Zusammenfassung
Symptomatische Gicht in einem künstlichen Gelenk ist außerordentlich selten. Wir präsentieren einen 68-jährigen männlichen Patienten, der ein Jahr nach linkem Kniegelenkersatz durch zementierte totale Endoprothese progressive Knieschmerzen und Schwellung entwickelt hat. Die Diagnose wurde durch Kristall-Identifikation in der Gelenkflüssigkeit bestätigt. In dem Fall eines schmerzhaften und entzündeten Knies nach dem Kniegelenkersatz sollte neben der Infektionsdiagnostik spezifische Gichtanamnese gefragt werden und in der aspirierten Flüssigkeit zytologisch und unter polarisiertem Licht nach Kristalle gesucht werden.
Summary
Symptomatic gout in an artificial joint is exceptionally rare. We present a 68-year-old male patient who developed progressive knee pain and swelling one year after the cemented total arthroplasty of his left knee. The diagnosis was confirmed by crystal identification in the synovial fluid. Beside thorough workout to rule out infection in a painful and inflamed prosthetic knee, specific history of gout should be sought and fluid aspirate examined cytologically and under polarised light for crystal arthropathy.
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Fokter, S., Repše-Fokter, A. Acute gouty arthritis in a patient after total knee arthroplasty. Wien Klin Wochenschr 122, 366–367 (2010). https://doi.org/10.1007/s00508-010-1384-3
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DOI: https://doi.org/10.1007/s00508-010-1384-3