Diagnosis and Treatment of Joint Fluid Accumulation After Total Knee Arthroplasty in Rheumatoid Arthrosis Patients: A Report of Four Patients

Hiroyuki Tsuchie, Seiya Miyamoto, Seietsu Senma, Yuichiro Narita, Yuji Hatakeyama, Kana Sasaki, Yoichi Shimada

Abstract


Joint fluid after total knee arthroplasty (TKA) has various causes, and the specific cause must be identified. Even if joint fluid occurs in rheumatoid arthrosis (RA) patients after TKA, other causes still have to be ruled out. We describe four cases of joint fluid after TKA in RA patients, in a total of 34 consecutive patients (50 knees), and review the literature. When a definitive diagnosis or treatment of joint fluid is difficult, synovectomy by arthroscopy may be effective both for the diagnosis and treatment.




J Med Cases. 2016;7(3):90-93
doi: http://dx.doi.org/10.14740/jmc2429w

Keywords


Joint fluid; Rheumatoid arthrosis; Synovectomy; Total knee arthroplasty

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