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Comparison of total curative effect between total hip arthroplasty and hip arthrodesis in treating coxotuberculosis

C-S Liu1, F-Z Liu, X-Y Wang

  • 1Department of Orthopedic, The General Hospital of the PLA Rocket Force, Beijing, China. wangdan20171023@sina.com.

European Review for Medical and Pharmacological Sciences
|July 14, 2018
PubMed

Insights

Total hip arthroplasty (THA) offers better outcomes than hip arthrodesis (HA) for coxotuberculosis, showing improved function and faster recovery. While HA had shorter initial surgery metrics, THA demonstrated superior long-term clinical results and patient recovery.

Area of Science:

  • Orthopedic Surgery
  • Infectious Disease Management

Background:

  • Coxotuberculosis, a severe hip joint infection, presents significant treatment challenges.
  • Traditional hip arthrodesis (HA) can lead to functional limitations.
  • Total hip arthroplasty (THA) is an emerging option for advanced cases.

Purpose of the Study:

  • To compare the clinical effectiveness of total hip arthroplasty (THA) versus hip arthrodesis (HA) in treating coxotuberculosis.
  • To evaluate surgical outcomes, functional recovery, and complication rates for both procedures.

Main Methods:

  • Retrospective analysis of 40 patients with coxotuberculosis.
  • Comparison of THA and HA groups based on operation time, blood loss, pain scores (VAS), hip function (HHS), inflammatory markers (ESR, CRP), and recovery times (PHPT, PSWT, PSWBT).

Main Results:

  • Hip arthrodesis (HA) showed better intraoperative metrics (time, blood loss, drainage).
  • Total hip arthroplasty (THA) demonstrated superior postoperative outcomes, including lower pain scores, improved hip function, and reduced inflammatory markers.
  • THA patients experienced faster recovery, with shorter times to pain relief, walking, and weight-bearing, and fewer complications compared to HA.

Conclusions:

  • Total hip arthroplasty (THA) is an effective treatment for advanced coxotuberculosis.
  • THA offers significant advantages over hip arthrodesis (HA) in terms of functional recovery and patient outcomes for coxotuberculosis.
Abstract

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