Objective: To review the diagnosis and treatment of tuberculosis infection after total knee arthro-plasty (TKA).
Methods: The recent literature concerning the diagnosis and treatment of tuberculosis infection after TKA were extensively reviewed and summarized.
Results: The diagnosis of tuberculosis infection after TKA is difficult. It should be combined with the patient's medical history, symptoms, signs, blood examinations, and imaging examinations, among which the bacterial culture and histopathological examination are the gold standard of diagnosis. Treatment strategy is combined with the drug treatment and a variety of surgical procedures that depends on the clinical situation.
Conclusion: At present, there is no guideline for the diagnosis and treatment of tuberculosis infection after TKA, it still needs further study and improvement.
目的: 对人工全膝关节置换术（total knee arthroplasty，TKA）后结核感染的诊治策略进行回顾总结。.
方法: 检索近年国内外有关 TKA 术后结核感染诊断和治疗方案的研究报道，并进行总结分析。.
结果: TKA 术后结核感染诊断难度较大，应结合患者病史、症状、体征、血液检查以及影像学检查等分析，其中细菌培养和组织病理检查为诊断金标准。在治疗方面，主要根据患者自身情况，选择抗结核药物联合各种手术治疗。.
结论: 目前国内外尚无针对 TKA 术后结核感染的诊治规范和指南，有待进一步研究完善。.
Keywords: Total knee arthroplasty; complication; postoperative infection; tuberculosis.