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Total hip arthroplasty in healed tuberculous hip
A S Dogra1, S S Kulkarni, P B Bhosale
1Department of Orthopaedics, Seth GS Medical College, Parel, Mumbai.
Journal of Postgraduate Medicine
|October 1, 1995
Summary
Total hip arthroplasty successfully treated quiescent tuberculous hip without chemotherapy. This approach showed no signs of disease reactivation after 27 months, suggesting a potential alternative treatment strategy.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
Background:
- Tuberculous hip arthritis requires careful management, often involving prolonged anti-tuberculous chemotherapy.
- Previous treatment protocols typically mandate pre- and post-operative chemotherapy for patients undergoing hip arthroplasty for tuberculosis.
Observation:
- A case study involving a patient with a 15-year quiescent tuberculous hip undergoing total hip arthroplasty.
- The surgical procedure was performed without any pre- or post-operative anti-tuberculous chemotherapy.
Findings:
- At a 27-month follow-up, the patient exhibited no evidence of tuberculous hip reactivation.
- The absence of reactivation suggests that chemotherapy may not be universally required for such cases.
Implications:
- This case challenges the standard practice of mandatory chemotherapy in total hip arthroplasty for quiescent tuberculous hip.
- It highlights the potential for conservative management in select cases, warranting further investigation.