Sovetova N A
Ortop Travmatol Protez. 1990 May(5):17-24.
The author has studied the clinical and roentgenologic findings of 68 patients (33 males and 35 females) aged 19 to 60 who had tuberculosis of the hip joint or of the greater trochanter and were cured by conservative means or with palliative and late surgical interventions. The disturbances in the trophics and in the formation of the joint acquired during the process of inflammation as well as the anatomic losses of destructive character became the basis for the development of metatuberculous coxarthroses at stages II and III in these patients, which occurred under the influence of statodynamic loads in pathologic conditions. The roentgenologic picture of metatuberculous coxarthroses is polymorphic; it depends to a certain extent on the age of the beginning of the tuberculous process and is accompanied by pronounced productive reactions of the bone tissue. In essence it corresponds to the manifestations of coxarthroses of other origins, but it also has some peculiarities consisting mainly in the presence of traces of trophic changes in the bone tissue and in the residual signs of the destruction that had taken place which are characteristic of tuberculosis of bones and joints.
作者研究了68例年龄在19至60岁之间的患者(33例男性和35例女性)的临床和X线表现,这些患者患有髋关节或大转子结核,通过保守治疗或姑息性及晚期手术干预得以治愈。炎症过程中获得的营养障碍和关节形成障碍以及具有破坏性的解剖学损失,成为这些患者在病理条件下,在静态和动态负荷影响下发生Ⅱ期和Ⅲ期结核后髋关节病的基础。结核后髋关节病的X线表现是多形性的;在一定程度上取决于结核过程开始的年龄,并伴有骨组织明显的增生反应。从本质上讲,它与其他病因的髋关节病表现相对应,但也有一些特点,主要表现为骨组织中存在营养变化的痕迹以及曾发生的破坏的残留迹象,这些是骨关节结核的特征。