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Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome

Received: 15 December 2020    Accepted: 4 January 2021    Published: 30 January 2021
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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.

Published in Journal of Surgery (Volume 9, Issue 1)
DOI 10.11648/j.js.20210901.14
Page(s) 22-26
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Post-arthroscopy, Anterior Cruciate Ligament (ACL), Septic Arthritis, Mycobacterium Tuberculosis (MTB), TB Knee

References
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Cite This Article
  • APA Style

    Wakil Ahmed, Zinat Rehana Shipu, Md. Fazlul Haque Qasem, Md. Abu Awal Shameem, Shah Muhammad Aman Ullah. (2021). Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome. Journal of Surgery, 9(1), 22-26. https://doi.org/10.11648/j.js.20210901.14

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    ACS Style

    Wakil Ahmed; Zinat Rehana Shipu; Md. Fazlul Haque Qasem; Md. Abu Awal Shameem; Shah Muhammad Aman Ullah. Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome. J. Surg. 2021, 9(1), 22-26. doi: 10.11648/j.js.20210901.14

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    AMA Style

    Wakil Ahmed, Zinat Rehana Shipu, Md. Fazlul Haque Qasem, Md. Abu Awal Shameem, Shah Muhammad Aman Ullah. Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome. J Surg. 2021;9(1):22-26. doi: 10.11648/j.js.20210901.14

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  • @article{10.11648/j.js.20210901.14,
      author = {Wakil Ahmed and Zinat Rehana Shipu and Md. Fazlul Haque Qasem and Md. Abu Awal Shameem and Shah Muhammad Aman Ullah},
      title = {Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome},
      journal = {Journal of Surgery},
      volume = {9},
      number = {1},
      pages = {22-26},
      doi = {10.11648/j.js.20210901.14},
      url = {https://doi.org/10.11648/j.js.20210901.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210901.14},
      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.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Post-arthroscopy Tuberculosis of the Knee Joint: An Analysis of Incidence, Presentation, Diagnosis and Treatment Outcome
    AU  - Wakil Ahmed
    AU  - Zinat Rehana Shipu
    AU  - Md. Fazlul Haque Qasem
    AU  - Md. Abu Awal Shameem
    AU  - Shah Muhammad Aman Ullah
    Y1  - 2021/01/30
    PY  - 2021
    N1  - https://doi.org/10.11648/j.js.20210901.14
    DO  - 10.11648/j.js.20210901.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 22
    EP  - 26
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210901.14
    AB  - 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.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh

  • Department of Ophthalmology, Shaheed Suhrawardy Medical College and Hospital, Dhaka, Bangladesh

  • Department of Orthopaedic Surgery, Dhaka Medical College and Hospital, Dhaka, Bangladesh

  • Department of Orthopaedic Surgery, Border Guard Hospital, Dhaka, Bangladesh

  • Dhaka Medical College Hospital, Dhaka, Bangladesh

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