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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Tuberculosis of and around the ankle
Sumant Samuel1, Palapattu R J V C Boopalan, Manika Alexander
1Department of Orthopaedics (Unit III), Christian Medical College, Vellore, TN, India. sumantsamuel@gmail.com
Summary
Osteoarticular tuberculosis affecting the ankle joint is uncommon, often leading to diagnostic delays. This study highlights its diverse presentations and the need for timely intervention.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Osteoarticular tuberculosis (TB) of the ankle joint is a rare condition.
- Diagnostic delays are frequently encountered, complicating patient management.
Purpose of the Study:
- To elucidate the varied clinical and radiological manifestations of ankle joint tuberculosis.
- To emphasize the importance of recognizing diverse presentations for prompt diagnosis and treatment.
Main Methods:
- A retrospective review was conducted on 16 patients with ankle and periarticular tuberculosis.
- Patients underwent surgical treatment over a 6-year period.
Main Results:
- Ankle joint involvement accounted for 15.7% of extraspinal osteoarticular TB cases in the unit.
- The most frequent presentations were chronic septic arthritis and periarticular osseous lytic lesions.
- Other observed conditions included tuberculous synovitis, tenosynovitis, and retrocalcaneal bursitis.
Conclusions:
- Chemotherapy is the primary treatment for osteoarticular tuberculosis.
- Adjuvant surgery is crucial for diagnosis and managing deformities or extensive cartilage destruction resulting from delayed presentation.
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