在不同类型的晚期结核性关节关节炎中进行全关节整形手术:它是否合理?
Anil Arora1, Bushu Harna2, Getnet Asnake1
1Department of Orthopedics and Joint Replacement, Max Superspeciality Hospital, Patparganj, Delhi, 110092, India.
International orthopaedics
|July 15, 2023
概括
全关节整形术 (THA) 对结核性关节关节炎有效,包括活跃病例. 坚持抗结核治疗 (ATT) 对于控制疾病和预防复发至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
背景情况:
- 整体关节整形术 (THA) 是晚期关节炎的常见治疗方法.
- 结核性关节关节炎对手术管理提出了独特的挑战.
- 有限的数据存在于结核性关节炎的不同阶段的THA结果.
研究的目的:
- 评估THA在患有各种形式结核性关节关节炎的患者的疗效和安全性.
- 评估抗结核治疗 (ATT) 与THA结合的作用.
- 呈现手术结果和长期随访数据.
主要方法:
- 在13年内对23名患有晚期结核性关节关节炎的患者进行了回顾性研究.
- 排除有活跃出院鼻的患者.
- 将其分为三个组:治愈的结核病,活跃的结核病和手术中的惊喜.
- 术前和术后的ATT的管理.
- 无或混合THA与手术前MRI的性能.
- 使用临床,放射学和实验室调查进行后续调查.
主要成果:
- 患者平均年龄为58.2岁 (16名男性,7名女性).
- 17名患者接受了无水泥THA,6名患者接受了混合THA.
- 一名患者经历了无菌松动,需要修复关节塑造术.
- 在已治愈的和活跃的结核病关节组中都取得了成功的结果.
结论:
- THA是结核性关节关节炎的可行和有效治疗方法,产生可移动和稳定的部.
- 持续的抗结核治疗 (ATT) 对于管理活跃的结核关节关节炎和预防疾病重新激活至关重要.
- 即使在存在活跃结核病的情况下,也可以安全地进行THA,使用适当的ATT协议.
相关概念视频
Pulmonary Tuberculosis V
204
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
204
Pulmonary Tuberculosis I
270
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
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...
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...
270
Pulmonary Tuberculosis IV
165
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
165
Pulmonary Tuberculosis II
269
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
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...
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...
269
Pulmonary Tuberculosis III
367
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
367


