Intervention:
The patient was planned for surgical biopsy at distal tibia in order to
establish tissue diagnosis.
Surgery was done after proper counselling and informed consent. It was
done under the effect of spinal anaesthesia. Surgical intervention in
form of curettage of the distal tibial lesion through anterior approach.
The skin, subcutaneous tissue, extensor retinaculum and ankle joint
capsule were opened respectively. The periosteum of the anterior tibia
was opened and small bone window was formed. The tibial cyst was
approached through this window and biopsy is taken from the lesion with
no need for bone graft. Careful protective curettage was achieved and
taken for histopathology and gene expert analysis. The patient was
mobilized immediately post-operatively using long walker boot for 6
weeks. The patient underwent uneventful post-operative recovery period
without complications.
After the confirmation of the diagnosis of TB with the biopsy and gene
expert test, with consultation of senior chest physician the patient
fitted to anti-tuberculous regimen.