Role of arthroscopy and endoscopy in management of tuberculosis of the foot and ankle

Lui, Tun Hing

doi:10.1016/j.foot.2020.101754

Cited by 3 publications

(3 citation statements)

References 60 publications

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“… 10 Early debridement reduces the bacterial load, helps penetration of anti-tuberculous treatment and improves prognosis. 35 Arthroscopy is increasingly being utilised compared with open surgery since it is associated with less morbidity, less postoperative pain and fast rehabilitation. 35 , 36 A follow-up of 29 cases who underwent surgical interventions for ankle tuberculosis resulted in good long-term surgical outcomes, with less than 6 patients being complicated by either hind foot malalignment or talar bone collapse postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“… 35 Arthroscopy is increasingly being utilised compared with open surgery since it is associated with less morbidity, less postoperative pain and fast rehabilitation. 35 , 36 A follow-up of 29 cases who underwent surgical interventions for ankle tuberculosis resulted in good long-term surgical outcomes, with less than 6 patients being complicated by either hind foot malalignment or talar bone collapse postoperatively. 10 Arthrodesis of ankle and other foot joints can be considered in advanced cases where bony stability is severely compromised for weight-bearing.…”

Section: Discussionmentioning

confidence: 99%

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Tuberculosis presenting as arthritis of the ankle: A case report

Basnayake

Mathangasinghe

Nihaj

et al. 2021

SAGE Open Medical Case Reports

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Tuberculosis presenting as monoarticular involvement in immunocompetent patients is rare. Here, we report a Sri Lankan patient presenting with ankle swelling due to tuberculosis with no other extrapulmonary or pulmonary involvement. Magnetic resonance imaging showed destruction of articular cartilage of the ankle joint with chronic inflammation of the subtalar joint. The diagnosis was confirmed by synovial tissue culture which was positive for Mycobacterium tuberculosis. The patient recovered uneventfully with anti-tuberculosis treatment. Therefore, a high degree of suspicion is necessary to diagnose extrapulmonary tuberculosis when patients are presenting with atypical monoarthritis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tuberculosis presenting as arthritis of the ankle: A case report

Basnayake

Mathangasinghe

Nihaj

et al. 2021

SAGE Open Medical Case Reports

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“…55 It can also be used as an alternative treatment to collect tissue samples for diagnosis and debridement of the joint. 23,56,57…”

Section: Operative Management Optionsmentioning

confidence: 99%

Current concepts in the diagnosis and management of tuberculosis of the elbow joint

Upadhyaya

Kumar

Iyengar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Elbow is an uncommon joint to be affected by Mycobacterium tuberculosis infection. It is involved in approximately 1e5% of all cases with musculoskeletal tuberculosis (TB). Early diagnosis of TB of the elbow joint can be easily missed due to an indolent natural history, delay in presentation, and varied clinical features. Delay in diagnosis can lead to irreversible osteoarticular destruction and loss of joint function. Careful clinical assessment, adequate imaging, microbiological, and/or histopathological confirmation of Mycobacterium tuberculosis infection is essential for early diagnosis of TB of the elbow joint. Judicious and early administration of anti-tubercular therapy can lead to preservation of the joint and a satisfactory functional outcome. Surgical intervention may be needed in later stages of the disease to achieve control of the infection, correction of deformity, instability, and restoration of function.

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Surgical stabilization of appendicular joints in tuberculous arthritis: its place in treatment of osteoarticular tuberculosis

Zubikov¹,

Peretsmanas²

2022

Tuberk. bolezni lëgk.

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The objective: to analyze results of stabilizing techniques in the surgical treatment of tuberculous arthritis of appendicular joints, to define their place in treatment of tuberculous arthritis.Subjects and Methods. Data of 8 patients who underwent surgery for tuberculosis of appendicular joints were analyzed during the study. 7 patients suffered from tuberculosis of rare localization: ankle – 3 cases, foot – 1 case, wrist – 3 cases. And 1 patient suffers from tuberculosis of the knee joint, underwent arthrodesis, which eventually failed, had quadriceps fibrosis with no patella. At the time of the study, athroplasty couldn’t be performed in all 8 patients, so stabilizing surgery including arthrodesis was the method of choice. With the active tuberculosis disease and an extensive bone defect of the joint in 5 patients, static cement spacers loaded with anti-tuberculosis drugs were used. Spacers were used both for two-stage surgical treatment (2 cases) and one-stage (3 cases).Results: in all 8 cases, the stable eradication of tuberculosis infection was achieved with a follow-up period from 6 months to 7 years, average duration of follow-up made 2.2 Ѓ} 1.4 years. In 5 patients with tuberculosis of the ankle, foot and former knee joint, the support ability of the extremity was restored. With the stabilization of the wrist in a functionally advantageous position, all 3 patients showed a significant improvement in hand functions. After the spacer was installed, all patients were scheduled for the second stage of the operation but 3 of them achieved a good functional result, thus it was possible to avoid the next stage. The main criterion for stabilizing surgery of joints may be the impossibility of performing arthroplasty in cases of extensive bone defects as well as in case of persistent loss of anatomical structures.

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Role of arthroscopy and endoscopy in management of tuberculosis of the foot and ankle

Cited by 3 publications

References 60 publications

Tuberculosis presenting as arthritis of the ankle: A case report

Tuberculosis presenting as arthritis of the ankle: A case report

Current concepts in the diagnosis and management of tuberculosis of the elbow joint

Surgical stabilization of appendicular joints in tuberculous arthritis: its place in treatment of osteoarticular tuberculosis

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