Bone and joint tuberculosis: a review of 652 cases.
The results of a computerized study of 652 cases of bone and joint tuberculosis were presented. The cases were studied according to a program of 76 variables. From the various results of such a study, the following data were found. A high rate of tuberculous osteomyelitis (19%) and of tuberculosis of the upper limb joints (14%) were found. The reliability of a new x-ray classification based on the degree of destruction of the joint should be emphasized along with the reliability of biological examinations. All patients were treated according to the same principles; chemotherapy against tuberculosis, and surgical measures against musculoskeletal destruction. The results were excellent for tuberculosis. A favorable response to chemotherapy was found in 98% with only 3% of the cases relapsing. Anatomical results were surprisingly good and excellent in 56% of the cases, in spite of the low rate of surgery performed. Fair anatomical results often gave good functional results if no deformity persisted.
Martini
M
M
University Brussels, Belgium.
Ouahes
M
M
D000293:Adolescent; D000328:Adult; D000462:Algeria; D000844:Ankylosis / Q000150:complications; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000150:complications; D012189:Retrospective Studies; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000175:diagnosis / Q000628:therapy