Abstract
Most tuberculosis infections of the musculoskeletal system occur in the spine, hip or knee with Hip tuberculosis (TB) constituting 15%-20%. Highest rates of the tuberculosis cases in Indonesia occur in Papua. Neglected cases or delayed treatment can make management challenging. We present a 47 years old Papuan man who presented with progressive destructive TB of the hip due to lack of resources and access to adequate healthcare. He underwent a limited duration of anti-tuberculosis regimen and subsequently had debridement, girdlestone, and cemented total hip arthroplasty (THA) of the affected hip. From this case we conclude that hip arthroplasty in tuberculous arthritis of the hip with compliant administration of anti-tuberculosis drugs is a safe procedure with either cemented or cementless implants.
Highlights
A WHO report in 2011 stated that there were 8.7 million cases of tuberculosis and most cases occurred in Asia (59%) and Africa (26%) [1]
There is no specific data showing the prevalence of patients with tuberculosis that only manifest in musculoskeletal in Indonesia, especially in Papua
Treatment of tuberculosis in the hip should be done immediately [2]. In this case we can see the progression of the neglected tuberculosis of the hip which is not immediately performed surgery treatment that should be done due to lack of resources, how treatment should be and some kind of treatment that is applied to this patient included the application of cemented total hip arthroplasty (THA)
Summary
A WHO report in 2011 stated that there were 8.7 million cases of tuberculosis and most cases occurred in Asia (59%) and Africa (26%) [1]. There is no specific data showing the prevalence of patients with tuberculosis that only manifest in musculoskeletal in Indonesia, especially in Papua. In this case we can see the progression of the neglected tuberculosis of the hip which is not immediately performed surgery treatment that should be done due to lack of resources, how treatment should be and some kind of treatment that is applied to this patient included the application of cemented THA.
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