Gouty synovitis after total knee arthroplasty: a case report

J Orthop Surg (Hong Kong). 2007 Dec;15(3):384-5. doi: 10.1177/230949900701500330.


We report a case of acute gouty synovitis after total knee arthroplasty (TKA) in a patient with no history of gout. The diagnosis was confirmed by the presence of urate crystals in the synovial fluid. Acute gouty synovitis, though rare, should be considered in the differential diagnosis of an inflammed knee after TKA to avoid unnecessary surgical revision.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Allopurinol / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Diagnosis, Differential
  • Female
  • Gout / diagnosis*
  • Gout / drug therapy
  • Gout / etiology
  • Gout Suppressants / therapeutic use
  • Humans
  • Middle Aged
  • Synovitis / diagnosis*
  • Synovitis / drug therapy
  • Synovitis / etiology


  • Anti-Inflammatory Agents, Non-Steroidal
  • Gout Suppressants
  • Allopurinol