title: Immediate cementless total hip arthroplasty for the treatment of active tuberculosis.
abstract: We report the results of a primary total hip arthroplasty (THA) in 7 patients with advanced active tuberculous arthritis of the hip and had lost the chance of preserving the hip without replacement surgery. Tuberculosis was confirmed in all cases by the culture or histological examination. All patients were treated with primary THA followed by antituberculous medications for 1 year. Cementless stems and sockets were used in all patients. The average follow-up period was 4.8 years. The reactivation of the infection was not detected in all cases. The result was excellent in all patients according to the Harris Hip Score. Total hip arthroplasty in the tuberculous hip is a safe procedure and produces superior functional results compared with resection arthroplasty or arthrodesis. The results of primary THA in the selected patients was satisfactory as they rapidly recover from the disease.
authors.affiliation: Department of Orthopaedic Surgery, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Taek Rim
authors.initials: TR
authors.lastname: Yoon
authors.forename: Sung Man
authors.initials: SM
authors.lastname: Rowe
authors.forename: Setyagung Budi
authors.initials: SB
authors.lastname: Santosa
authors.forename: Sung Taek
authors.initials: ST
authors.lastname: Jung
authors.forename: Jong Keun
authors.initials: JK
authors.lastname: Seon
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D006621:Hip Joint; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012189:Retrospective Studies; D013997:Time Factors; D014394:Tuberculosis, Osteoarticular / Q000601:surgery*