Open AccessEarly clinical outcomes of one-stage total hip arthroplasty for the treatment of advanced hip tuberculosis
Author(s) -
Chang Chen,
Yong Yin,
Huan Xu,
Ge Chen
Publication year - 2021
Publication title -
journal of orthopaedic surgery
Language(s) - English
Resource type - Journals
eISSN - 2309-4990
pISSN - 1022-5536
DOI - 10.1177/23094990211000143
Subject(s) - medicine , tuberculosis , surgery , total hip arthroplasty , harris hip score , stage (stratigraphy) , range of motion , arthroplasty , retrospective cohort study , paleontology , pathology , biology
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.