Total hip arthroplasty in active and advanced tubercular arthritis: a systematic review of the current evidence.
Vibhu Krishnan ViswanathanMohit Kumar PatralekhGuna Pratheep KalanjiyamKarthikeyan P IyengarVijay Kumar JainPublished in: International orthopaedics (2023)
THA is a safe and effective surgical intervention in patients with active and advanced TB arthritis of hip. It is recommended that the surgery be performed under cover of multi-drug anti-tubercular regimen. In patients with active sinus tracts, abscesses and TIS, surgery may be accomplished in a multi-staged manner. The clinical (range of motion, deformity correction, walking ability and pain scores), radiological (evidence of radiological reactivation and implant incorporation) and function outcome (as assessed by HHS) significantly improve after THA in these patients.
Keyphrases
- total hip arthroplasty
- minimally invasive
- coronary artery bypass
- rheumatoid arthritis
- end stage renal disease
- newly diagnosed
- randomized controlled trial
- ejection fraction
- chronic pain
- mycobacterium tuberculosis
- surgical site infection
- prognostic factors
- pain management
- emergency department
- spinal cord
- neuropathic pain
- high resolution
- acute coronary syndrome
- high speed
- lower limb
- drug induced
- adverse drug
- postoperative pain