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Total Hip Arthroplasty in Patients with Active Tuberculosis of the Hip with Advanced Arthritis
Clinical Orthopedics and Related Research, 07/06/09

Neogi DS et al. - The authors observed no reactivation of TB in 11 patients who had Harris hip scores ranging from 86 to 97. One patient who postoperatively did not comply with the antituberculous chemotherapy had reactivation and superimposed infection through a nonhealing sinus tract; that patient underwent component removal and resection arthroplasty. When the infected tissue can be débrided and adequate antituberculous therapy is instituted the outcome of joint arthroplasty may not be adversely affected. THA in the tuberculous hip has a low risk of reactivation and produces good functional results.

Exclusive Author Commentary
Chandra Shekhar Yadav, 07/07/09

Most of the patients with TB hip heal with complete couse of antitubercular chemotherapy (ATT) and may not require surgical intervention. THR in TB hip should only be used in cases with advanced arthritis with destruction and subluxation. It is very important that patient be counselled pre-operatively of being compliant with long duration of ATT lest reactivation may set in. When used in properly indicated patients a satisfactory result may be obtained

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