Dahuja A, Dahuja G, Kaur R, Bansal K
Department of Orthopedics, Guru Gobind Singh Medical College, Punjab, India.
Malays Orthop J. 2014 Mar;8(1):61-2. doi: 10.5704/MOJ.1403.001.
Tuberculosis still remains a leading infection, causing death and disability worldwide. We report a patient with isolated tuberculosis of the talus bone. A 14 year old boy reported with an eight-month history of swelling and pain in his left ankle joint. Routine investigations indicated positive aetiology of tuberculous infection . Surgical curettage of the talus and, debridement were performed and a below knee POP cast was applied along with anti TB therapy. After 18 months postoperative , the patient was able to carry out his daily activities without pain .The ankle and foot are rarely affected and account for only 1% of all TB infections. Provisional diagnosis can be made through history and routine investigations but confirmation by the identification of the bacillus from the local lesion or by a histopathological examination of tissue. Talus tuberculosis should be considered in any long standing inflammatory pathology of the ankle.
Debridement, Sequester, Tuberculosis.
结核病仍然是一种主要的感染性疾病，在全球范围内导致死亡和残疾。我们报告一例距骨孤立性结核患者。一名14岁男孩因左踝关节肿胀和疼痛8个月前来就诊。常规检查显示结核感染病因呈阳性。对距骨进行了手术刮除和清创，并应用了膝下管型石膏，同时进行抗结核治疗。术后18个月，患者能够无痛地进行日常活动。踝关节和足部很少受到影响，仅占所有结核感染的1%。通过病史和常规检查可做出初步诊断，但需通过从局部病变中鉴定出杆菌或对组织进行组织病理学检查来确诊。对于任何长期存在的踝关节炎症性病变，都应考虑距骨结核。
清创术、死骨、结核病
