 cases of isolated MTB infection after arthroscopic procedures in immunocompetent patients as study people for our inquiry. Conclusion: We found Mycobacterium Tuberculosis (MTB) infection as a complication after arthroscopic procedures like anterior cruciate ligament (ACL) reconstruction and or meniscus surgery of the knee joint. Tuberculosis of the knee joint is not very much common It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Meniscus surgery and many other procedures can successfully be done by arthroscopy in knee joint. Septic arthritis is an uncommon but potentially devastating complication of peri- and intra-articular surgical procedures (including arthroscopy), estimated to occur in less
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