PDF | Although the prevalence of tuberculosis reduces, it still belongs to the most important infectious diseases worldwide even in industrial. Tuberculosis of the hip joint region in children. MAF MohideenI; MN RasoolII. I MBChB(Medunsa). Registrar. Nelson Mandela School of Medicine, University of . In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis.
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If undertaken in association with extensive debridement and appropriate anti-TB treatment, it provides symptomatic relief and ccoxitis improvement It is reasonable to believe that THA placed in an active disease with structurally weak bone would fail biomechanically more often, however, the follow of THR in such cases hardly show recurrence of disease coxiits loosening of implant. The hip is subluxated posteriorly and superiorly with true shortening of the involved limb.
All the osteoarticular lesions were histologically confirmed for tuberculosis. Cementless total hip arthroplasty for the management of tuberculosis coxitis. Articles Cases Courses Quiz. When the coxutis starts as intraarticular, it progresses fast to involve the whole joint. Thereafter by confirming TBC and open lung tuberculosis, the patient was treated with combination of oral Isoniazid, Rifampicin, Ethambutol and Pyrazinamid.
Microbiological and microscopic examination of intraoperative swabs and surface biopsies did not detect M. Footnotes Source of Support: They concluded that hip replacement in the presence of active tuberculous arthritis of the hip may be a safe procedure when peri operative chemotherapy was used.
Table 1 Clinicoradiological classification of tuberculosis of the hip. Please, refer to the main article on tuberculosis for a general and broad discussion of this condition.
Many surgeons used radical surgery and arthrodesis to control the disease. With a mean followup of 4. Arch Orthop Trauma Surg. The disease healed and the excision arthroplasty like clinical presentation was accepted by the patient and family.
An effusion was detected by ultrasound, aspiration of the hip joint led to no further diagnosis as aerobic and anaerobic cultures were sterile. The different lines of management of this complex problem could be as follows. Vishwakarma interposed a coxitiw cap of amniotic membrane as a biological tissue, in children between the ages of ten and 16 with hip ankylosis.
Ind J Orthop ; Four cases in this study resembled conditions such as osteochondroma and enchondroma. Osteoarticular manifestations may be intra-articular or extra-articular. Moreover she was not convinced of a more extensive surgical intervention and agreed with the operation as an attempt to improve her situation.
Versveld GA, Solomon A. In the stage of advanced arthritis the destruction leads to irregular and hazy joint margins with diminished joint space [ Figure 2 ]. X-ray of the chest showed an enhanced parenchymal change in both apical segments. Babhulkar and Th 9 recommended it to be performed after 10 years or more between active infection and replacement surgery.
Tuberculosis of hip: A current concept review
Permeative lesions, focal erosions, pathological fractures and sequestra were cxitis common. X-ray of the right pelvis showed a slight joint space narrowing with affection of the acetabulum and the femoral head Fig.
We prefer the traction, since assisted movements of the hip joint can be started earlier. This may be attributed to AIDS acquired immune-deficiency syndromeimmigration and intravenous drug abuse.
The prognosis in general is good. Int Orthop ; Initial X-ray of the right pelvis showing only a slight joint space narrowing coxiti affection of the acetabulum and the femoral head. In the present time, diagnostic modalities have ocxitis from the days when diagnosis was based essentially on clinicoradiological presentation alone. More and more surgeons are taking up the challenge of putting the total hip replacement in the active stage of the disease.
Inalthough there were an estimated 8.
Tuberculosis of the hip joint region in children. Clinical experience with year followup evaluation.
[Coxitis due to multidrug resistant Mycobacterium tuberculosis in a HIV negative patient].
The prognosis is poor. J Bone Joint Surg ; 7: Total hip arthroplasty THA in the hip with active tuberculous infection is a controversial issue due to the potential risk of reactivation of TB. In the ‘normal’ type, the disease mainly involved the synovium.
Pathogenesis and pathology Osteoarticular TB is secondary to primary pathology in lungs, lymph nodes or any of the viscera.
Tuberculosis of the hip: Fibrous ankylosis was seen in two cases in this study. A Coxiitis without any proof of lymphadenopathy and pulmonary infiltration could not confirm this suspicion. They concluded that THA in the tuberculous hip is a safe procedure and produces superior functional results compared with resection arthroplasty or arthrodesis.