title: Analysis and therapeutic schedule of the postoperative recurrence of bone tuberculosis.
abstract: OBJECTIVE
  The present study aims to analyze the main reasons that lead to the failure of bone tuberculosis (TB) surgery and the efficacy of reoperation.
  
  
  METHODS
  A total of 3,000 cases of bone TB patients were examined retrospectively. Of these, 180 cases had recurrence, including 135 cases of spinal TB and 45 cases of limb TB. Preoperative indicators of duration of anti-TB chemotherapy, nutritional conditions, temperature conditions and erythrocyte sedimentation rate, and medication time of postoperative and recurrence were statistically analyzed.
  
  
  RESULTS
  Of all 180 cases with reoperation, 176 cases were cured, and four paralyzed patients were symptomatically improved. The causes of postoperative recurrence of bone TB were relatively complex. Efficacy of reoperation was evaluated. Shorter chemotherapy duration, long-term illness, poor health, a higher body temperature, and an accelerated ESR are likely to increase the risk of recurrence.
  
  
  CONCLUSIONS
  Given the operation failure, careful analysis of the failure reasons and the targeted reoperation can obtain satisfactory results, thereby avoiding the failure of the initial surgery.
authors.forename: Lei
authors.initials: L
authors.lastname: Yang
authors.affiliation: Department of Orthopedics, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan 453100, China. zheliuc@126.com.
authors.forename: Zhonghe
authors.initials: Z
authors.lastname: Liu
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001799:Blood Sedimentation; D001831:Body Temperature; D003131:Combined Modality Therapy; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D012307:Risk Factors; D017211:Treatment Failure; D014394:Tuberculosis, Osteoarticular / Q000188:drug therapy / Q000601:surgery*; D014399:Tuberculosis, Spinal / Q000188:drug therapy / Q000601:surgery; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents