Related Experiment Video
Updated: May 2, 2026
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report
Xin Jiang, Yuan Li1, Lijun Liu
1Department of Pediatric Surgery, West China Hospital, Sichuan University, No, 37 Guoxue Road, Chengdu, Sichuan 610041, People's Republic of China. yuanlilili@hotmail.com.
Insights
This study evaluated surgical treatments for pathological hip dislocation in children with coxotuberculosis, finding excellent outcomes with open reduction and acetabular reconstruction. Tailoring surgery to individual patient needs is crucial for successful treatment of hip joint tuberculosis.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Infectious Disease Management
Background:
- Coxotuberculosis can lead to pathological hip dislocation in children.
- Effective surgical management is essential for favorable clinical outcomes.
Purpose of the Study:
- To evaluate the clinical outcomes of various surgical methods for treating pathological hip dislocation in children with coxotuberculosis.
- To assess the efficacy of open reduction and acetabular reconstruction techniques.
Main Methods:
- A cohort of 29 children with coxotuberculosis-related hip dislocation were treated between 2006 and 2011.
- Surgical interventions included open reduction and various acetabular reconstruction procedures (Salter, Pemberton, Dega, hip shelf arthroplasty, Chiari).
- Follow-up included X-ray, acetabular index (AI), and Harris hip score assessment over 12-18 months.
Main Results:
- All 29 hips achieved concentric reduction postoperatively.
- No redislocation was observed in 24 children followed for 2-5 years.
- Good functional recovery was noted, with 8 children having normal hip function and 13 mild limitation; average Harris hip score was 83.
Conclusions:
- Open reduction and acetabular reconstruction yield excellent outcomes for pediatric coxotuberculosis-related hip dislocation.
- Individualized surgical approaches based on pathological hip changes are recommended.
- Successful treatment requires careful consideration of patient-specific factors.
Background:
The aim of this study is to evaluate the clinical outcome of various surgery methods in children suffering pathological dislocation of the hip joint due to coxotuberculosis.
Patients And Methods:
From January 2006 to January 2011, 29 children with coxotuberculosis hip dislocation were treated with open reduction (4 children) and acetabular reconstruction (25 children). According to degree of dislocation and age, acetabular reconstructions included Salter osteotomy (nine children), Pemberton operation (six children), Dega operation (seven children), the hip shelf arthroplasty (two children), and Chiari operation (one child). During acetabular reconstruction, 16 children underwent upper femoral rotational shortening osteotomies simultaneously, 6 children underwent the femoral head and neck reconstruction simultaneously, and 3 children were underwent corrective osteotomy. After operation, children were immobilized with plaster external fixation for 1-3 months and treated with routine anti-infective therapy for 3 days. During follow-up study (12-18 months), the hip stability was examined via X-ray. The recovery was evaluated via acetabular index (AI) and Harris hip score.
Results:
Postoperative X-ray films of 29 children showed concentric reduction of all hips. Total 25 children healed I incision surgery, while 4 children with skin antrum of incision were further treated leading to 1-3 months delay of healing. Total 24 children were followed up for 2-5 years. X-ray examination revealed no redislocation after 2 years postoperative. The postoperative AI was normal (15°-20°) in 22 children and increased to 25°- 30° in 2 children. After 2 years postoperative, 8 children had normal function of hip joint, 13 children had mild limitation of flexion and rotation, and 3 children had fibrous ankylosis. The average of Harris hip score was 83 (ranged, 62-90).
Conclusion:
In our study, pathological hip dislocations of children attributed to coxotuberculosis were treated via open reduction and acetabular reconstruction and the outcomes were both excellent. Individual characteristic should be taken into consideration during treatment, and proper surgery approach should be adopted according to pathological changes of the hip.
Related Concept Videos
01:31Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:
01:29Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
01:28Pulmonary Tuberculosis II
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...