Outcomes and Some Conditions for Total Hip Replacement (Hip Tuberculosis at Stage IV)

Abstract

The purpose of this study was to describe the surgical outcomes and prerequisites for total hip replacement in active hip tuberculosis. We carried out a quasi-experimental study. The study included 40 patients with 42 active tuberculosis hips at stage IV treated by total hip replacement from October 2016 to December 2019 at the National Lung Hospital. We analyzed the patients' surgical results after at least a year of follow-up, looked into the logistic regression analysis of the factors influencing these outcomes. According to the surgical outcomes, 37 patients (88.1%) had excellent hip function, no abscesses, and no sinus tract formation. Sinus tract formations were found in four cases (9.5%). They were associated to preoperative tuberculosis infection syndrome, according to binary logistic regression analysis. Total hip replacement is an effective and promising therapeutic option for active hip tuberculosis. Before performing a total hip replacement, surgeons should think about treating their patients' ailments, giving them antitubercular medication, and performing an arthrotomy to drain all abscesses, and lessen the risk of developing tuberculosis infection syndrome and an inflammatory reaction.