Evaluation of the Clinical Outcomes of Hip Joint Tuberculosis Treated by Peroperative Period Antituberculous Ther-apy Combined with One-stage Debridement and Total Hip Replacement
ZHANG Xing-rui
DING Hui-yong
Abstract：Objective To investigate clinical effect of peroperative period antituberculous therapy combined with one-stage debridement and total hip replacement in treatment of hip joint tuberculosis. Methods A total of 100 patients with hip joint tuberculosis admitted between January 2008 and October 2014 were recruited in this study,and were treated with perop-erative period antituberculous therapy. One-stage debridement and total hip replacement were given after preoperative levels of erythrocyte sedimentation rate( ESR)and C-reactive protein( CRP)were up to the standard. All patients received antituber-culous therapy continuously for 12-18 months,and were followed up for average 18 months after the operation. Operative con-ditions and recurrence rate of tuberculosis were observed,visual analogue scale( VAS)scores of hip joint pain on preoperative 1 d and postoperative 3 months,and Harris scores of hip joint on preoperative 1 d and at the last follow-up were compared. Results All operative incisions were primary healing. VAS scores in postoperative 3 months and at the last follow-up were significantly lower than those on preoperative 1 d(F﹦26. 025,P ﹦0. 000). At last follow-up,the Harris score of hip joint and the total score were significantly higher than those on preoperative 1d(P﹤0. 01). At the end of follow-up,the excellent and good rate of hip functional recovery was 90. 00﹪,and the recurrence rate of tuberculosis was 12. 00﹪. Conclusion Peroperative period antituberculous therapy combined with one-stage debridement and total hip replacement in treatment of hip joint tuberculosis can significantly decrease hip pain and improve the hip function.
Keywords：TuberculosisosteoarticularAntituberculous drugsSurgeryArthroplastyreplacementhip
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 13-16 )