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Cementless total replacement for old tuberculosis of the hip
A Eskola1, S Santavirta, Y T Konttinen
1Helsinki University Central Hospital, Finland.
The Journal of Bone and Joint Surgery. British Volume
|August 1, 1988
Summary
Cementless total hip replacement is effective for treating hip tuberculosis sequelae, with most patients experiencing pain relief and good functional outcomes. Prophylactic antituberculous medication is recommended despite no observed tuberculosis reactivation.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Management
- Tuberculosis Research
Background:
- Hip tuberculosis can lead to long-term joint damage and pain.
- Sequelae of hip tuberculosis often require surgical intervention.
- Previous studies on joint replacement in tuberculous joints are limited.
Purpose of the Study:
- To evaluate the outcomes of cementless total hip replacement in patients with sequelae of hip tuberculosis.
- To assess the safety and efficacy of this procedure in a previously infected joint.
- To determine the necessity of prophylactic antituberculous medication.
Main Methods:
- Retrospective case series of 18 patients undergoing cementless total hip replacement for sequelae of hip tuberculosis.
- Average follow-up of 3.5 years (range not specified).
- Outcomes assessed using the Mayo hip score; pain relief and complications were recorded.
Main Results:
- 15 patients (83%) achieved excellent or good results based on the Mayo hip score.
- Two patients had a fair rating, and one required prosthesis removal due to late staphylococcal infection.
- All patients reported relief of hip-related pain, with no reactivation of tuberculosis observed.
Conclusions:
- Cementless total hip replacement is a viable option for managing chronic hip issues resulting from tuberculosis.
- The procedure yields favorable functional outcomes and significant pain relief.
- While tuberculosis reactivation was not seen, prophylactic antituberculous drugs are advised to mitigate infection risks.