case_images: PMC5127383_01
case_images: 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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case_images: F0001
case_images: 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).
case_images: Intraoperative picture at the first debridement showing granuloma around the wrist joint.
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case_images: F0002
case_images: All necrotic bones of the wrist were excised through a dorsal approach (Figure 2).
case_images: 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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case_images: PMC5127383_01_icrp_a_1254561_f0003_b.jpg
case_images: F0003
case_images: 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).
case_images: Radiographs 33 months after surgery showing complete union of both sides of the fibula: (A) posteroanterior view; (B) lateral view.
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case_images: F0004
case_images: 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).