Document Detail


Total hip arthroplasty for active tuberculosis of the hip.
MedLine Citation:
PMID:  19685242     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Total hip arthroplasty (THA) has been used as a successful form of treatment in patients with long-standing tuberculosis, but it is unclear whether THA should be performed in patients with current infection. We performed THA in six patients with advanced active tuberculosis of the hip from 2002 to 2006. Tuberculosis was confirmed in all cases by histological examination. All patients were treated with antituberculous medications for at least two weeks followed by thorough debridement and THA. Antituberculous medications were administered postoperatively for at least 12 months. The duration of postoperative follow-up was an average of 49 months. No reactivation of the infection was detected in our series. Using the Harris hip score system, five of the patients were classified as excellent and one as good. THA in advanced active tuberculosis of the hip is a safe procedure providing symptomatic relief and functional improvement. Thorough debridement of infected tissues and postoperative antituberculous therapy are the keys to lowering the potential risk of reactivation of tuberculosis.
Authors:
Yongqing Wang; Jingsheng Wang; Zhanmin Xu; Yuan Li; Huimin Wang
Publication Detail:
Type:  Journal Article     Date:  2009-08-15
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  2011-03-10     Revised Date:  2011-12-21    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1111-4     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Tianjin Fourth Central Hospital, Tianjin Medical University, China.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adolescent
Adult
Antibiotic Prophylaxis
Antitubercular Agents / therapeutic use
Arthroplasty, Replacement, Hip / methods*
Cementation
Female
Health Status Indicators
Hip Joint / physiopathology,  radiography,  surgery*
Hip Prosthesis
Humans
Male
Middle Aged
Range of Motion, Articular
Treatment Outcome
Tuberculosis, Osteoarticular / drug therapy,  radiography,  surgery*
Young Adult
Chemical
Reg. No./Substance:
0/Antitubercular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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