Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases

Abstract

The authors report toward a monocentric retrospective and descriptive study on a 08 year period, 33 cases of knee osteoarticular tuberculosis (OAT) of adult, certified by bacteriologic and/or histolological evidence proof of the sample (synovial biopsy) after a knee arthrotomy. There were 07 cases of arthritis and 26 cases of osteoarthritis. The treatment of knee OAT was medical (anti-tubercular poly-chemotherapy) on one year duration. The surgery was useful in front of some clinical presentations. After a minimum of 18 months, a functional evaluation was done following the Lequesne algo-functionnal index. None had signs of local recurrence testifying the adequacy of medical treatment, even if it is long and binding. The main of our case series is to establish an epidemiological, clinical and biological profile of the knee tuberculosis of adult and to research elements of prognosis through an analysis of results.

Share and Cite:

Stanislas, T. , Abdoulaye, B. , Samba, K. , Kanaté, S. , Mariam, G. , Daouda, S. , Boubacar, O. , Estelle, M. , Moriba, T. and Astrid, N. (2015) Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases. Open Journal of Orthopedics, 5, 189-197. doi: 10.4236/ojo.2015.57026.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Rafiqi, K., Ait Lahcen, A., Messoudi, A., Rahmi, M., Fnini, S. and Garch, A. (2014) La tuberculose des os du pied à propos de 2 cas. Médecine et Chirurgie du Pied, 30, 62-66.
http://dx.doi.org/10.1007/s10243-014-0385-8
[2] Pertuiset, E. (2006) Tuberculose ostéoarticulaire extravertébrale. Revue du Rhumatisme, 73, 387-393.
http://dx.doi.org/10.1016/j.rhum.2005.10.019
[3] Annabi, H., Abdelkafi, M. and Trabelsi, M. (2008) La tuberculose ostéo-articulaire. Tunisie Orthopédique, 1, 7-17
[4] Araki, Y. and Tsukaguchi, I., Shino, K., et al. (1993) Tuberculous Arthritis of the Knee: MR Findings. American Journal of Roentgenology, 160, 664.
[5] Hamza, M. (1993)Tuberculose articulaire et vertébrale. Revue du Rhumatisme, 60, 115-118.
[6] Lequesne, M., Mery, C., Samson, M. and Gerard, P. (1987) Indexes of Severity for Osteoarthritis of the Hip and Knee. Scandinavian Journal of Rheumatology, 65, 85-89.
http://dx.doi.org/10.3109/03009748709102182
[7] David-Chausse, J. (1979) Tuberculose ostéo-articulaire des membres. EMC, Appareil Locomoteur, 14 185 A10, 9.
[8] Houshian, S., Poulsen, S. and Riegels-Nilesen, P. (2000) Bone and Joint Tuberculosis in Denmark. Increase Due to Immigration. Acta Orthopaedica, 71, 312-315.
http://dx.doi.org/10.1080/000164700317411942
[9] Jellis, J.E. (2002) Human Immunodeficiency Virus and Osteoarticular Tuberculosis. Clinical Orthopaedics and Related Research, 398, 27-31.
http://dx.doi.org/10.1097/00003086-200205000-00005
[10] Babhulkar, S. and Pande, S. (2002) Extraspinal Tuberculosis: Tuberculosis of the Hip. Clinical Orthopaedics and Related Research, 398, 93-99.
http://dx.doi.org/10.1097/00003086-200205000-00013
[11] Daboiko, J.C., Ouédraogo, D.D., Eti, E., Nikiema, J.F., Gbané, M. and Kouakou N’Zué, M. (2005) Tuberculose ostéo-articulaire des membres. A propos de 16 cas. Medecine d’Afrique Noire, 5266, 329-332.
[12] Oueslati, S., Douira, W., Charada, L., Mlika, L., Rezgui, L., Zaouia, K., et al. (2007) IRM de l’arthrite tuberculeuse du genou. Médecine et Maladies Infectieuses, 37, 549-553.
http://dx.doi.org/10.1016/j.medmal.2006.10.006
[13] Taarit Ben, C., Turki, S. and Maiz Ben, H. (2003) La tuberculose ostéo-articulaire en Tunisie: Etude rétrospective de 180 cas. Médecine et Maladies Infectieuses, 33, 210-214.
http://dx.doi.org/10.1016/S0399-077X(03)00009-X
[14] Eschard, J.P., Leone, J. and Etienne, J.C. (1993) Tuberculose ostéo-articulaire des membres. Editions Techniques, EMC, Appareil Locomoteur, 14 185 A10, 15.
[15] Ntsiba, H., Bazébissa, R., Lamini, N. and Yala, F. (2004) Cent cas d’arthrite septique du genou en zone intertropicale. Bulletin de la Société de Pathologie Exotique, 97, 244-246.
[16] Tuli, S.M. (2002) General Principles of Osteoarticular Tuberculosis. Clinical Orthopaedics and Related Research, 398, 11-19.
http://dx.doi.org/10.1097/00003086-200205000-00003
[17] Graif, M., Schweitzer, M.E., Deely, D. and Matteucci, T. (1999) The Septic Versus Non-Septic Inflamed Joint: MRI Characteristics. Skeletal Radiology, 28, 616-620.
http://dx.doi.org/10.1007/s002560050562
[18] Hong, S.H., Kim, S.M., Ahn, J.M., Chung, H.W., Shin, M.J. and Kang, H.S. (2001) Tuberculous Versus Pyogenic Arthritis: MR Imaging Evaluation. Radiology, 218, 848-853.
http://dx.doi.org/10.1148/radiology.218.3.r01fe27848
[19] Malaviya, A.N and, Kotwal, P.P. (2003) Arthritis Associated with Tuberculosis. Best Practice & Research Clinical Rheumatology, 17, 319-343.
http://dx.doi.org/10.1016/S1521-6942(02)00126-2
[20] Engin, G., Acuna, B., Acuna, G. and Tunaci, M. (2000) Imaging of Extrapulmonary Tuberculosis. RadioGraphics, 20, 471-488.
http://dx.doi.org/10.1148/radiographics.20.2.g00mc07471
[21] Pertuiset, é. (2006) Traitement médical et chirurgical de la tuberculose ostéoarticulaire. Revue du Rhumatisme, 73, 401-408.
http://dx.doi.org/10.1016/j.rhum.2005.10.020
[22] Mezghani, S., Hamdi, S., Laadhar, H., Tchousso Zatao, O., Chaniour, M., Hayouni, A., et al. (2003) La tuberculose extrapulmonaire. Revue des Maladies Respiratoires, 20, 153-166.
[23] De Haan, J., Vreeling, A.W.J. and Van Hellemont, G.G. (2008) Reactivation of Joint Tuberculosis of Knee Following Total Knee Arthroplasty after 61 Years: A Case Report. The Knee, 15, 336-338.
http://dx.doi.org/10.1016/j.knee.2008.03.004

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.