Santavirta S, Eskola A, Konttinen Y T, Tallroth K, Lindholm S T
Orthopedic Hospital of the Invalid Foundation, University Central Hospital, Helsinki, Finland.
Acta Orthop Scand. 1988 Aug;59(4):391-5. doi: 10.3109/17453678809149388.
We treated 14 patients with a cemented total hip replacement for old tuberculosis on an average 43 years after the onset of the coxitis. Nine patients were not given any antituberculous treatment, whereas in 5 patients treatment with antituberculous drugs was administered postoperatively for 6 to 12 months. The duration of postoperative follow-up was on an average 8 (5-10) years. Using the Mayo hip scoring system, 8 of the patients were classified as excellent or good, 3 as fair, and 3 as poor. The poor results were in 2 cases due to aseptic loosening of the prosthesis and infection in 1. None of the patients showed reactivation of the tuberculosis.
我们对14例陈旧性髋关节结核患者进行了骨水泥型全髋关节置换术，这些患者自髋关节炎发病起平均已有43年。9例患者未接受任何抗结核治疗，而5例患者术后接受了6至12个月的抗结核药物治疗。术后随访时间平均为8（5 - 10）年。采用梅奥髋关节评分系统，8例患者被评为优或良，3例为中，3例为差。结果差的情况中，2例是由于假体无菌性松动，1例是感染。所有患者均未出现结核复发。
