Total hip replacement in tuberculosis of hip: A retrospective and prospective study

Aim: This study evaluates the functional outcome in patients with active tuberculosis of hip treated with total hip replacement. Material and Methods: 15 patients were analyzed having unilateral babhulkar and pande stage 2, 3 and 4 hip tuberculosis and with regular antituberculosis treatment for more than 4 weeks before surgery treated by total hip replacement. Result: There was a consistent rise in the mean value of the Harris Hip Score which was 33.47 at the time of preoperative assessment and at the 6 months it got raised to 87.93, the comparison between the mean values of the intra group also came up with a significant P value of 0.01 for each and every segment and the mean values of Hip Harris Score was also noticed to be significant as well along with the competition of the same across the intra group. Conclusion: Finally, it can be concluded from the study that total hip replacement for arthritis following the tuberculosis of the hip acts as a proper method for the patients who suffer from tuberculosis and restores them back to a good function that helps them to get back to their daily life. But a proper intraoperative workup is also very much necessary for ruling out if any residual disease is left, with proper follow up of the patience to identify if there is any recurrence. Sometimes a chance for recurrence remains during the first-year post completion of the surgery despite complete resolution of the radiological sign. But that can be taken care of with the help advanced antitubercular regimen therapy.