Hip Surgery in Quiescent or Active Tubercular Hip Arthritis; Is Reactivation Risk Really a Matter

Authors

  • Abdolreza Malek Department of Pediatrics, Mashhad University of Medical Sciences, Mashhs, Iran
  • Ali Birjandinejad Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Ali Parsa Massachusetts General Hospital, Harvard medical School, Boston, MA, USA; Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Alireza Mousavian Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Maryam Mirzaie Community and Preventive Medicine Specialist, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:

  About 15 % of all musculoskeletal tuberculosis (TB) have hip involvement. Early anti-tubercular drug therapy and other conservative treatment including short-term traction and mobilization programs could prevent hip joint destruction. Reactivation of TB accounts for a significant of active TB incidence, especially in the developed countries with a low TB prevalence. The risk of TB activation for population with the latent form of disease is about 5-10%. According to the existing literature surgery in tubercular hip arthritis would be safe once sufficient debridement and precise anti tubercular chemotherapy has been done.

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Journal title

volume 6  issue 3

pages  169- 175

publication date 2018-05-01

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