Immediate Cementless Total Hip Arthroplasty for the Treatment of Active Tuberculosis

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• 作者：Taek Rim Yoon ; Sung Man Rowe ; Setyagung Budi Santosa ; Sung Taek Jung ; Jong Keun Seon
• 关键词：active tuberculosis of the hip ; total hip arthroplasty
• 刊名：The Journal of Arthroplasty
• 出版年：2005
• 出版时间：October 2005
• 年：2005
• 卷：20
• 期：7
• 页码：923-926
• 全文大小：98 K

文摘

We report the results of a primary total hip arthroplasty (THA) in 7 patients with advanced active tuberculous arthritis of the hip and had lost the chance of preserving the hip without replacement surgery. Tuberculosis was confirmed in all cases by the culture or histological examination. All patients were treated with primary THA followed by antituberculous medications for 1 year. Cementless stems and sockets were used in all patients. The average follow-up period was 4.8 years. The reactivation of the infection was not detected in all cases. The result was excellent in all patients according to the Harris Hip Score. Total hip arthroplasty in the tuberculous hip is a safe procedure and produces superior functional results compared with resection arthroplasty or arthrodesis. The results of primary THA in the selected patients was satisfactory as they rapidly recover from the disease.