PMC5127383_01
Preoperative radiograph showing an osteopenia with marginal erosions and diffuse lytic lesions in the carpal bones, base of the metacarpal bones, and distal ends of the radius and ulna.
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Radiographs demonstrated characteristic findings of tuberculous arthritis: particularly, osteopenia with marginal erosions and diffuse lytic lesions involving the carpal bones, base of the metacarpal bones, and distal ends of the radius and ulna (Figure 1).
Intraoperative picture at the first debridement showing granuloma around the wrist joint.
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All necrotic bones of the wrist were excised through a dorsal approach (Figure 2).
Radiograph after the radical debridement. The wrist was stabilised with two crossed Kirchner wires, and bone cement block including streptomycin sulphate was put in the dead space.
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After the radical debridement, the wrist was stabilised with two crossed Kirchner wires, and bone cement block including streptomycin sulphate was put in the dead space (Figure 3).
Radiographs 33 months after surgery showing complete union of both sides of the fibula: (A) posteroanterior view; (B) lateral view.
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The patient felt no wrist pain at the final follow-up, and there was no recurrence of infection between the follow-up periods of 33 months (Figure 4).