Two-Stage Revision for Pseudomonas-Infected TKA in a Patient With Elephantiasis Nostras Verrucosa: A Rare Case Report.

CASE: A 63-year-old woman presented with an infected left total knee arthroplasty (TKA) having pain, sinus, and cobblestone-like swelling due to elephantiasis nostras verrucosa (ENV). A two-stage revision was performed, with strict asepsis and wound management. At midterm 15-month follow-up, no infection or loosening was noted, and daily knee functions improved.

CONCLUSION

No established guidelines exist for revision TKA in ENV. In ENV with structural lymphatic obstruction, infection control and meticulous soft-tissue protocols are essential, and long-term surveillance remains necessary.