Artroplastia de cadera con cementado rápido para tratamiento de tuberculosis.(I)

"Artroplastia total de cadera con cementado rápido para el tratamiento de la tuberculosis activa."

Taek Rim Yoon MD, Sung Man Rowe MD, Setyagung Budi Santosa MD, Sung Taek Jung MD and Jong Keun Seon MD

Department of Orthopaedic Surgery and Research Institute of Medical Science, Chonnam National University Hospital, Gwangju, South Korea

Abstract

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.

The Journal of Arthroplasty Volume 20, Issue 7 , October 2005, Pages 923-926.