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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Total hip arthroplasty for tuberculous coxitis
A B Caparros1, M Sousa, J Ribera Zabalbeascoa
1Dept. of Traumatology and Orthopaedic Surgery, Virgen del Rocio University Hospital, Seville, Spain.
International Orthopaedics
|March 31, 2000
Summary
Tuberculous arthritis of the hip in a young male patient initially failed conservative treatment. Subsequent uncemented total hip arthroplasty with antibiotic therapy led to successful infection control and joint function.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Rheumatology
Background:
- Tuberculous arthritis is a rare but serious joint infection.
- Hip joint tuberculosis can lead to significant joint destruction and functional impairment.
Observation:
- A 22-year-old male presented with tuberculous arthritis of the hip.
- Initial treatment involved arthrotomy and 9 months of antituberculous antibiotic therapy.
- Despite treatment, the joint condition deteriorated.
Findings:
- The patient underwent uncemented total hip arthroplasty (THA) due to treatment failure.
- A comprehensive antibiotic regimen was administered preoperatively (3 months) and postoperatively (6 months).
- At a 5-year follow-up, there was no evidence of recurrent tuberculous infection.
Implications:
- Uncemented total hip arthroplasty can be a viable option for managing advanced tuberculous arthritis of the hip.
- Effective management requires a multi-modal approach combining surgical intervention and prolonged antibiotic therapy.
- Long-term follow-up is crucial to ensure the absence of infection recurrence.
