[Current reconstructive surgery for tuberculosis of the vertebral column and joints]

There has been recently a rise in the incidence of complicated forms of bone and joint tuberculosis, one of its causes is its late diagnosis. The outcomes of surgical treatment in 390 patients with tuberculosis of the spine and large joints are presented. Vascularization of bone tissues and a graft has been found to substantially increase the efficiency of an intervention used and the use of carbon-carbonic implants and posterior clamps accelerates the time of formation of a bony trochlea and diminishes deformity of a vertebral column part undergone an operation. To improve the functional results of mobilizing surgery for tuberculous arthritis and its sequelae, low-traumatic operations using the arthroscopic devices, perichondrioplasty and endoprosthesis of large joints are being practically introduced.