Varango G, Bamba I, Kodo M, Dao A, Lambin Y
Service de Traumatologie-Orthopédie, CHU de Yopougon, Abidjan, Ivory Coast.
Int Orthop. 1998;22(6):384-9. doi: 10.1007/s002640050283.
We report a study of 15 cases of tuberculous hips with sickle-cell disease who presented during 1991-1993. Although the osteonecrosis was long-standing, biopsy was nearly always required to reveal the more recent tuberculous infection. Management consisted of 6 months of anti-tuberculous chemotherapy with appropriate palliative surgery 5-8 weeks after the start of drug treatment. The operative techniques which we used are described. The results were good both post-operatively, and in 12 patients followed-up at an average of 3 years. We recommend this combined management for the treatment of secondary tuberculous infections of hips previously damaged by sickle-cell disease.
我们报告了一项对1991年至1993年间出现的15例患有镰状细胞病的结核性髋关节病例的研究。尽管骨坏死已存在很长时间，但几乎总是需要进行活检以发现近期的结核感染。治疗包括6个月的抗结核化疗，并在开始药物治疗5至8周后进行适当的姑息性手术。我们描述了所使用的手术技术。术后以及对12例平均随访3年的患者的结果均良好。我们推荐这种联合治疗方法用于治疗先前因镰状细胞病而受损的髋关节继发性结核感染。
