Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 24048
RESULTS OF TWO-STAGE TOTAL HIP REPLACEMENT IN ADVANCED
TUBERCULOUS ARTHRITIS OF THE HIP
Buddhadeb CHATTERJEE
Apollo Gleneagles Hospital, Kolkata (INDIA)
Tuberculous arthritis of the hip is an extremely debilitating disease with painful
limitation of the movements, ending up with a fibrous ankylosis causing permanent
deformity and limp.This prospective study was done in 14 patients with advanced
tuberculous arthritis of a single hip. The diagnosis was established by X-Ray, ESR,
Mantoux test, ELISA and Histopathology. They were subjected to a two stage
surgery with concommittant 4-drug anti-tuberculosis therapy.In the first stage, the
joint was debrided of all granulation tissue and sequestrated bone and cartilage. The
head of the femur was resected and the patient kept on traction for 6 weeks. After six
weeks, the joint was re visited and a cemented Total Hip Replacement was
performed. Post operatively, the patients were mobilised with walker support and
were able to walk unaided after 3 months. There was satisfactory pain relief,
improved range of movement and significant improvement of hip scores.
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