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Extra-Spinal Osteoarticular Tuberculosis: A Retrospective Analysis of 103 Cases
S Barik1, A K Choudhury1, V Singh1
1All India Institute of Medical Sciences, Rishikesh, India.
Current Health Sciences Journal
|October 19, 2019
Summary
Extraspinal osteoarticular tuberculosis (TB) is effectively managed with a 12-month anti-tuberculosis treatment (ATT) regimen, especially when diagnosed early. Advanced cases may benefit from surgical interventions alongside ATT.
Area of Science:
- Orthopedics
- Infectious Diseases
- Public Health
Background:
- Limited data exists on extraspinal osteoarticular tuberculosis (TB) compared to spinal TB.
- This study addresses the epidemiology, diagnosis, and management of extraspinal osteoarticular TB.
Observation:
- 103 patients with extraspinal osteoarticular TB were analyzed.
- The ankle, hip, and knee were the most commonly affected joints.
- Diagnosis was primarily confirmed via histopathology (92.2%).
Findings:
- A 12-month anti-tuberculosis treatment (ATT) was administered, with a mean treatment duration of 14.2 months.
- Conservative management (oral drugs) was used in 87.3% of cases.
- Good outcomes were observed in 46.9% of patients, with fair and poor outcomes each in 26.5%.
Implications:
- Early diagnosis and a 12-month ATT regimen are effective for managing extraspinal osteoarticular TB.
- Surgical interventions like arthroplasty or arthrodesis can salvage advanced cases under ATT.
- Further research into optimal treatment strategies for diverse extraspinal TB presentations is warranted.
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