Leibe H, Köhler H, Kessler P
Zentralbl Chir. 1982;107(5-6):322-42.
Osteo-articular tuberculosis has become now a relatively rare disease in civilized countries. This fact makes the recognition of this infectious disease more difficult. In comparison with the pre-chemotherapeutical era, the time of falling ill has shifted from childhood and youth to the adult age. In our own 804 cases (1970 to 1980) the mean age is now in the seventh decade. The localisation most common seen is the spine, followed by hip- and knee joint. As far as the best therapy is concerned, diagnostics is nowadays as important as formerly. The highly efficient tuberculostatic chemotherapy changed the therapeutic conception concerning osteo-articular tuberculosis. Lengthy immobilisation of the affected joints and bones, in former years the therapy of choice has now be replaced by functional treatment in combination with surgical procedures (radical cleaning of foci).
骨关节结核在文明国家现已成为一种相对罕见的疾病。这一事实使得对这种传染病的识别更加困难。与化疗前的时代相比，发病时间已从儿童期和青年期转移到了成年期。在我们自己的804例病例（1970年至1980年）中，平均年龄现在处于七十岁。最常见的发病部位是脊柱，其次是髋关节和膝关节。就最佳治疗方法而言，如今诊断与以前一样重要。高效的抗结核化疗改变了骨关节结核的治疗观念。以前作为首选治疗方法的对受影响关节和骨骼的长期固定，现在已被功能治疗与外科手术（病灶彻底清除）相结合所取代。
