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Tuberculosis of hip

A current concept review

  • Symposium-ICL-2014
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Tuberculosis (TB) of the hip is second to spine only hence a good number of cases are visiting the medical facilities every year. Many present in the advanced stage of the disease due to delayed diagnosis. In early stages of TB of hip, there is a diagnostic dilemma when plain X-rays are negative. In the present time, diagnostic modalities have improved from the days when diagnosis was based essentially on clinicoradiological presentation alone. By the time definite radiological changes appear on plain X-ray, the disease has moderately advanced. The modern diagnostic facilities like ultrasonography (USG) or magnetic resonance imaging of the hip joint, USG guided aspiration of synovial fluid and obtaining the material for polymerase chain reaction and tissue diagnosis must be utilized. In the treatment, current emphasis is more on mobility with stability at hip. Joint debridement, skeletal traction, and mobilization exercises may give more satisfying results as compared to the immobilization by hip spica. Adults with advanced arthritis and healed infection should be informed and discussed the various treatment modalities including the joint replacement. More and more surgeons are taking up the challenge of putting the total hip replacement in the active stage of the disease. Until the long term results in active disease are well established, we recommend it for the healed disease only in selected cases.

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Authors and Affiliations

  1. Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221 005, Uttar Pradesh, India

    Shyam Kumar Saraf & Surendra Mohan Tuli

  2. Department of Orthopaedics and Spinal Diseases, Vidyasagar Institute of Mental Health and Neurosciences, New Delhi, India

    Surendra Mohan Tuli

Authors
  1. Shyam Kumar Saraf
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  2. Surendra Mohan Tuli
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Correspondence to Shyam Kumar Saraf.

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Saraf, S.K., Tuli, S.M. Tuberculosis of hip. IJOO 49, 1–9 (2015). https://doi.org/10.4103/0019-5413.143903

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  • DOI: https://doi.org/10.4103/0019-5413.143903

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