Hip Surgery in Quiescent or Active Tubercular Hip Arthritis; Is Reactivation Risk Really a Matter



1 Massachusetts General Hospital, Harvard medical School, Boston, MA, USA; Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Community and Preventive Medicine Specialist, Mashhad University of Medical Sciences, Mashhad, Iran

3 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Department of Pediatrics, Mashhad University of Medical Sciences, Mashhs, Iran


About 15 % of all musculoskeletal tuberculosis (TB) have hip involvement. Early anti-tubercular drug therapy and other conservative treatment including short-term traction and mobilization programs could prevent hip joint destruction. Reactivation of TB accounts for a significant of active TB incidence, especially in the developed countries with a low TB prevalence. The risk of TB activation for population with the latent form of disease is about 5-10%. According to the existing literature surgery in tubercular hip arthritis would be safe once sufficient debridement and precise anti tubercular chemotherapy has been done.


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Volume 6, Issue 3
May 2018
Pages 169-175
  • Receive Date: 21 December 2017
  • Revise Date: 29 January 2018
  • Accept Date: 19 February 2018
  • First Publish Date: 01 May 2018