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[Tuberculosis of bones and joints]

M Richter-Turtur1, O Thetter, H Raub

  • 1Chirurgische Klinik und Poliklinik, Universität München.

Der Unfallchirurg
|April 1, 1993
PubMed
Summary

Tuberculosis of bones and joints, a disease endemic in developing nations, is resurging globally. While non-operative treatment is primary, surgery is vital for complications like paraplegia.

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Public Health

Context:

  • Tuberculosis of the bones and joints (osseous tuberculosis) is endemic in developing countries.
  • It is increasingly recognized in industrialized nations due to social factors and immune deficiency.
  • Early diagnosis is crucial for effective management.

Purpose:

  • To outline the therapeutic strategies for osseous tuberculosis.
  • To delineate the indications for surgical intervention in specific cases.

Summary:

  • Following bacteriologic/histologic diagnosis, initial treatment involves non-operative measures: immobilization and antituberculous chemotherapy.
  • Surgical intervention is indicated for managing complications such as abscesses requiring debridement, arthrodesis, or spondylodesis.
  • Acute progressive paraplegia represents an absolute and urgent indication for operative cleansing and stabilization.

Impact:

  • Highlights the importance of considering osseous tuberculosis in both endemic and industrialized regions.
  • Emphasizes the critical role of timely surgical intervention in preventing severe neurological deficits.
  • Provides a concise overview of current treatment paradigms for this significant musculoskeletal infection.

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