Bilateral Pseudogout 8 Years After Bilateral Total Knee Arthroplasty

Gabriel S. Levi, Kamran Sadr, Giles R. Scuderi

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


This article presents the clinical features of crystal arthropathy after knee replacement. The current literature on pseudogout and gout after both total and partial knee replacement is summarized. A case of bilateral pseudogout 8 years after initial total knee arthroplasty (TKA) is used to highlight the clinical characteristics and treatment options for this underrecognized condition. Presentation mimicked a late septic joint arthroplasty with sudden onset of pain and effusion. The patient was treated successfully with an arthrotomy, debridement, synovectomy, polyethylene insert exchange, oral steroids, and nonsteroidal anti-inflammatories. There are no other reported cases of bilateral pseudogout after bilateral TKA.

Original languageEnglish
Pages (from-to)e59-e62
JournalOrthopedic Clinics of North America
Issue number5
StatePublished - Nov 2012
Externally publishedYes


  • Crystal arthropathy after joint replacement
  • Painful total knee
  • Pseudogout
  • Pseudogout after knee replacement
  • Pseudogout and total knee arthroplasty


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