Eskola A, Santavirta S, Konttinen Y T, Tallroth K, Hoikka V, Lindholm S T
Helsinki University Central Hospital, Finland.
J Bone Joint Surg Br. 1988 Aug;70(4):603-6. doi: 10.1302/0301-620X.70B4.3403606.
We report the results of cementless total joint replacement in 18 patients with old tuberculosis of the hip, performed, on average, 34 years after the onset of infection. Mean follow-up was 3.5 years. Only seven of the patients had antituberculous drugs during or after the operation. Using the Mayo hip score, 15 patients had excellent or good results and two had a fair rating. One patient had the prosthesis removed more than one year postoperatively for late haematogenous staphylococcal infection and had a poor rating. All the patients had relief of hip-related pain. Despite the absence of any reactivation of tuberculosis in our series, we recommend the use of specific prophylaxis.
我们报告了18例陈旧性髋关节结核患者行非骨水泥型全关节置换术的结果，这些患者平均在感染发生后34年接受手术。平均随访时间为3.5年。只有7例患者在手术期间或术后使用了抗结核药物。采用梅奥髋关节评分，15例患者结果为优或良，2例为中等。1例患者术后1年多因晚期血源性葡萄球菌感染取出假体，结果为差。所有患者的髋关节相关疼痛均得到缓解。尽管我们的系列病例中没有任何结核复发的情况，但我们仍建议进行特异性预防。
