Early clinical outcomes of one-stage total hip arthroplasty for the treatment of advanced hip tuberculosis

Objective: To investigate the clinical efficacy of one-stage total hip arthroplasty (THA) for treating the advanced hip tuberculosis. Methods: A retrospective study was conducted from July 2013 to June 2018, including 19 patients with advanced hip tuberculosis. All patients underwent total hip arthroplasty through posterior approach, and the surgical efficacy was evaluated. Results: Nineteen patients were followed up from 24 months to 48 months, the mean follow-up were 32.1 months. All the incisions healed in grade A. There were no aseptic loosening, dislocation or recurrence of hip tuberculosis after operation. At the last follow-up, the Harris score of the patients was (89.3 ± 6.7), which was significantly higher than (38.2 ± 10.5) of the patients before operation (P < 0.05); the flexion-extension range of motion was (93.6° ± 12.1°), which was significantly larger than (38.2° ± 10.5°) of the patients before operation (P < 0.05). Conclusion: The one-stage total hip arthroplasty with regular antituberculosis treatment can attain satisfactory clinical efficacy in the treatment of advanced hip tuberculosis, which can relieve the joint pain and improve the joint function, without recurrence of hip tuberculosis.

[1]  S. Purohit,et al.  Total Hip Arthroplasty in 52 Active Advanced Tubercular Hip Arthritis. , 2020, The Journal of arthroplasty.

[2]  Y. Pang,et al.  Epidemiology of skeletal tuberculosis in Beijing, China: a 10-year retrospective analysis of data , 2020, European Journal of Clinical Microbiology & Infectious Diseases.

[3]  Abdollah Abbasi,et al.  Incidence, risk factors and clinical characteristics of extra‐pulmonary tuberculosis patients: a ten‐year study in the North of Iran , 2020, Tropical medicine & international health : TM & IH.

[4]  K. Ariyoshi,et al.  Patterns and predictors of co-morbidities in Tuberculosis: A cross-sectional study in the Philippines , 2020, Scientific Reports.

[5]  A. Kritski,et al.  Social determinants of health and catastrophic costs associated with the diagnosis and treatment of tuberculosis. , 2020, Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia.

[6]  Hairong Huang,et al.  Diagnostic value of Xpert MTB/RIF Ultra for osteoarticular tuberculosis. , 2019, The Journal of infection.

[7]  Michael A Mont,et al.  Total hip arthroplasty in the setting of tuberculosis infection of the hip: a systematic analysis of the current evidence , 2019, Expert review of medical devices.

[8]  V. Singh,et al.  Extra-Spinal Osteoarticular Tuberculosis: A Retrospective Analysis of 103 Cases , 2019, Current health sciences journal.

[9]  P. Singh,et al.  Pharmacophore modeling and molecular dynamics approach to identify putative DNA Gyrase B inhibitors for resistant tuberculosis , 2018, Journal of cellular biochemistry.

[10]  E. Bogorodskaya,et al.  Comparative sensitivity of the test with tuberculosis recombinant allergen, containing ESAT6-CFP10 protein, and Mantoux test with 2 TU PPD-L in newly diagnosed tuberculosis children and adolescents in Moscow , 2018, bioRxiv.

[11]  P. Hsieh,et al.  Two-stage revision arthroplasty for Mycobacterium Tuberculosis periprosthetic joint infection: An outcome analysis , 2018, PloS one.

[12]  Feng Liu,et al.  Comparison of total curative effect between total hip arthroplasty and hip arthrodesis in treating coxotuberculosis. , 2018, European review for medical and pharmacological sciences.

[13]  H. Madry,et al.  RETRACTED ARTICLE: A review of translational medicine. The future paradigm: how can we connect the orthopedic dots better? , 2018, Current medical research and opinion.

[14]  M. Ruiz-Cabello,et al.  Osteoarticular tuberculosis of the hip and soft tissues: images of a diagnostic delay , 2018, Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia.

[15]  L. Maini,et al.  Total hip replacement in tuberculosis of hip: A systematic review. , 2017, Journal of clinical orthopaedics and trauma.

[16]  Fengjun Shen,et al.  Two-stage total hip arthroplasty for patients with advanced active tuberculosis of the hip , 2016, Journal of Orthopaedic Surgery and Research.

[17]  Yihe Hu,et al.  Cementless total hip arthroplasty in advanced tuberculosis of the hip , 2015, International Orthopaedics.

[18]  S. Saraf,et al.  Tuberculosis of hip: A current concept review , 2015, Indian journal of orthopaedics.

[19]  Hong Zhang,et al.  One-stage total joint arthroplasty for patients with active tuberculosis. , 2013, Orthopedics.

[20]  Eren Cansü,et al.  Incision infection with Mycobacterium tuberculosis after total hip arthroplasty without any primary tuberculosis focus. , 2011, The Journal of arthroplasty.

[21]  Xianlong Zhang,et al.  Cementless total hip arthroplasty for the treatment of advanced tuberculosis of the hip. , 2011, Orthopedics.

[22]  Ashok Kumar,et al.  Total Hip Arthroplasty in Patients with Active Tuberculosis of the Hip with Advanced Arthritis , 2010, Clinical orthopaedics and related research.

[23]  Yuan Li,et al.  Total hip arthroplasty for active tuberculosis of the hip , 2010, International Orthopaedics.

[24]  C. Leblebici,et al.  Cementless total hip arthroplasty for the management of tuberculosis coxitis , 2010, Archives of Orthopaedic and Trauma Surgery.

[25]  A. de Gast,et al.  Two-stage treatment of acetabular bone defect in tuberculosis of the hip by intended ankylosis followed by total hip arthroplasty: a case report. , 2009, The CASE Journal.

[26]  J. Ahn,et al.  Long-term results of Charnley low-friction arthroplasty in tuberculosis of the hip. , 2001, The Journal of arthroplasty.

[27]  Y. Kim,et al.  Total hip arthroplasty for tuberculous coxarthrosis. , 1987, The Journal of bone and joint surgery. American volume.

[28]  N. J. Blockey.  Tuberculosis of the hip. , 1967, East African medical journal.